Premium
Intensity, Duration, and Frequency of Post‐Dialysis Fatigue in Patients on Chronic Haemodialysis
Author(s) -
Bossola Maurizio,
Di Stasio Enrico,
Monteburini Tania,
Parodi Emanuele,
Ippoliti Fabio,
Bonomini Mario,
Santarelli Stefano,
Eugenio Nebiolo Pier,
Sirolli Vittorio,
Cenerelli Stefano
Publication year - 2020
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12315
Subject(s) - medicine , intensity (physics) , dialysis , confidence interval , observational study , duration (music) , art , physics , literature , quantum mechanics
SUMMARY Background Although frequent and debilitating, little is known about the characteristics of post‐dialysis fatigue (PDF). Objective To characterise the intensity, duration and frequency of PDF and the associated variables in patients on chronic haemodialyses. Design Prospective, observational and multicenter study. Patients We studied 271 patients. Measurements Patients were considered to be suffering from PDF if they spontaneously offered this complaint when asked the open‐ended question: “Do you feel fatigued after dialysis? Then, each patient was invited to rate the intensity, duration and frequency of PDF from 1 to 5. Results One hundred sixty‐four patients (60.5%) had PDF. The median [95% confidence interval (CI)] scores of PDF intensity, duration and frequency were 3 (3–4), 3 (3–4) and 4 (4‐4), respectively. The median (95% CI) of the sum of the scores (Sum Score) of PDF intensity, duration and frequency was 11 (10–12). Seventy four patients had a Sum Score ≥ 12. Using multiple regression analysis, PDF intensity was associated with dialytic age and ultrafiltration rate (UFR), PDF duration with dialytic age, while PDF fatigue frequency was associated with height. The Sum Score was associated with dialytic age and recovery time and negatively associated with daily activity, height and UFR (ml/kg/h). Conclusion The intensity, duration and frequency of PDF are high in a large percentage of patients, suggesting that PDF is an intense event in terms of quantity and quality. Understanding the relationship between the variables associated with PDF and its intensity, duration and frequency may help better understand the underlying mechanisms of this burdensome condition.