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Table 2 Diagnostic criteria for complications

From: Management of volume load for patients undergoing hemodialysis via WeChat and home monitoring in China: a protocol for a cluster-randomized trial

Complications

Assessment criteria

Renal anemia

For adults residing above sea level: male hemoglobin (Hb) < 130 g/L, unpregnant female Hb < 120 g/L, pregnant female Hb < 110 g/L; Based on the following hematocrit values, red blood cell count, mean corpuscular volume, mean corpuscular Hb, mean corpuscular Hb concentration, reticulocyte count, urobilinogen, urine bilirubin, serum total bilirubin, direct bilirubin, indirect bilirubin, and lactic dehydrogenase, exclude nutritional anemia, hemolytic anemia, bemorrhagic anemia, thalassemia, aplastic anemia, and hematologic malignancy; Previous diagnosis of renal anemia in the HIS system;The patient is currently using erythropoietin; The patient can be diagnosed if they meet both criteria and , or any one of criteria and

Hyperphosphatemia

The last three and the most recent examinations of serum inorganic phosphorus all show levels above 1.78 mmol; Previous diagnosis of hyperphosphatemia recorded in the HIS system; The patient can be diagnosed if they meet either criterion above

Secondary hyperparathyroidism

Two consecutive iPTH examinations show levels above 300 pg/L, or iPTH is continuously rising; There is a previous diagnosis of secondary hyperparathyroidism in the HIS system; The patient can be diagnosed if they meet either criterion above

CKD-MBD

Abnormalities detected in serum calcium, phosphorus, parathyroid hormone, or vitamin D;Abnormalities in bone turnover, mineralization, mass, linear growth, or bone strength; The patient can be diagnosed if they meet either criterion above

Cardiovascular complications

Persistent abnormal BP (hypertension or hypotension); Chronic heart failure, characterized by symptoms of systemic congestion, pulmonary congestion, or hypoperfusion, or abnormal findings on echocardiography; Arrhythmia; Previous diagnosis of any of the above three conditions in the HIS system; The patient can be diagnosed if they meet any one of the four criteria above