Use of body composition measurements to guide the assessment of dry weight in anuric dialysis patients: improvements in blood pressure control.

ABSTRACT:

Purpose

Fluid management using a body composition monitor (BCM) based on bioimpedance spectroscopy has been found to be beneficial for maintenance hemodialysis (MHD) patients. Our purpose was to provide a management procedure for the adjustment of post-dialysis overhydration (OH_post) and to evaluate whether this approach could improve blood pressure.

Methods

Post-dialysis fluid status was assessed weekly using the BCM. The reference value of OH_post and the flow procedure for post-dialysis target weight (PDTW) adjustment were established via measurements of OH_post in 60 normotensive MHD patients. In the interventional study, we adjusted the PDTW of hypertensive patients to the optimal OH_post range, with a 0.2-0.5 kg change in PDTW p

SUBMITTER: Hou G 

PROVIDER: S-EPMC6351389 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature