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14217

Effects of High Flux versus Low Flux on Serum C-Reactive Protein A as an Inflammatory Biomarker in Hemodialysis Patients

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Last updated: 03 Jan 2025

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Abstract

Background: Traditional low-flux dialysis cannot improve micro-inflammatory status, while new high-flux dialysis can improve the micro-inflammation and lipid metabolism, it helps to improve the quality of life and survival rate of patients, so how to improve the micro-inflammatory status are a focus for researchers.
Objective: was to observe the effect of high flux hemodialysis (HFHD) with Gambro polyflux 170H dialyser and low flux hemodialysis (LFPD) with polyflux 17L dialyser on high-sensitivity C-reactive protein in patients with maintenance hemodialysis.
Methods: 60 patients with maintenance hemodialysis were randomly divided into HFHD group and LFHD group. Another 20 cases for physical examinations served as normal control group. The maintenance hemodialysis patients were treated with HFHD using 170H dialyser dliahyser and LFHD using 17L dialyser, three times per week, 4 hours once. After 6 months of the treatment, high-sensitive C-reactive protein was determined in patients as well as normal controls before and after treatment.
 Results and Conclusion: in two groups, the levels of high-sensitive C-reactive protein before the treatment were higher than normal control (P <0.001). In HFHD group, serum high-sensitive C-reactive protein markedly decreased (P <0.01). In LFHD group, these indices remained unchanged after the dialysis for 6 months. HFHD with 170H polysulfone dialyser is effective in improving micro-inflammation in maintained hemodialysis patients.
 

DOI

10.12816/0037816

Keywords

CRP, ESRD, hemodialysis membrane

Authors

First Name

Emad Allam

Last Name

Mohamed

MiddleName

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Affiliation

Nephrology Unit, Faculty of Medicine, Al-Alzhar Universit.

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First Name

Magdy Elsayed

Last Name

Mohamed

MiddleName

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Affiliation

Nephrology Unit, Faculty of Medicine, Al-Alzhar Universit.

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Orcid

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First Name

Haytham Sabry

Last Name

Abdelhamid

MiddleName

-

Affiliation

Nephrology Unit, Faculty of Medicine, Al-Alzhar Universit.

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Orcid

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First Name

Mohammed Al-Arabi

Last Name

Mohammed

MiddleName

-

Affiliation

Nephrology Unit, Faculty of Medicine, Al-Alzhar Universit.

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Orcid

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Volume

67

Article Issue

2

Related Issue

2724

Issue Date

2017-04-01

Receive Date

2018-09-20

Publish Date

2017-04-01

Page Start

645

Page End

655

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_14217.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=14217

Order

16

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effects of High Flux versus Low Flux on Serum C-Reactive Protein A as an Inflammatory Biomarker in Hemodialysis Patients

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Article

Created At

22 Jan 2023