Bioimpedance spectroscopy-guided fluid management in peritoneal dialysis patients with residual kidney function: A randomized controlled trial
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yoon, Hye Eun | - |
dc.contributor.author | Kwon, Young Joo | - |
dc.contributor.author | Shin, Seok Joon | - |
dc.contributor.author | Lee, So-Young | - |
dc.contributor.author | Lee, Sangho | - |
dc.contributor.author | Kim, Su-Hyun | - |
dc.contributor.author | Lee, Eun Young | - |
dc.contributor.author | Shin, Sug Kyun | - |
dc.contributor.author | Kim, Yong-Soo | - |
dc.date.accessioned | 2021-08-11T09:23:29Z | - |
dc.date.available | 2021-08-11T09:23:29Z | - |
dc.date.issued | 2019-12 | - |
dc.identifier.issn | 1320-5358 | - |
dc.identifier.issn | 1440-1797 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4058 | - |
dc.description.abstract | Aim Bioimpedance spectroscopy (BIS) allows volume status to be assessed objectively. This study evaluated the effect of BIS-guided fluid management on residual kidney function (RKF), volume status, and cardiovascular events in peritoneal dialysis (PD) patients. Methods A multicenter, prospective, randomized, controlled trial was conducted over 12 months in 2013-2017. Non-anuric PD patients (urine volume >= 500 mL/day) were randomized to clinical method-guided management (n = 98) or BIS-guided management (n = 103). The volume in the BIS group was controlled with BIS, with the aim of achieving the target overhydration (OH) goal of -2.0 to +2.0 L. The volume in the control group was controlled by clinical assessment alone. The groups were compared in terms of change in RKF and volume status at 12 months relative to baseline and in terms of cardiovascular event rates during a median follow-up period of 36 months. Results Compared with the controls, the BIS group did not show a significant improvement in change in OH, after adjustments were made for covariates (P = 0.191). The two groups did not differ in terms of delta OH, renal creatinine and urea clearance, and 24 h urine volume. The control and BIS groups also did not differ significantly in terms of change in peritoneal ultrafiltration volume, blood pressure, body weight and echocardiographic variables or in cardiovascular event rates (10.2% vs 11.3%; P = 0.953). Conclusion Bioimpedance spectroscopy-guided fluid management did not show an additional benefit to achieve euvolemia, and did not affect the decline in RKF in non-anuric PD patients. | - |
dc.format.extent | 11 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Blackwell Publishing Inc. | - |
dc.title | Bioimpedance spectroscopy-guided fluid management in peritoneal dialysis patients with residual kidney function: A randomized controlled trial | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1111/nep.13571 | - |
dc.identifier.scopusid | 2-s2.0-85065033937 | - |
dc.identifier.wosid | 000497148700010 | - |
dc.identifier.bibliographicCitation | Nephrology, v.24, no.12, pp 1279 - 1289 | - |
dc.citation.title | Nephrology | - |
dc.citation.volume | 24 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 1279 | - |
dc.citation.endPage | 1289 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Urology & Nephrology | - |
dc.relation.journalWebOfScienceCategory | Urology & Nephrology | - |
dc.subject.keywordPlus | MULTIFREQUENCY BIOIMPEDANCE | - |
dc.subject.keywordPlus | RENAL-FUNCTION | - |
dc.subject.keywordPlus | HEMODIALYSIS-PATIENTS | - |
dc.subject.keywordPlus | VOLUME | - |
dc.subject.keywordPlus | ALBUMIN | - |
dc.subject.keywordPlus | ASSESSMENTS | - |
dc.subject.keywordAuthor | bioimpedance | - |
dc.subject.keywordAuthor | cardiovascular | - |
dc.subject.keywordAuthor | euvolemia | - |
dc.subject.keywordAuthor | peritoneal dialysis | - |
dc.subject.keywordAuthor | residual kidney function | - |
dc.subject.keywordAuthor | volume | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(31538) 22, Soonchunhyang-ro, Asan-si, Chungcheongnam-do, Republic of Korea+82-41-530-1114
COPYRIGHT 2021 by SOONCHUNHYANG UNIVERSITY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.