Evaluation of fluid status related parameters in hemodialysis and peritoneal dialysis patients: Clinical usefulness of bioimpedance analysis

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dc.contributor.authorYilmaz, Zulfukar
dc.contributor.authorYildirim, Yasar
dc.contributor.authorAydin, Fatma Yilmaz
dc.contributor.authorAydin, Emre
dc.contributor.authorKadiroglu, Ali Kemal
dc.contributor.authorYilmaz, Mehmet Emin
dc.contributor.authorAcet, Halit
dc.date.accessioned2024-04-24T16:15:27Z
dc.date.available2024-04-24T16:15:27Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground and objective: Fluid overload is a common and serious problem that leads to severe complications in dialysis patients. We aimed to compare hydration status as measured with bioimpedance analysis (BIA) method in hemodialysis (HD) and peritoneal dialysis (PD) patients, as well as investigating the association between blood pressure, left ventricular mass index (LVMI) and hydration status. Materials and methods: We examined 43 HD and 33 PD patients. Blood pressure was recorded. In each group, echocardiographic examinations were performed on all patients. Hydration status was assessed using multifrequency bioelectrical impedance analysis. Overhydration was defined as an overhydration (OH)/extracellular water (ECW) ratio of >0.15. Results: The OH/ECW ratio was significantly higher in PD patients compared to post-HD patients. Overhydration was statistically more frequent in PD than in post-HD patients (30.3% vs. 11.6%, P = 0.043). Systolic blood pressure (SBP) in both post-HD and PD groups, and LVMI in the PD group were found to be significantly higher in overhydrated patients than non-overhydrated patients. In multiple linear regression analyses, increased OH/ECW ratio was independently associated with higher SBP and LVMI. Conclusions: Fluid overload may be an even more prevalent and serious problem in PD patients. Overhydration is closely associated with increased blood pressure and LVMI. OH/ECW ratio, a derived parameter of fluid load measured by BIA, was a significant and independent determinant of SBP and LVMI. (C) 2014 Lithuanian University of Health Sciences. Production and hosting by Elsevier Urban & Partner Sp. z o.o. All rights reserved.en_US
dc.identifier.doi10.1016/j.medici.2014.10.007
dc.identifier.endpage274en_US
dc.identifier.issn1010-660X
dc.identifier.issue5en_US
dc.identifier.pmid25488162
dc.identifier.scopus2-s2.0-84923699988
dc.identifier.scopusqualityQ1
dc.identifier.startpage269en_US
dc.identifier.urihttps://doi.org/10.1016/j.medici.2014.10.007
dc.identifier.urihttps://hdl.handle.net/11468/15807
dc.identifier.volume50en_US
dc.identifier.wosWOS:000348705900003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Urban & Partner Sp. Z O Oen_US
dc.relation.ispartofMedicina-Lithuania
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHemodialysisen_US
dc.subjectPeritoneal Dialysisen_US
dc.subjectBioimpedance Analysisen_US
dc.titleEvaluation of fluid status related parameters in hemodialysis and peritoneal dialysis patients: Clinical usefulness of bioimpedance analysisen_US
dc.titleEvaluation of fluid status related parameters in hemodialysis and peritoneal dialysis patients: Clinical usefulness of bioimpedance analysis
dc.typeArticleen_US

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