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Post dialysis recovery time- its causes and significance
Abdulla Al-Sayyari
2020 ; 2020(1):
    Hemodialysis | Recovery time
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춘계학술대회 초록집
Self-reposted post dialysis recovery time has been shown have prognostic significance in hemodialysis patients. This study looks at recovery time and related causes and consequences/ This is a cross sectional study, it was conducted from July to October 2019 from KAMC, Riyadh. The following variables were  documented: a) demographic data, b) Charlson comorbidity, c) self-reported recovery time, d) quality of life (using KDOQOL-36 instrument) e) physical activity. The relationship between these variables on recovery time was calculated Two hundred and fifty four patients were enrolled in the study. Male represented 61%, and the mean age was 58.2. The mean BMI of participants was 28.1. Just under half of the patients were unemployed (47.2%) and 56.7% were diabetic. Recovery time among our dialysis patients was found to be  5±6.3 hr. ( ,median 3 hours). Diabetic patients had longer recovery time (p= 0.006). Patients who exercise regularly recover faster (p=0.07). Afternoon shift’s patients had faster recovery time compared to patients attended other shifts (p= 0.0001).     We found that recovery time was significantly less with higher scores of the Physical Component Scores ( PCS) (( p=0.004) of quality of life measures (using KDOQOL-36 instrument). However, interestingly, recovery time was not impacted by Mental Component Scores ( MCS) ( p=0.4) Recovery time was longer with higher BMI ( p= 0.06) and significantly longer with lower weight gain ( p=0.007) but was not affected by age, HD vs. HDF, ,  post  dialysis  MAP, dialysis hours/week, dialysis vintage, comorbidity index, intradialytic hypotension  or hemoglobin level However it was longer in single compared to married individuals ( p=0.06) and significantly longer in the unemployed compared to  the employed patients (p=0.03) More effort should be focused on increasing physical activity and controlling diabetes among CKD patients to reduce the recovery time after dialysis sessions.
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