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Predictors of IDH were systolic blood pressure ≤140 mmHg, having more than four comorbidities, dialysate temperature  36°C, calcium  1.3 mmol/L and a shorter dialysis session (3.0-4.5 h). These predictors explained 14.1% of the variance in hypotensive episodes during HD. This clinical audit highlighted the importance of assessing blood pressure trends during HD to preemptively intervene before IDH developing. The audit has resulted in a practice change to hourly assessments. Follow-up audits of practice should occur. This clinic

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