Impacto de la fatiga postdiálisis y el tiempo de recuperación en el paciente crónico en tratamiento de hemodiálisis: Estudio observacional exploratorio
Year: 2025
Type: article
Study design: Observational Study
Abstract: Introduction: Haemodialysis is the most widely used renal replacement therapy in advanced stages of kidney disease, although it entails adverse effects that directly impact quality of life. Among these, post-dialysis fatigue stands out as a persistent sensation of exhaustion that may last for hours or even days, and whose impact has been scarcely documented. Objectives: To estimate the frequency of post-dialysis fatigue and recovery time in patients undergoing chronic haemodialysis, analysing associated clinical, functional, and subjective variables.Material and Method: We conducted a cross-sectional study from January through April 2023 in a Spanish public hospital. Patients with more than 3 months on treatment were included. Demographic, clinical, functional, technical, and self-reported health perception data were collected. Fatigue was defined by self-report. Descriptive and bivariate analyses were performed.Results: A total of 43 patients were included, with a mean age of 67.4 years; 28% were women. Post-dialysis fatigue was reported by 53.5% of patients, with no significant differences by age or sex. Patients who experienced post-dialysis fatigue had a longer mean recovery time (467.9 ± 194.4 vs 66.3 ± 137.0 minutes; p < 0.001), lower total protein levels (6.1 vs 6.5 g/L; p = 0.022), and worse self-perceived health (p = 0.026). No associations were found with other clinical or technical variables.Conclusions: Post-dialysis fatigue is a frequent event and is associated with longer recovery time and both clinical and subjective markers of poorer general health. Its systematic evaluation could improve the comprehensive management of patients on haemodialysis.
Source: Enfermería Nefrológica
Language: Spanish
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4414764387