Oxygen saturation in patients during hemodialysis at different altitudes
Introduction Patients undergoing hemodialysis may develop hypoxemia during the procedure, and hypoxemia may become more intense if hemodialysis is performed in a high altitude environment. Objectives To assess variations in oxygen saturation in patients undergoing hemodialysis at different altitude...
| Authors: | ; ; ; ; |
|---|---|
| Format: | Article |
| Status: | Published version |
| Publication date: | 2021 |
| Country: | Perú |
| Institution: | CMP |
| Repository: | Acta Médica Peruana |
| Language: | Spanish |
| OAI Identifier: | oai:amp.cmp.org.pe:article/2146 |
| Online Access: | https://amp.cmp.org.pe/index.php/AMP/article/view/2146 |
| Access Level: | Open access |
| Keyword: | Oximetría cutánea hemodiálisis altitud Cutaneous oximetry hemodialysis Altitude |
| _version_ | 1878411718589153281 |
|---|---|
| author | Rosales-Mendoza, Karina |
| author2 | Gonzalez-Polar, Jose Sumen , Romina Vizcarra Vizcarra, Christian Hurtado-Aréstegui, Abdias |
| author2_role | author author author author |
| author_browse | Gonzalez-Polar, Jose Hurtado-Aréstegui, Abdias Rosales-Mendoza, Karina Sumen , Romina Vizcarra Vizcarra, Christian |
| author_facet | Rosales-Mendoza, Karina Gonzalez-Polar, Jose Sumen , Romina Vizcarra Vizcarra, Christian Hurtado-Aréstegui, Abdias |
| author_role | author |
| collection | Acta Médica Peruana |
| description | Introduction Patients undergoing hemodialysis may develop hypoxemia during the procedure, and hypoxemia may become more intense if hemodialysis is performed in a high altitude environment. Objectives To assess variations in oxygen saturation in patients undergoing hemodialysis at different altitude levels. Material and methods This is a prospective case series, where patients from hemodialysis programs in three cities were assessed. These places were at 101-, 2335-, and 3825- meters above sea level. Patients had their oxygen saturation measured in a semi-sitting position with a pulse oxymeter device. Measurements were taken before, during, and at the end of hemodialysis sessions. Results Sixty-five patients undergoing hemodialysis were included. They were from three cities at different altitude above sea level. Oxygen saturation significantly decreased as long as altitude increased (97,32 ± 1,10 vs. 94,75 ± 2,17 vs. 84,85 ± 5,86 p= 0,00). Oxygen saturation showed changes before, during, and at the end of hemodialysis procedures at different altitude. Ferritin levels were lower in high altitude patients compared with those at sea level and at moderate altitude (131,75 [106,04 – 157,45] vs. 493,38 [273,19 – 713,56] vs. 550,66 [329,75-771,57] p=0,01). Hemoglobin values were lower in patients from middle altitude levels (10,8 [10,12-11,47] vs 11,32 [10,79-11,85] vs 11,84 [11,54-12,14] p=0,03) Conclusions In patients undergoing chronic hemodialysis oxygen saturation is reduced as long as altitude increases, and significant variations were found during hemodialysis procedures. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | PE_7cc8fcdd95a7a2baa8a193404fbdedde |
| identifier_str_mv | 10.35663/amp.2021.383.2146 |
| institution | CMP |
| instname_str | Colegio Médico del Perú |
| language | spa |
| network_acronym_str | PE |
| network_name_str | Perú |
| oai_identifier_str | oai:amp.cmp.org.pe:article/2146 |
| publishDate | 2021 |
| publishDateSort | 2021 |
| publisher | Colegio Médico del Perú |
| publisherStr | Colegio Médico del Perú |
| reponame_str | Acta Médica Peruana |
| spelling | Oxygen saturation in patients during hemodialysis at different altitudes Saturación de oxígeno en pacientes durante hemodiálisis a diferentes altitudes Rosales-Mendoza, Karina Gonzalez-Polar, Jose Sumen , Romina Vizcarra Vizcarra, Christian Hurtado-Aréstegui, Abdias Oximetría cutánea hemodiálisis altitud Cutaneous oximetry hemodialysis Altitude Introduction Patients undergoing hemodialysis may develop hypoxemia during the procedure, and hypoxemia may become more intense if hemodialysis is performed in a high altitude environment. Objectives To assess variations in oxygen saturation in patients undergoing hemodialysis at different altitude levels. Material and methods This is a prospective case series, where patients from hemodialysis programs in three cities were assessed. These places were at 101-, 2335-, and 3825- meters above sea level. Patients had their oxygen saturation measured in a semi-sitting position with a pulse oxymeter device. Measurements were taken before, during, and at the end of hemodialysis sessions. Results Sixty-five patients undergoing hemodialysis were included. They were from three cities at different altitude above sea level. Oxygen saturation significantly decreased as long as altitude increased (97,32 ± 1,10 vs. 94,75 ± 2,17 vs. 84,85 ± 5,86 p= 0,00). Oxygen saturation showed changes before, during, and at the end of hemodialysis procedures at different altitude. Ferritin levels were lower in high altitude patients compared with those at sea level and at moderate altitude (131,75 [106,04 – 157,45] vs. 493,38 [273,19 – 713,56] vs. 550,66 [329,75-771,57] p=0,01). Hemoglobin values were lower in patients from middle altitude levels (10,8 [10,12-11,47] vs 11,32 [10,79-11,85] vs 11,84 [11,54-12,14] p=0,03) Conclusions In patients undergoing chronic hemodialysis oxygen saturation is reduced as long as altitude increases, and significant variations were found during hemodialysis procedures. Introducción Los pacientes en hemodiálisis pueden presentar hipoxemia durante este procedimiento, la cual puede ser mayor si la hemodiálisis se realiza en ciudades de mayor altitud. Objetivos Evaluar las modificaciones de la saturación de oxígeno en pacientes con enfermedad renal crónica en estadio 5 en hemodiálisis a diferentes altitudes. Material y métodos Estudio descriptivo, prospectivo observacional, de pacientes con enfermedad renal crónica estadío 5 en programa de hemodiálisis, en tres ciudades localizadas a diferente altitud: 101, 2335 y 3,825 metros sobre el nivel del mar, en los que se evaluó la saturación de oxígeno en posición semisentada con pulsoxímetro: antes, durante y al finalizar el procedimiento de hemodiálisis. Resultados Se incluyeron 65 pacientes en hemodiálisis, de 3 ciudades de diferente altitud, con características similares, la saturación de oxígeno disminuyó significativamente a medida que aumentaba la altitud (97,3 ± 1,1 vs 94,8 ± 2,1 vs 84,8 ± 5,9 p=0,001), la saturación de oxígeno no mostró cambios antes, ni durante la hemodiálisis en las diferentes altitudes. Los niveles de ferritina fueron menores en pacientes de gran altitud comparado con los de nivel del mar (132 ± 57 vs 493 ± 492 p=0,001). Conclusiones En pacientes en hemodiálisis la saturación de oxígeno disminuye a medida que incrementa la altitud y no se encontró disminución significativa durante la hemodiálisis. Colegio Médico del Perú https://amp.cmp.org.pe/index.php/AMP/article/view/2146 10.35663/amp.2021.383.2146 |
| spellingShingle | Oxygen saturation in patients during hemodialysis at different altitudes Rosales-Mendoza, Karina Oximetría cutánea hemodiálisis altitud Cutaneous oximetry hemodialysis Altitude |
| status_str | publishedVersion |
| title | Oxygen saturation in patients during hemodialysis at different altitudes |
| title_full | Oxygen saturation in patients during hemodialysis at different altitudes |
| title_fullStr | Oxygen saturation in patients during hemodialysis at different altitudes |
| title_full_unstemmed | Oxygen saturation in patients during hemodialysis at different altitudes |
| title_short | Oxygen saturation in patients during hemodialysis at different altitudes |
| title_sort | Oxygen saturation in patients during hemodialysis at different altitudes |
| topic | Oximetría cutánea hemodiálisis altitud Cutaneous oximetry hemodialysis Altitude |
| topic_facet | Oximetría cutánea hemodiálisis altitud Cutaneous oximetry hemodialysis Altitude |
| url | https://amp.cmp.org.pe/index.php/AMP/article/view/2146 |