High Hemoglobin Targets Not Helpful to Kidney Patients

Chronic kidney disease patients also at increased risk of hyperkalemia
By Jane Parry
HealthDay Reporter

TUESDAY, June 23 (HealthDay News) -- Aiming for a high hemoglobin target when treating chronic kidney disease patients for anemia is not more beneficial than targeting a lower level, according to a study published in the June 22 issue of the Archives of Internal Medicine, while a second study in the same issue found that chronic kidney disease patients are at increased risk of hyperkalemia.

Fiona M. Clement, Ph.D., of the University of Calgary in Canada, and colleagues conducted a review of trials on erythropoietin-stimulating agents to treat anemia in chronic kidney disease patients and found that a target hemoglobin level over 12.0 g/dL does not offer significant improvements in health-related quality of life and that the preferred range is 9.0 to 12.0 g/dL.

Lisa M. Einhorn, of the University of Maryland School of Medicine in Baltimore, and colleagues analyzed 2,103,422 records from 245,808 veterans hospitalized at least once and with at least one serum potassium record. They found that chronic kidney disease patients were at higher risk for hyperkalemia.

"Given the association of hyperkalemia with chronic kidney disease and the elevated odds of death associated with hyperkalemia, this metabolic disturbance should be considered a disease-specific patient safety event," Einhorn and colleagues conclude. "More work is needed to see to what extent alterations in disease management will reduce the incidence of this patient safety indicator."

Abstract - Clement
Full Text (subscription or payment may be required)
Abstract - Einhorn
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events