<![CDATA[Background: Hemodialysis can cause hemodynamic changes that can potentially affect cerebral perfusion and cause neurological symptoms. However, monitoring neurological symptoms during hemodialysis is still not a major part of routine monitoring. Objective: This study aims to identify intradialytic neurological symptoms and analyze them by determining hemodynamic changes in patients undergoing hemodialysis. Methods: An observational analytical study with a cross-sectional design was conducted in 120 adult patients undergoing maintenance hemodialysis. Data characteristics, changes in blood pressure, ultrafiltration volume, and neurological symptoms were collected during hemodialysis sessions. The severity of neurological symptoms was categorized as none, mild, moderate, and severe. The relationship between variables was described using Spearman correlation. Results: A total of 61 patients (50.8%) experienced neurological symptoms during hemodialysis. The most common symptoms were dizziness (35.0%), headache (24.2%), paresthesia or numbness (20.0%), weakness (15.8%), visual disturbances (14.2%), and confusion (9.2%). The severity of neurological symptoms was associated with changes in systolic blood pressure (ρ = −0.38; p < 0.001), changes in diastolic blood pressure (ρ = −0.29; p = 0.001), and ultrafiltration volume (ρ= 0.31; p < 0.001). Conclusion: Intradialytic neurological symptoms are associated with hemodynamic changes in patients undergoing hemodialysis. Simple neuroprotective monitoring alongside hemodynamic monitoring may be considered as part of neuroprotective dialysis care.]]>
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