Clinical judgment is the most important element in overhydration assessment of chronic hemodialysis patients.

ABSTRACT:

Background

The assessment of hydration status remains a challenging task in hemodialysis (HD) management. There are only limited data available on the relevance of clinical decisions in the estimation of dialysis overhydration (OH). The objective of this study was to examine the significance of clinical judgment in the assessment of pre-dialysis OH.

Methods

We compared the performance of three methods of OH assessment: (1) clinical judgment guided by a single clinical examination with (2) multifrequency bioimpedance analysis (BIA) and (3) complex systematic clinical approach. We additionally studied the associations of these methods with selected laboratory and imaging parameters.

Results

Any of the single parameters alone reached a sufficient level of accuracy for re

SUBMITTER: Vasko R 

PROVIDER: S-EPMC3751418 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature