دورية أكاديمية
Overhydration measured by bioimpedance analysis and the survival of patients on maintenance hemodialysis: a single-center study
| العنوان: | Overhydration measured by bioimpedance analysis and the survival of patients on maintenance hemodialysis: a single-center study |
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| المؤلفون: | Ye Jin Kim, Hong Jae Jeon, Yoo Hyung Kim, Jaewoong Jeon, Young Rok Ham, Sarah Chung, Dae Eun Choi, Ki Ryang Na, Kang Wook Lee |
| المصدر: | Kidney Research and Clinical Practice, Vol 34, Iss 4, Pp 212-218 (2015) |
| بيانات النشر: | The Korean Society of Nephrology, 2015. |
| سنة النشر: | 2015 |
| المجموعة: | LCC:Internal medicine LCC:Specialties of internal medicine |
| مصطلحات موضوعية: | Bioimpedance analysis, Extracellular water, Hemodialysis, Hydration, Mortality, Internal medicine, RC31-1245, Specialties of internal medicine, RC581-951 |
| الوصف: | Background: Bioimpedance analysis (BIA) helps measuring the constituents of the body noninvasively. Prior studies suggest that BIA-guided fluid assessment helps to predict survival in dialysis patients. We aimed to evaluate the clinical usefulness of BIA for predicting the survival rate of hemodialysis patients in Korea. Methods: We conducted a single-center retrospective study. All patients were diagnosed with end-stage renal disorder and started maintenance hemodialysis between June 2009 and April 2014. BIA was performed within the 1st week from the start of hemodialysis. The patients were classified into 2 groups based on volume status measured by the body composition monitor (BCM; Fresenius): an overhydrated group [OG; overhydration/extracellular water (OH/ECW) >15%] and a nonoverhydrated group (NOG; OH/ECW ≤15%). Results: A total of 344 patients met the inclusion criteria. Of these, 252 patients (73.3%) were categorized into the OG and 92 patients (26.7%) into the NOG. Age- and sex-matching patients were selected with a rate of 2:1. Finally, 160 overhydrated patients and 80 nonoverhydrated patients were analyzed. Initial levels of hemoglobin and serum albumin were significantly lower in the OG. During follow-up, 43 patients from the OG and 7 patients from the NOG died (median follow-up duration, 24.0 months). The multivariate-adjusted all-cause mortality was significantly increased in the OG (odds ratio, 2.569; P = 0.033) and older patients (odds ratio, 1.072/y; P < 0.001). No significant difference of all-cause or disease-specific admission rate was observed between the 2 groups. Conclusion: The ratio of OH/ECW volume measured with body composition monitor is related to the overall survival of end-stage renal disorder patients who started maintenance hemodialysis. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Korean |
| تدمد: | 2211-9132 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2211913215300267; https://doaj.org/toc/2211-9132 |
| DOI: | 10.1016/j.krcp.2015.10.006 |
| URL الوصول: | https://doaj.org/article/a23e1b3c7ad34253b2454a4bd78cc4f4 |
| رقم الأكسشن: | edsdoj.23e1b3c7ad34253b2454a4bd78cc4f4 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22119132 |
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| DOI: | 10.1016/j.krcp.2015.10.006 |