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Improvement in dialysis-related adverse events with use of body composition monitoring
Joint Authors
Hujayli, Fayiz
Rida, Sayyid Hammad
Hashimi, Muhammad Numan
Elairon, Philip
Riolo, Adam Henoch
al-Sayyari, Abd Allah A.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 29, Issue 3 (30 Jun. 2018), pp.518-523, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2018-06-30
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Abstract EN
This study aims to utilize body composition monitor (BCM) device to achieve euvolemic status in problematic dialysis patients and to evaluate its clinical outcome.
One hundred and five hemodialysis (HD) patients were enrolled based on difficulty in achieving dry weight.
The reasons for enrollment in the study were (a) recurrent intradialytic hypotension, (b) intradialytic hypertension, (c) intradialytic muscle cramps, or (d) the presence of comorbid conditions that make clinical assessment of dry weight difficult (e.g., cirrhosis of liver, heart failure, severe malnutrition, or morbid obesity).
Following initial assessment of hydration status using BCM device, dry weight for each patient was adjusted accordingly (upward, downward, or unchanged).
The patients were, thereafter, monitored over a 15-week period for possible resultant change in the clinical and hemodynamic parameters.
Forty-two patients were monitored due to hypertension, 18 due to hypotension, 10 due to hypotension and cramps, and 35 due to comorbid conditions that make clinical assessment of dry weight difficult.
At the conclusion of study period, there was improvement in the monitored parameters.
Hypertension improved in 79% of the patient with hypertension, hypotension in 90%, and hypotension with cramps in 90%.
In the comorbid group, BCM monitoring provided better insight to clinical problem management in 80% cases.
Overall quality of BCM assessments was 96.1%.
In the hypertension group, mean blood pressure decreased by 10.9 mm Hg in the whole group (P = 0.0006), the drop was 3 mm Hg in the patients dialyzing with HD (P = 0.0006) and 8.6 mm Hg in those on hemodiafiltration.
American Psychological Association (APA)
Rida, Sayyid Hammad& Hashimi, Muhammad Numan& Elairon, Philip& Riolo, Adam Henoch& Hujayli, Fayiz& al-Sayyari, Abd Allah A.. 2018. Improvement in dialysis-related adverse events with use of body composition monitoring. Saudi Journal of Kidney Diseases and Transplantation،Vol. 29, no. 3, pp.518-523.
https://search.emarefa.net/detail/BIM-839156
Modern Language Association (MLA)
Rida, Sayyid Hammad…[et al.]. Improvement in dialysis-related adverse events with use of body composition monitoring. Saudi Journal of Kidney Diseases and Transplantation Vol. 29, no. 3 (Jun. 2018), pp.518-523.
https://search.emarefa.net/detail/BIM-839156
American Medical Association (AMA)
Rida, Sayyid Hammad& Hashimi, Muhammad Numan& Elairon, Philip& Riolo, Adam Henoch& Hujayli, Fayiz& al-Sayyari, Abd Allah A.. Improvement in dialysis-related adverse events with use of body composition monitoring. Saudi Journal of Kidney Diseases and Transplantation. 2018. Vol. 29, no. 3, pp.518-523.
https://search.emarefa.net/detail/BIM-839156
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 522-523
Record ID
BIM-839156