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How Does Higher Ultrafiltration within the Conventional Clinical Range Impact the Volume Status of Hemodialysis Patients?

Yashiro, M. ; Kamata, T. ; Segawa, H. ; Murakami, T. ; Kadoya, Y. ; Muso, E.

Blood purification, 2009-01, Vol.27 (3), p.253-260 [Periódico revisado por pares]

Basel, Switzerland: Karger

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Título:
How Does Higher Ultrafiltration within the Conventional Clinical Range Impact the Volume Status of Hemodialysis Patients?
Autor: Yashiro, M. ; Kamata, T. ; Segawa, H. ; Murakami, T. ; Kadoya, Y. ; Muso, E.
Assuntos: Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Volume ; Body Water ; Electric Impedance ; Emergency and intensive care: renal failure. Dialysis management ; Extracellular Fluid ; Extracellular Space ; Humans ; Intensive care medicine ; Medical sciences ; Middle Aged ; Original Paper ; Renal Dialysis - methods ; Ultrafiltration - adverse effects ; Ultrasonography ; Vena Cava, Inferior - diagnostic imaging ; Water-Electrolyte Balance
É parte de: Blood purification, 2009-01, Vol.27 (3), p.253-260
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Aims: The higher ultrafiltration (UF) induces poor outcomes. The impact of higher UF on the volume status was investigated. Methods: 60 hemodialysis (HD) patients were divided into three groups according to the ratio of total UF to post-dialysis body weight (TUF/PDW) (<3%, 3–5%, ≥5%). ANP, the ratio of extracellular water to total body water and excess fluid mass (ExF/PDW) by bioimpedance spectroscopy, inferior vena cava diameter by ultrasound were measured at the end of HD. The ratio of post-HD blood volume to pre-HD (BVpost/BVpre) and standardized filtration coefficients (Lpst) of the microvasculature in the vicinity of PDW were calculated. Results: Only Lpst and BVpost/BVpre showed significant differences among the three groups. A stepwise multiple linear regression model revealed that BVpost/BVpre was correlated with TUF/PDW, ExF/PDW and Lpst (R = 0.778, p < 0.001), independently. Conclusion: Higher UF causes decreases in BVpost/BVpre and Lpst. BVpost/BVpre was determined by TUF/PDW, ExF/PDW and Lpst.
Editor: Basel, Switzerland: Karger
Idioma: Inglês

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How Does Higher Ultrafiltration within the Conventional Clinical Range Impact the Volume Status of Hemodialysis Patients?

Yashiro, M. ; Kamata, T. ; Segawa, H. ; Murakami, T. ; Kadoya, Y. ; Muso, E.

Basel, Switzerland: Karger

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