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Sensitivity of Blood Volume Monitoring for Fluid Status Assessment in Hemodialysis Patients
Open accessAbstract
Background/Aims: This study investigates the use of blood volume monitoring (BVM) markers for the assessment of fluid status. Methods: Predialysis fluid overload (FO) and BVM data were collected in 55 chronic hemodialysis patients in 317 treatments. Predialysis FO was measured using bioimpedance spectroscopy. The slope of the intravascular volume decrease over time normalized by ultrafiltration rate (Slope4h) was used as the primary BVM marker and compared against FO. Results: Average relative blood volume curves were well separated in different FO groups between 0 and 5 liters. Receiver-operating characteristics analysis revealed that the sensitivity of BVM was moderate in median FO ranges between 1 and 3 liters (AUC 0.60-0.65), slightly higher for volume depletion of FO <1 liter (AUC 0.7) and highest for excess fluid of FO >3 liters (AUC 0.85). Conclusion: Devices that monitor blood volume are well suited to detect high FO, but are not as sensitive at moderate or low levels of fluid status.
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Dispersion and Absorption in Dielectrics I. Alternating Current Characteristics
Cole, K. S., & Cole, R. H. (1941) · The Journal of Chemical Physics · doi:10.1063/1.1750906 · Cited by 10,152
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Assessment methods in human body composition
Lee, S. Y., & Gallagher, D. (2008) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e32830b5f23 · Cited by 694
Importance of Whole-Body Bioimpedance Spectroscopy for the Management of Fluid Balance
Wabel, P., Chamney, P., Moissl, U., & Jirka, T. (2009) · Blood Purification · doi:10.1159/000167013 · Cited by 375
Skin Sodium Concentration Correlates with Left Ventricular Hypertrophy in CKD
Schneider, M. P., Raff, U., Kopp, C., Scheppach, J. B., Toncar, S., Wanner, C., Schlieper, G., Saritas, T., Floege, J., Schmid, M., et al. (2017) · Journal of the American Society of Nephrology · doi:10.1681/asn.2016060662 · Cited by 195
Heymsfield, S. B., Ebbeling, C. B., Zheng, J., Pietrobelli, A., Strauss, B. J., Silva, A. M., & Ludwig, D. S. (2015) · Obesity Reviews · doi:10.1111/obr.12261 · Cited by 111
Limitations of Fat-Free Mass for the Assessment of Muscle Mass in Obesity
Jensen, B., Braun, W., Geisler, C., Both, M., Klückmann, K., Müller, M. J., & Bosy-Westphal, A. (2019) · Obesity Facts · doi:10.1159/000499607 · Cited by 105
Metadata
- Authors
- Maduell, F., Arias, M., Massó, E., Fontseré, N., Carrera, M., Vera, M., Cases, A., & Campistol, J. M.
- Venue
- Blood Purification
- Publisher
- S. Karger AG
- Published
- 2013
- Volume
- 35
- Issue
- 1-3
- Pages
- 202-208
- ISSN
- 0253-5068 (ISSN-L)
- 1421-9735
- OpenAlex
- W2157893516
- Cited by
- 368
- References
- 1
- FWCI
- 18.56
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Maduell, F., Arias, M., Massó, E., Fontseré, N., Carrera, M., Vera, M., Cases, A., & Campistol, J. M. (2013). Sensitivity of Blood Volume Monitoring for Fluid Status Assessment in Hemodialysis Patients. Blood Purification. https://doi.org/10.1159/000346630
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