Document Detail


Volume Control in Peritoneal Dialysis Patients Guided by Bioimpedance Spectroscopy Assessment.
MedLine Citation:
PMID:  21242684     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Volume overload is a common problem in peritoneal dialysis patients and may contribute to the high cardiac mortality in this patient population. Controlling volume status is difficult due to the lack of appropriate and accurate assessment of dry weight. This randomized, controlled study was conducted to test if the recent use of overhydration value (OH) provided by bioimpedance spectroscopy and patients' education would help to control overhydration. Methods: 160 continuous ambulatory peritoneal patients were included in this study. All the patients were randomly allocated to 2 groups: in Group 1 the patients and their primary nurses were informed of the OH values provided by bioimpedance spectroscopy whereas in Group 2 the values were not revealed and patients' volume was measured by the standard methods. Fluid status was evaluated by means of repeated bioimpedance analysis and clinical assessment. Urine volume, blood pressure and use of antihypertensive medications were recorded. Results: There were no differences in gender, age, diabetes, height, weight and clinical hydration status between the 2 groups at the baseline. In Group 1, OH (p < 0.05), extracellular volume and the extracellular volume to intracellular volume ratio decreased steadily during the 3-month follow-up. On the contrary, all 3 parameters increased significantly in Group 2. SBP decreased significantly in Group 1 but increased significantly in Group 2. Conclusion: Our study shows that the use of OH as determined by bioimpedance spectroscopy may facilitate volume control in peritoneal dialysis patients.
Authors:
Ya-Jun Luo; Xin-Hong Lu; Feidhlim Woods; Tao Wang
Related Documents :
22346374 - Utility of gastric aspirates in screening for pulmonary tuberculosis in high risk subje...
22607284 - Atopic dermatitis: correlation between non-damaged skin barrier function and disease ac...
21155884 - Double balloon enteroscopy and capsule endoscopy for obscure gastrointestinal bleeding:...
4073064 - Outcome of patients treated by an aminoglycoside pharmacokinetic dosing service.
23211664 - Spontaneous cerebrospinal fluid otorrhea and rhinorrhea in idiopathic intracranial hype...
8932854 - Adoptive immunotherapy with donor mononuclear cell infusions to treat relapse of acute ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-14
Journal Detail:
Title:  Blood purification     Volume:  31     ISSN:  1421-9735     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402040     Medline TA:  Blood Purif     Country:  -    
Other Details:
Languages:  ENG     Pagination:  296-302     Citation Subset:  -    
Copyright Information:
Copyright © 2011 S. Karger AG, Basel.
Affiliation:
Division of Nephrology, Peking University Third Hospital, Beijing, PR China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  What Is the Upper Limitation of Volume in Chinese Peritoneal Dialysis Patients?
Next Document:  Circuit Start during Continuous Renal Replacement Therapy in Vasopressor-Dependent Patients: The Imp...