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To study the blood levels of sodium in patients undergoing hemodialysis and see if adjusting the dialysis fluid sodium levels will have any effect on weight gain, blood pressure and adverse events during dialysis in these patients.

Phase 3
Completed
Conditions
Health Condition 1: null- Chronic kidney disease stage 5, on maintenance hemodialysis
Registration Number
CTRI/2017/12/010735
Lead Sponsor
Christian medical college
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

1.Patients on thrice weekly maintenance hemodialysis

2.Duration of HD for at least 6 weeks.

Exclusion Criteria

1.Expected life expectancy less than 6 months

2.Pre-HD sodium less than 130 meq/L or >140 meq/L at recruitment

3.Scheduled for live donor kidney transplant within 2 months of enrolment

4.Considered by the treating nephrologist to have concomitant illnesses or conditions that limit or contraindicate study procedures and follow-up (e.g. frequent intra-dialytic hypotension requiring fluid resuscitation)

5.Documented infiltrative cardiomyopathies, (amyloid, glycogen storage disease), hereditary cardiomyopathies (hypertrophic cardiomyopathy) or moderate to severe aortic valve disease (aortic stenosis, regurgitation)

6.Amputees

7.Failure to give informed consent

8.Pseudohyponatremia

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Interdialytic weight gainTimepoint: At each dialysis session
Secondary Outcome Measures
NameTimeMethod
Blood Pressure (pre- and post-dialysis, systolic and diastolic) <br/ ><br>Timepoint: At each dialysis session;Hemodialysis-related adverse events including cramps, nausea, vomitingTimepoint: At each dialysis session;IDWG% (calculated by dividing the IDWG (Interdialytic weight gain) by the dry weight multiplied by 100)Timepoint: At each dialysis session;Interventions during HDTimepoint: At each dialysis session;Intradialytic hypotension (IDH)Timepoint: At each dialysis session;Thirst scoreTimepoint: At each dialysis session;Ultrafiltration (UF) rate (mL/hour/kg) (calculated by dividing UF volume by the length of treatment in hours divided by post-HD weight)Timepoint: At each dialysis session
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