P1127BIOELECTRIC IMPEDANCE IN ESTIMATION OF DRY WEIGHT IN CHRONIC DIALYSIS PATIENTS

Autor:	Braiek Nessrine, Soumaya Beji, Mohamed Karim Zouaghi, Ikram Mami, Badr Ben Kaab, Wided Smaoui, Ben Hmida Fathi, L. Raies, S. Fattoum, Hela Jebali
Rok vydání:	2020
Předmět:	Transplantation medicine.medical_specialty business.industry medicine.medical_treatment Vascular access Urology Ultrafiltration Dry weight Nephrology Chronic dialysis Excess fluid volume Medicine Hemodialysis business Bioelectrical impedance analysis
Zdroj:	Nephrology Dialysis Transplantation. 35
ISSN:	1460-2385 0931-0509
DOI:	10.1093/ndt/gfaa142.p1127
Popis:	Background and Aims Fluid status evaluation is essential to adjust the dry weight(DW) in chronic hemodialysis (HD) patients. Bioelectric impedance is a non invasive technique. Its contribution in HD population is well demonatrated. The aim of this study is to compare evaluation of fluid status clinically and by bioimpedance analysis. Method It’s a transversal study conducted in December 2018.We included chronic dialysis patients( for more 3 months) having 3 dialysis sessions(DS) a week. Bioimpedance analysis (BIA) was performed before and after DS. Results There were 26 patients with an average age of 51,4 years. Sex ratio was 3,33 . Average period spent in HD was 73,7 months. Vascular access was a native arteriovenous fistula in 24 patients, and a catheter in 2 patients. Seven patients had residual diuresis. Average ultrafiltration rate was 2,82 L (10 mL/Kg/h). Before DS, 20 patients had no clinical signs of fluid overload. Unconformity with BIA was noted in 12 patients, with a subclinical overload in all cases. Six patients had clinical signs of fluid overload (including hypertension (HT) in 5 cases), which was concordant with BIA. After DS, 22 patients reached their DW with a correct hydration status, 2 patients still had clinical signs of fluid overload, and 2 had isolated HTA. BIA revealed the persistence of fluid overload in 10 patients contrasting with the absence of clinical signs of hypervolemia in 8 patients. Patients who kept only HT had a normal hydration status. Conclusion Fluid status is an important adequacy issue in the treatment of renal failure. It’s a modifiable risk factor associated to mortality. Bioimpedance analysis is a great help to precise dry weight that must be integrated into our daily practice.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::744295acbdcb9029337ed2dd84238613 https://doi.org/10.1093/ndt/gfaa142.p1127 Zobrazit plný text záznamu