Characteristics of Intradialytic Hypertension in Hemodialysis Patients at the Prof. Dr. W. Z. Johanes General hospital, East Nusa Tenggara

Abstract

One of the most common complication of hemodialysis patients in Indonesia is intradialytic hypertension. Intradialytic hypertension, defined as an increase in blood pressure during or immediately after hemodialysis which results in postdialysis hypertension, has long been recognized to complicate the hemodialysis procedure, yet it is often largely ignored. A large observational study recently showed that intradialytic hypertension of any magnitude increased mortality risk. The aim of this study was to identify the incidence of intradialysis hypertension in hospitalized patients undergoing hemodialysis at Prof. Dr. W. Z. Johannes General Hospital, Kupang, East Nusa Tenggara, Indonesia. The research method used is descriptive with an observational approach. Data collection was carried out by taking a total sampling using secondary data by medical records in the 3 months period of 2023 with 60 respondents who met the inclusion criteria. The results of research on respondents showed that 83,3% had intradialysis hypertension, dominated by men, age over 45 years who had a history of comorbid hypertension and type 2 diabetes mellitus, had anemia, potassium within normal limits, and more than 4 hours hemodialysis duration. The conlusion is that patients with intradialytic hypertension must be identified as high risk patients and the incidence can be said to be relatively high. Intradialysis hypertension in this study was determined based on the threshold criteria for systolic blood pressure with an increase of 10 mmHg from pre- to post-dialysis. This must be controlled for the patient's quality of life and to prevent worsening of the condition.