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Does altitude affect blood gases in hemodialysis patients?

Hemodialysis International · Temmuz 2020

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YÖKSİS Kayıtları
Does altitude affect blood gases in hemodialysis patients?
Hemodialysis International · 2020 SCI-Expanded
PROFESÖR LÜTFULLAH ALTINTEPE →
Does altitude affect blood gases in hemodialysis patients?
Hemodialysis International · 2020 SCI-Expanded
PROFESÖR ZEYNEP BIYIK →
Does altitude affect blood gases in hemodialysis patients?
Hemodialysis International · 2020 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ MUSLU KAZIM KÖREZ →

Makale Bilgileri

DergiHemodialysis International
Yayın TarihiTemmuz 2020
Cilt / Sayfa24 · 323-329
Özet Introduction: This study aimed to determine whether predialysis blood gases is affected by altitude differences in hemodialysis patients with arteriovenous fistulas living in Turkey at three different altitudes. Methods: Patients' predialysis blood gases were compared by standardizing both arterial blood gases collections and working methods for patients undergoing hemodialysis using a dialysate with the same properties at altitudes of 30 m (sea level), 1020 m (moderate altitude), and 1951 m (high altitude). Findings: Blood gases disorders were detected in 32 (82.1%) high altitude group patients, whereas 49 (74.2%) sea level group patients had no blood gases disorders (P < 0.001). pH values in the high altitude group were significantly lower than those in the other groups, and the pH increased as altitude decreased (P < 0.001). The partial pressure of carbon dioxide (PaCO2) values was higher in the sea level group than in the other groups and increased at lower sea levels (P < 0.001). Bicarbonate values were significantly higher in the sea level group than in the other groups and increased at lower sea levels, similar to PaCO2 values (P < 0.001). The partial pressure of oxygen (PaO2) values in the high altitude and sea level groups were significantly higher and increased at lower sea levels (P < 0.001). The oxygen saturation (SaO2) values were significantly lower in the high altitude group than in the other groups and increased gradually at lower sea levels (P < 0.001). Discussion: Predialysis metabolic acidosis was more pronounced in patients undergoing hemodialysis at high altitudes, whereas PaCO2, PaO2, and SaO2 values were lower.

Yazarlar (7)

1
Yasemin Coşkun Yavuz
2
Eda Altun
3
Can Sevinc
4
Ibrahim Guney
5
M. K. Korez
ORCID: 0000-0001-9524-6115
6
Zeynep Bıyık
7
Lütfullah Altıntepe

Anahtar Kelimeler

altitude blood gases analysis HCO3− hemodialysis

Kurumlar

Atatürk Üniversitesi
Erzurum Turkey
Gölcük Necati Çelik State Hospital
Kocaeli Turkey
Selçuk Üniversitesi
Selçuklu Turkey
University of Health Sciences
Istanbul Turkey

Metrikler

1
Atıf
7
Yazar
4
Anahtar Kelime