{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:08:29Z","timestamp":1769213309287,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T00:00:00Z","timestamp":1362528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In hemodialysis patients, some degree of transient hoarseness may occur at the end of the dialysis, and it may be a wearisome, recurrent, and severe state for some hemodialysis patients. However, to date, it has not been a well\u2010defined complication of hemodialysis. The aim of this study was to state this complication and to throw light on it. Four hundred fifty\u2010nine hemodialysis patients were questioned about any change in voice quality during hemodialysis. The patients who had this complaint (<jats:styled-content style=\"fixed-case\">n<\/jats:styled-content>\u2009=\u200970) were included in the study, and the group of patients who suffered hoarseness (subgroup 1: severe, subgroup 2: moderate, subgroup 3: mild) were compared with each other and with the control group, which did not suffer hoarseness (<jats:styled-content style=\"fixed-case\">n<\/jats:styled-content>\u2009=\u200951). Hoarseness was found in 15.2% of the hemodialysis patients. The duration of their hoarseness was minumum 1 to maximum 24 hours. In the control group, coronary artery disease (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.056), congestive heart failure (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.049), autonomic neuropathy (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.001), severe intradialytic hypotensive attacks (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.000), heart valve abnormalities (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.000), and left ventricular diastolic dysfunction (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.000) were significantly lower than in hoarseness group. Older age (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.024), coronary artery disease (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.014), autonomic neuropathy (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.011), and intradialytic hypotensive attacks (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.0001), were associated with severe and moderate hoarseness. In the comparison of % change for systolic and diastolic blood pressure between the hoarseness subgroups, diastolic blood pressure change was not different (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.521), but systolic blood pressure change was statistically lower in mild group than moderate (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.033) and severe subgroup (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\u2009=\u20090.029). Dialysis\u2010induced hypotension may be the main contributor of transient hoarseness. Especially elderly and cardiovascularly compromised patients, who are vulnerable to rapid changes in volume status may experience it to serious extent and this complication may be mediated by autonomic nervous control related with volume depletion.<\/jats:p>","DOI":"10.1111\/hdi.12028","type":"journal-article","created":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T05:48:37Z","timestamp":1362548917000},"page":"633-638","source":"Crossref","is-referenced-by-count":4,"title":["An overlooked complication of hemodialysis: Hoarseness"],"prefix":"10.1111","volume":"17","author":[{"given":"Aysegul","family":"Zumrutdal","sequence":"first","affiliation":[{"name":"Nephrology Department Baskent University Adana Teaching and Research Center  Adana Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,6]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"148","volume-title":"Handbook of Dialysis","author":"Bregman H","year":"2003"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000092911"},{"issue":"1","key":"e_1_2_6_4_1","first-page":"99","article-title":"Voice frequencies in patients treated with chronic hemodialysis","volume":"124","author":"Nesi\u0107 M","year":"1996","journal-title":"Srp Arh Celok Lek"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2001\/029)"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2004.01.011"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5359.94402"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/5.suppl_1.147"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI116037"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.1991.71.3.617"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"2577","DOI":"10.1681\/ASN.V10122577","article-title":"Hemodynamic patterns and spectral analysis of heart rate variability during dialysis hypotension","volume":"10","author":"Barnas MGW","year":"1999","journal-title":"J Am Soc Nephrol"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhdi.12028","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.12028","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.12028","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.12028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T16:51:29Z","timestamp":1696351889000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.12028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,6]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1111\/hdi.12028"],"URL":"https:\/\/doi.org\/10.1111\/hdi.12028","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,6]]}}}