Bicarbonate HD Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorEast and North Hertfordshire NHS Trust

About this trial

The primary goal of this single centre observational study is to look at factors that affect serum bicarbonate levels in patients on maintenance dialysis. This will be done by collecting demographic information, relevant medical history, dialysis history, potential renal acid load from diet by recording different foods consumed over 2 days in a food diary and bicarbonate levels at 3 intervals, pre and post dialysis session 1 and pre dialysis session 2.

Bicarbonate levels are of significant interest as an indicator of metabolic acidosis in CKD dialysis patients. This study will allow us to understand the efficacy of different dialysis modalities in controlling bicarbonate levels. It will also enable us to understand the idea of individualizing dialysis for patients in terms of not using a standard concentration of dialysate for all patient undergoing dialysis in this center.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18 years and above.

Ability to give informed consent.

End Stage Renal Disease established on maintenance dialysis for at least 3 months.

Patients on dialysis 3 times a week

Disqualifiers

Inability to give informed consent

Patients with acute kidney injury

Patients with severe COPD

Trial population

The study population will consist of adult patients with End Stage Renal Disease (ESRD) receiving maintenance dialysis at the study centre.

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Change in serum bicarbonate levels in patients on haemodialysis

Serum bicarbonate concentration measured across two dialysis sessions (HD1 and HD2) measured as Pre HD1, Post HD2 and Pre HD2.

Time frame
3 months

Secondary outcomes

1

Dietary Acid Load

Potential renal acid load

Time frame
~ 3 months
2

Volume of Haemodiafiltration

Haemodiafiltration volume delivered

Time frame
3 months
3

Indicators of dialysis dose

Pre HD1 and Post HD1 serum urea

Time frame
3 months

Other outcomes

Sponsors and contacts

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