Predictors of excess fluid volume in hemodialysis patients: an observational study.

Autor:	Fernandes MIDCD; Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil., Tinôco JDS; Universidade do Estado do Rio Grande do Norte. Caicó, Rio Grande do Norte, Brazil., Fernandes RM; Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil., Silva JBD; Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil., Almeida ATD; Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil., Frazão CMFQ; Universidade Federal de Pernambuco. Recife, Pernambuco, Brazil., Lopes MVO; Universidade Federal do Ceará. Fortaleza, Ceará, Brazil., Lira ALBC; Universidade Federal do Ceará. Fortaleza, Ceará, Brazil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2024 May 03; Vol. 77 (1), pp. e20220816. Date of Electronic Publication: 2024 May 03 (Print Publication: 2024).
DOI:	10.1590/0034-7167-2022-0816
Abstrakt:	Objectives: to assess risk factors for excess fluid volume in hemodialysis patients. Methods: a retrospective case-control study was conducted. A total of 392 patients (196 cases and 196 controls) from two hemodialysis centers were included. Sociodemographic data and 23 risk factors for excess fluid volume were assessed using a data collection form. Data were analyzed using a multivariate logistic regression model. Results: the insufficient knowledge (OR=2.06), excessive fluid intake (OR=2.33), inadequate fluid removal during hemodialysis (OR=2.62) and excessive sodium intake (OR=1.91) risk factors may increase the chance of occurrence of excess fluid volume in hemodialysis patients by approximately two times. Education level (OR=0.95) and age (OR=0.97) are protective factors for excessive fluid volume. Conclusions: knowing these risk factors may help nurses with accurate and rapid diagnostic inference of the risk of excessive fluid volume.
Databáze:	MEDLINE
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