Centre-level fluid management practices in the BISTRO trial and their lack of association with participant fluid status and blood pressure in non-anuric haemodialysis patients.

ABSTRACT:

Introduction

Fluid assessment and management is a key aspect of good dialysis care and is affected by patient-level characteristics and potentially centre-level practices. In this secondary analysis of the BISTRO trial we wished to establish whether centre-level practices with the potential to affect fluid status were stable over the course of the trial and explore if they had any residual associations with participant's fluid status.

Methods

Two surveys (S) of fluid management practices were conducted in 32 participating centres during the trial, (S1: 2017-18 and S2: 2021-22). Domains interrogated included: dialysate sodium concentration, (D-[Na⁺]), fluid and salt intake, residual kidney function, use of diuretics, incremental start, approaches to fluid assessmen

SUBMITTER: Johal N 

PROVIDER: S-EPMC11542461 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature