{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T12:57:22Z","timestamp":1776171442532,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T00:00:00Z","timestamp":1522368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T00:00:00Z","timestamp":1522368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001798","name":"Edith Cowan University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001798","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>\n                      To measure the prevalence of symptomatic (S\u2010\n                      <jats:styled-content style=\"fixed-case\">IDH<\/jats:styled-content>\n                      ) and asymptomatic intradialytic hypotension (A\u2010\n                      <jats:styled-content style=\"fixed-case\">IDH<\/jats:styled-content>\n                      ) or postdialysis overhydration in a satellite haemodialysis clinic in Western Australia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intradialytic hypotension is one of the most common side effects of haemodialysis caused by ultrafiltration provoking a temporary volume depletion. The prevalence of asymptomatic hypotension during dialysis has been rarely reported, but is considered to have the same negative consequences as symptomatic hypotension on various end organs like the brain and the gastrointestinal tract.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Observational study on a retrospective 3\u2010month period of nursing recorded fluid\u2010related adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data collection on the occurrence of S\u2010\n                      <jats:styled-content style=\"fixed-case\">IDH<\/jats:styled-content>\n                      and A\u2010\n                      <jats:styled-content style=\"fixed-case\">IDH<\/jats:styled-content>\n                      during a total of 2,357 haemodialysis treatments in 64 patients. Body weight of patients at the time of cessation of treatment was recorded, and patients, whose weight exceeded their ideal body weight by at least 0.5\u00a0kg, were classified as overhydrated.\n                    <\/jats:p>\n                    <jats:p>\n                      Data analysis was performed using\n                      <jats:sc>spss<\/jats:sc>\n                      version 24 software.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Symptomatic intradialytic hypotension was the most common adverse event measured in this cohort, and occurred during 221 (9.4%) of all treatments, whereas asymptomatic intradialytic hypotension occurred in 88 (3.7%) of all treatments. The total occurrence of intradialytic hypotension was 13.1%, and symptomatic was observed in 30 patients, implying that nearly every second patient had at least one symptomatic episode within 3\u00a0months. Overhydration occurred in a total of 103 (4.4%) of all treatments, and involved 17 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Symptomatic and asymptomatic intradialytic hypotension were the most commonly observed adverse events in this cohort; overhydration occurrence was considerably less common.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>\n                      The high occurrence of hypotension\u2010related events demonstrates that ultrafiltration treatment goals in satellite dialysis clinics are sometimes overestimated, resulting in regular significant symptomatic episodes for the patient. Raising the awareness of the prevalence of\n                      <jats:styled-content style=\"fixed-case\">IDH<\/jats:styled-content>\n                      amongst renal nurses could be an essential initial step before collectively preventative strategies in haemodialysis satellite units are implemented.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.14309","type":"journal-article","created":{"date-parts":[[2018,2,15]],"date-time":"2018-02-15T00:36:43Z","timestamp":1518655003000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Measuring the prevalence of intradialytic hypotension in a satellite dialysis clinic: Are we too complacent?"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8660-0175","authenticated-orcid":false,"given":"Ulrich","family":"Steinwandel","sequence":"first","affiliation":[{"name":"School of Nursing Edith Cowan University Joondalup WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Gibson","sequence":"additional","affiliation":[{"name":"School of Nursing Edith Cowan University Joondalup WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandy","family":"Towell\u2010Barnard","sequence":"additional","affiliation":[{"name":"School of Nursing Edith Cowan University Joondalup WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Parsons","sequence":"additional","affiliation":[{"name":"School of Medicine Faculty of Health Sciences Curtin University Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James JR","family":"Rippey","sequence":"additional","affiliation":[{"name":"Sir Charles Gairdner Hospital Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"Rosman","sequence":"additional","affiliation":[{"name":"School of Medicine Faculty of Health Sciences Curtin University Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12288"},{"issue":"5","key":"e_1_2_12_3_1","first-page":"479","article-title":"Asymptomatic intradialytic hypotension: The need for pre\u2010emptive intervention","volume":"42","author":"Bradshaw W.","year":"2015","journal-title":"Nephrology Nursing Journal: Journal of the American Nephrology Nurses\u2019 Association"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq763"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2002.tb04517.x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/147323001103900643"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/724147"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2014090860"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2006.00088.x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12320"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.0590031175.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2011.00854.x"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2014020222"},{"issue":"5","key":"e_1_2_12_14_1","first-page":"30","article-title":"A quality improvement project: Strategies to reduce intradialytic hypotension in hemodialysis patients","volume":"29","author":"Ghaffar U.","year":"2015","journal-title":"Nephrology News & Issues"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2009.00643.x"},{"issue":"3","key":"e_1_2_12_16_1","first-page":"287","article-title":"Clinical management of intradialytic hypotension: Survey results","volume":"32","author":"Hossli S. 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