Impact of Abnormal Serum Electrolyte Levels and Acid-Base Disorders on Clinical Outcomes among Maintenance Hemodialysis Patients - Open Access Library Journal

OALibJ > Vol.4 No.5, May 2017

Impact of Abnormal Serum Electrolyte Levels and Acid-Base Disorders on Clinical Outcomes among Maintenance Hemodialysis Patients ()

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DOI: 10.4236/oalib.1103623 1,683 Downloads 4,081 Views Citations

Author(s)

Vricksha Guttee¹, Yuxin Nie^1,2, Yimei Wang^1,2,3,4, Xiaoqiang Ding^1,2,3,4

Affiliation(s)

¹Division of Nephrology, Zhongshan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
²Shanghai Institute of Kidney Disease and Dialysis, Shanghai, China.
³Key Laboratory of Kidney and Blood Purification of Shanghai, Shanghai, China.
⁴Quality Control Center of Dialysis, Shanghai, China.

ABSTRACT

There has been a notable rise in the number of patients diagnosed with chronic kidney disease (CKD) over the years across the world, with most cases subsequently leading to end-stage renal failure. Hemodialysis (HD) remains one of the main treatments for end-stage renal disease (ESRD) worldwide. Despite improvements in dialysis care, the mortality of patients with ESRD on maintenance hemodialysis is persistently high. Abnormal levels of serum electrolytes, pre-and post-dialysis, and acid-base disorders have a crucial influence on clinical outcomes in HD patients. In this review, we aim to discuss the different effects that serum electrolyte levels have on the prognosis of patients on maintenance hemodialysis, particularly sodium, potassium, magnesium, phosphorus and bicarbonate.

KEYWORDS

Chronic Kidney Disease, End-Stage Renal Disease, Hemodialysis, Electrolyte, Acid-Base Disorder

Share and Cite:

Guttee, V. , Nie, Y. , Wang, Y. and Ding, X. (2017) Impact of Abnormal Serum Electrolyte Levels and Acid-Base Disorders on Clinical Outcomes among Maintenance Hemodialysis Patients. Open Access Library Journal, 4, 1-13. doi: 10.4236/oalib.1103623.

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