A COMPARATIVE STUDY OF THE PREVALENCE RATE OF COMMON COMPLICATIONS IN ROUTINE HEMODIALYSIS, AND LINEAR AND STEPWISE SODIUM- ULTRA FILTRATION PROFILE IN PATIENTS WITH CHRONIC KIDNEY FAILURE UNDER HEMODIALYSIS

Hemodialysis is one of the most successful treatments for replacing kidney
function worldwide. Given the physiological changes brought about, the undesirable complications of
hemodialysis remain a serious problem. Sodium profiles- ultrafiltration has recently been proposed as a
method to prevent complications during dialysis. The present research was conducted as a comparative
study of such methods on the common complications of hemodialysis.
Materials & Methods: In this clinical trial, 32 subjects from two treatment centers of East Azarbaijan
Province were included in the study based on the inclusion criteria through convenient sampling. Each
patient underwent 3 sessions of routine hemodialysis, 3 sessions of the linear profile, and 3 sessions of
stepwise profile method for a total of 9 sessions. The patients were clinically examined for common
complications. The data were analyzed, using SPSS 13, and Cochran's inferential-descriptive statistics
at the significance level of P<0.05.
Results: The results of 288 hemodialysis sessions were analyzed in total. The findings revealed that the
incidence of complications and the number of treatment measures in the linear and stepwise sodium-
ultrafiltration profile significantly decreased in comparison with those of the routine method(P<0.05).
Additionally, the incidence of hypotension complication was significantly more in the routine method
as compared with that of linear and stepwise methods.
Conclusion: The sodium-ultrafiltration profile is a simple, cost-free method and improves hemodialysis
tolerance. Thus, it is recommended that this method be used in most of the patients’ monthly sessions
to reduce the complications and improve hemodialysis tolerance.