Fluid Management Based on Bioimpedance, Blood Volume, and Patient Reports: A Quality Improvement Project in Maintenance Hemodialysis.

ABSTRACT:

Rationale & objective

Fluid management in hemodialysis aims to remove excess fluid while avoiding symptoms of fluid depletion. This study evaluated the impact of determining euvolemic body mass by bioimpedance spectroscopy, and absolute blood volume (ABV), on clinical practice and patient-reported outcome measures (PROMs) at a bioimpedance/ABV-naïve dialysis center.

Study design

Fourteen week quality improvement project with 3 Assessment phases separated by 2 Adjustment phases.

Setting & participants

Total of 127 patients at a single dialysis center.

Quality improvement activities

Bioimpedance-spectroscopy-derived fluid overload (FO), ABV, and PROMs were longitudinally recorded. Physicians received data from each Assessment phase to inform treatment decisions.<

SUBMITTER: Mussnig S 

PROVIDER: S-EPMC12856452 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature