Bioelectrical Impedance Analysis in the Assessment of Hydration Status in Peritoneal Dialysis Patients

被引：0

作者：

Haapio, Mikko ^{[1
,2
]}

Lentini, Paolo ^{[2
,3
]}

House, Andrew A. ^{[2
,4
]}

de Cal, Massimo ^{[2
]}

Cruz, Dinna N. ^{[2
]}

Gong, Dehua ^{[2
]}

Rodighiero, Maria Pia ^{[2
]}

Dell'Aquila, Roberto ^{[2
,3
]}

Ronco, Claudio ^{[2
]}

机构：

[1] Univ Helsinki, Cent Hosp, Div Nephrol, FI-00029 Helsinki, Finland

[2] San Bortolo Hosp, Dept Nephrol, Int Renal Res Inst IRRIV, Vicenza, Italy

[3] San Bortolo Hosp, Dept Nephrol, Bassano Del Grappa, Italy

[4] London Hlth Sci Ctr, Div Nephrol, London, ON, Canada

来源：

PERITONEAL DIALYSIS - STATE-OF-THE-ART 2012 | 2012年 / 178卷

关键词：

BRAIN NATRIURETIC PEPTIDE; RESIDUAL RENAL-FUNCTION; LEFT-VENTRICULAR DYSFUNCTION; BODY-COMPOSITION; BLOOD-PRESSURE; VOLUME STATUS; EXTRACELLULAR WATER; VECTOR DISTRIBUTION; FLUID STATUS; NT-PROBNP;

D O I：

暂无

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: Assessment of fluid status in chronic peritoneal dialysis (PD) patients is complex. Clinical evaluation based solely on body weight, blood pressure, volume of ultrafiltration (UF) and peripheral edema is insufficient. A non-invasive test, bioelectrical impedance analysis (BIA) might be of potential benefit. Aim: To test whether BIA correlates with other ancillary markers of extracellular fluid volume, namely B-type natriuretic peptide (BNP), residual renal function (RRF) and UF, and whether BIA provides complementary information in categorizing PD patients vis-a-vis hydration status. Methods: A cross-sectional study of 61 out-patients on chronic PD. Single-frequency BIA measurements of resistance/height were divided into tertiles (lowest: <253 Omega/m; middle: >= 253 Omega/m and <316 Omega/m; highest: >= 316 Omega/m). Results: Compared to patients in the highest tertile of BIA (least fluid), patients in the lowest tertile (most fluid) had highest BNP, RRF and UF (93.5 vs. 55.0 pg/ml, p = 0.029; 850 vs. 300 ml/day, p = 0.05; and 1.75 vs. 1.21 l/day, p = 0.023, respectively). Conclusions: BIA tertiles categorized PD patients who differed in BNP, RRF and UF in a stepwise pattern, suggesting BIA may better inform hydration status, and serve as an additional clinical tool in management of chronic PD patients. Copyright (c) 2012 S. Karger AG, Basel

引用

页码：238 / 245

页数：8

共 46 条

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