Pleth Variability Index for Predicting Low Blood Pressure During Maintenance Hemodialysis
NCT07022847 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 200
Last updated 2025-06-15
Summary
What is this study about? We are studying whether the Pleth Variability Index (PVI)-a simple, non-invasive measurement from a pulse oximeter-can help predict low blood pressure (hypotension) during routine maintenance hemodialysis. Low blood pressure during dialysis is a common and potentially serious complication. Our goal is to find out if monitoring PVI can help identify patients at risk, so that early action can be taken.
Who can join? Adults aged 18 to 80 years. Patients who have been receiving maintenance hemodialysis regularly for more than 3 months.
Those who are willing and able to participate and sign an informed consent form.
Who cannot join? Patients with severe heart rhythm problems, severe peripheral circulation problems, or swelling that makes PVI measurement unreliable.
Patients who are pregnant or breastfeeding. Patients allergic to the dialysis filter or unable to cooperate with the study procedures.
What will happen during the study? PVI Measurement: Your PVI will be checked with a simple fingertip device before starting dialysis and again 30 minutes after dialysis begins.
Blood Pressure Monitoring: Your blood pressure will be closely watched throughout the dialysis session.
Data Collection: Information about your age, medical history, medications, lab results, dialysis settings, and other standard measurements will be recorded.
What are the benefits and risks? Benefits: By identifying patients at higher risk for low blood pressure during dialysis, the study may lead to safer and more comfortable dialysis treatment in the future.
Risks: All measurements used in this study are safe and non-invasive, with no extra risk compared to routine care.
Your Rights and Safety Participation is completely voluntary-you may leave the study at any time without affecting your medical care.
The study has been reviewed and approved by the hospital's ethics committee. Your privacy and personal data will be strictly protected.
Conditions
- Hypotension and Shock
- Hemodialysis
- End-Stage Renal Disease Requiring Haemodialysis
- Intradialytic Hypotension
Interventions
- OTHER
-
Non-invasive Monitoring
All participants will undergo non-invasive measurement of Pleth Variability Index (PVI) and routine blood pressure monitoring before and during hemodialysis sessions. No treatment or experimental intervention will be applied.
Sponsors & Collaborators
-
Wuhu City Second People's Hospital
collaborator OTHER -
Wuhu County Traditional Chinese Medicine Hospital
collaborator OTHER -
First Affiliated Hospital of Wannan Medical College
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-01
- Primary Completion
- 2025-06-30
- Completion
- 2025-06-30
Countries
- China
Study Locations
More Related Trials
-
Diagnostic Value of Urinary Indices in Differentiating Pre-renal and Renal Acute Kidney Injury
NCT02376712 ·Status: UNKNOWN
-
Prevention of Intradialytic Hypotension in Acute Kidney Injury Patients
NCT00971971 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Validity of the Prothrombin Time Internation Normalised Ratio (PT/INR) Measured at the point-of Care on the Arterial Bloodline of Haemodialysis Extracorporeal Blood Flow
NCT02902848 ·Status: UNKNOWN
-
Dynamic Change of Doppler-based Renal Resistive Index in Predicting Renal Recovery
NCT05866250 ·Status: COMPLETED
-
Association Between Biomarkers and Kidney Function Decline in Pulmonary Hypertension
NCT06409624 ·Status: ACTIVE_NOT_RECRUITING
-
Assessment of Blood Pressure Control and Target Organ Damage in Patients With Chronic Kidney Disease and Hypertension -II
NCT02078115 ·Status: UNKNOWN
-
Doppler-based Renal Resistive Index in Assessing Renal Dysfunction Reversibility in ICU Patients
NCT02355314 ·Status: COMPLETED ·Phase: NA
-
Preoperative Serum Albumin and Duration of Intraoperative Hypotension on Postoperative Acute Kidney Injury
NCT03882658 ·Status: COMPLETED
-
Applying Pulse Wave Analysis to Predict Intradialytic Hypotension
NCT04180514 ·Status: COMPLETED
-
Observational Study of Blood Pressure Measurements and Continuous Dialysis
NCT01286506 ·Status: TERMINATED
-
Intraoperative Hypotension and Acute Kidney Injury After Off-pump Coronary Artery Bypass Grafting Surgery
NCT03889730 ·Status: COMPLETED
-
Continuous Central Venous Oxygen Saturation Measurement as a Tool to Predict Hemodynamic Instability Related to Renal Replacement Therapy in Critically Ill Patients
NCT05897840 ·Status: UNKNOWN ·Phase: NA
-
Perioperative Database of Chinese Elderly Patients for Postoperative Acute Kidney Injury
NCT06462755 ·Status: COMPLETED
-
Evaluation of Total Blood Volume Measurement During Dialysis on the Incidence of Intradialytic Hypotension
NCT05872984 ·Status: COMPLETED ·Phase: NA
-
Characteristics of Renal Blood Flow in AKI Patients in ICU and Its Clinical Significance
NCT06090773 ·Status: COMPLETED
-
Circulatory Management and Acute Kidney Injury in Patients Undergoing Partial Nephrectomy
NCT02803372 ·Status: COMPLETED ·Phase: NA
-
The Protective Effect of Pentoxifylline on Acute Kidney Injury
NCT02951299 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Autonomic Imbalance and 24-h Blood Pressure Change in Patients With Chronic Renal Disease
NCT00298129 ·Status: COMPLETED
-
Ultrasound to Evaluate Acute Kidney Injury
NCT06241417 ·Status: NOT_YET_RECRUITING
-
Can Urinary Partial Oxygen Pressure be an Indicator of Acute Kidney Injury in Patients With Sepsis?
NCT06124105 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Blood Pressure Measurement in Dialysed Patients
NCT03318653 ·Status: COMPLETED
-
The Role of Endothelial Dysfunction in Adult Polycystic Kidney Disease
NCT04023214 ·Status: COMPLETED
-
Clinical Application of Quantitative Ultrasonographic Analysis in Early Kidney Injury
NCT05662774 ·Status: UNKNOWN
-
Effects of Increasing Mean Arterial Pressure on Renal Function in Patients With Shock and With Elevated Central Venous Pressure
NCT05655065 ·Status: RECRUITING ·Phase: NA
-
Concordance Between the Foot-to-Apex Systolic Interval and the Auscultatory Method for Measurement of Brachial Systolic Pressure in Patients With Severe Renal Failure
NCT04043871 ·Status: COMPLETED