January 28, 2012

Dialysate Sodium Concentration and the Association with Interdialytic Weight Gain, Hospitalization, and Mortality

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This analysis of observational DOPPS data examined the impact of reduced dialysate sodium on clinical outcomes.  While lowering dialysate sodium was associated with lower interdialytic weight gain, it was also associated with increased hospitalization.  No mortality benefit was associated with reduced dialysate sodium.

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  • Camapafe

    Neither I. But is not a whimsical choice. This study shows trends against a benefit, not demonstrates a worse prognosis. 

  • Anonymous

    It would not change my practice. I’ll countinue to use sodium 136 for most of the patients and 138 only for some more likely to have instability. I use temperature of 35.5 or 35C.