Extensive Search for Dry Weight: Should We Change the Strategy?
Journal Title: Nephrology – Open Journal - Year 2015, Vol 1, Issue 2
Abstract
Introduction: A wrong estimate of the dry weight in hemodialysis patients increases their morbidity and mortality. The aim of our study was to compare the results of the estimated dry weight using the clinical examination with the results of the lung ultrasound, impedance measurement, ultrasound of the inferior vena cava and B-type Natriuretic Peptide (BNP) assay. Methods: A cross-sectional study was conducted in an hemodialysis center at Fez. The estimated dry weight of the patients was evaluated before and 30-60 minutes after the hemodialysis session using the four above-mentioned methods. Results: The values, measured by the different techniques used, drop significantly after hemodialysis (p less than 0.04) Conclusion: This study is one of the few studies using lung ultrasound to assess the hydration status of hemodialysis patients. It also showed a good correlation with other methods. The existence of a gap between the subjective and objective target weight suggests the usefulness of a systematic periodic use of bioimpedance and ultrasound techniques even if clinical symptoms are absent.
Authors and Affiliations
Ghita El Barda
Keywords
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- EP ID EP558160
- DOI 10.17140/NPOJ-1-107
- Views 215
- Downloads 0
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