Article Sidebar
Submitted
March 27, 2015
Published
March 27, 2015
Download
Statistic
Read Counter :
416
Download : 87
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Main Article Content
Abstract
Objective: Determine whether the mode of administration of heparin during hemodialysis treatment influences the coagulation status of the extracorporeal system.
Methods: Quasi-experimental study in 27 patients on chronic hemodialysis. Two study periods were established. In the former the prescribed heparin was administered through the vascular access, during the second period through the arterial button of the extracorporeal system.
Results: 27 patients were studied, being 37% female, and the mean age 68.63 ± 17.44. 63% of patients were treated with postdilutional online hemodiafiltration. There were no statistically significant differences in dose and dialysis parameters, vascular access, anticoagulant therapy or hemodialysis technique. Regarding the coagulation status, being grouped by varying score 5. In the first period, 5 points lower than average percentage was 94.09%, while in the second period was 97.1%, with significant differences (p = 0.035).
Conclusions: In our study, the administration of sodium heparin in the extracorporeal circuit improves the coagulation end state of the system, which means less blood loss for the patient.
Methods: Quasi-experimental study in 27 patients on chronic hemodialysis. Two study periods were established. In the former the prescribed heparin was administered through the vascular access, during the second period through the arterial button of the extracorporeal system.
Results: 27 patients were studied, being 37% female, and the mean age 68.63 ± 17.44. 63% of patients were treated with postdilutional online hemodiafiltration. There were no statistically significant differences in dose and dialysis parameters, vascular access, anticoagulant therapy or hemodialysis technique. Regarding the coagulation status, being grouped by varying score 5. In the first period, 5 points lower than average percentage was 94.09%, while in the second period was 97.1%, with significant differences (p = 0.035).
Conclusions: In our study, the administration of sodium heparin in the extracorporeal circuit improves the coagulation end state of the system, which means less blood loss for the patient.
Keywords
hemodialysis; sodium heparin; anticoagulation.
Article Details
License
Author copyright notice
© Authors grant the publisher the non-exclusive licence to publish the work and consent to its use and distribution under the Creative Commons Attribution - NonCommercial 4.0 International (CC BY-NC 4.0) licence. Read the licensing information and the legal text here. This must be expressly stated wherever necessary.
How to Cite
1.
Pelayo Alonso R, Cuadrado Mantecón ME, Martínez Álvarez P, Rojo Tordable M, Ibarguren Rodríguez E, Reyero López M. Patient direct heparinization versus extracorporeal circuit heparinization in hemodialysis: a comparative study. Enferm Nefrol [Internet]. 2015 [cited 2025 Apr 30];18(1):[about 5 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4038
