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https://www.readbyqxmd.com/read/28161844/increased-plasma-level-of-catestatin-might-be-associated-with-poor-prognosis-in-hemodialysis-patients
#1
Huaibin Sun, Wanhua Xian, Lina Geng, Engang Li, Zhiguo Peng, Jun Tian
PURPOSE: Cardiac complication is a major cause of death in hemodialysis patients. The aim of the study was to determine the relationship between plasma catestatin level and cardiac death in those people. METHODS: A total of 330 maintenance hemodialysis patients were included. Blood samples were collected. Plasma catestatin level was detected by enzyme-linked immunosorbent assay. Fluid status of each patient was expressed by overhydration to total body weight ratio and daily diuresis...
February 4, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28154199/skin-sodium-concentration-correlates-with-left-ventricular-hypertrophy-in-ckd
#2
Markus P Schneider, Ulrike Raff, Christoph Kopp, Johannes B Scheppach, Sebastian Toncar, Christoph Wanner, Georg Schlieper, Turgay Saritas, Jürgen Floege, Matthias Schmid, Anna Birukov, Anke Dahlmann, Peter Linz, Rolf Janka, Michael Uder, Roland E Schmieder, Jens M Titze, Kai-Uwe Eckardt
The pathogenesis of left ventricular hypertrophy in patients with CKD is incompletely understood. Sodium intake, which is usually assessed by measuring urinary sodium excretion, has been inconsistently linked with left ventricular hypertrophy. However, tissues such as skin and muscle may store sodium. Using (23)sodium-magnetic resonance imaging, a technique recently developed for the assessment of tissue sodium content in humans, we determined skin sodium content at the level of the calf in 99 patients with mild to moderate CKD (42 women; median [range] age, 65 [23-78] years)...
February 2, 2017: Journal of the American Society of Nephrology: JASN
https://www.readbyqxmd.com/read/28145415/changes-in-serum-osmotic-pressure-following-haemodialysis-treatments-lead-to-changes-in-bioimpedance-spectroscopy-estimates-of-lean-and-adipose-tissue
#3
M Antonelou, S El-Kateb, N Davies, A Davenport
Haemodialysis (HD) patients are at risk of sarcopenia. Newer bioimpedance devices (BIS) using a three-compartmental body composition model, separate extracellular water overhydration from normo-hydrated lean tissue mass (LTM) and adipose tissue mass (ATM). During HD hydration status changes, along with changes in electrolytes and solutes, and may alter body composition measurements. As such, we measured BIS and serum osmotic pressure (sOP) pre- and post dialysis in 43 patients. There were no significant changes in LTM (39...
February 1, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28118756/contribution-of-volume-overload-to-the-arterial-stiffness-of-hemodialysis-patients
#4
Łukasz Czyżewski, Janusz Wyzgał, Emilia Czyżewska, Janusz Sierdziński, Łukasz Szarpak
Arterial stiffness is evaluated with the measurement of pulse wave velocity (PWV), while overhydration (OH) and nutritional status are evaluated with bioimpedance spectroscopy (BIS). In this study, we investigated the effect of a single dialysis session on arterial stiffness, hydration status, and laboratory parameters. The observational, cross-sectional, cohort study included 71 HD patients with mean age 64 ± 16 yrs. A Complior device was used to perform PWV measurements. The patients were examined immediately before and 15 min after a mid-week hemodialysis session...
November 2017: Renal Failure
https://www.readbyqxmd.com/read/28033185/use-of-the-body-composition-monitor-for-fluid-status-measurements-in-elderly-malnourished-subjects
#5
David F Keane, Kim Bowra, Kathryn Kearney, Elizabeth Lindley
Most haemodialysis (HD) patients are able to finish dialysis at or below the normally hydrated weight determined using the body composition monitor (BCM). However, a minority become symptomatic when they are still fluid overloaded based on BCM-measured overhydration (OH). Malnourished patients frequently fall into this group, suggesting that they may have OH that is inaccessible to ultrafiltration. To isolate any effect of malnutrition on BCM-measured OH from those relating to renal failure, OH measurements for twenty elderly subjects with normal renal function who were classified as malnourished were compared with an age-matched cohort with no known nutritional issues...
December 26, 2016: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/27965722/usefulness-of-ultrasound-imaging-in-overhydrated-nephropathic-patients
#6
F Simoni, N Vitturi, M Dugo
No abstract text is available yet for this article.
December 2016: Journal of Ultrasound
https://www.readbyqxmd.com/read/27943170/comparison-of-multiple-fluid-status-assessment-methods-in-patients-on-chronic-hemodialysis
#7
Giannis Alexiadis, Stelios Panagoutsos, Stefanos Roumeliotis, Ilias Stibiris, Angelos Markos, Konstantia Kantartzi, Ploumis Passadakis
PURPOSE: Control of hydration status is an important constituent of adequate and efficient hemodialysis (HD) treatment. Nevertheless, there are no precise clinical indices for early recognition of small changes in fluid status of patients undergoing chronic hemodialysis therapy. This study aimed to evaluate and compare the widely used and reliable method of indexed inferior vena cava diameter (IVCDi) with established and more recently available techniques (bioelectrical impedance analysis [BIA], continuous blood volume monitoring [Crit-line], and the B-line score [BLS] with lung ultrasonography) for estimating the hydration status of patients on HD...
December 10, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27939859/fluid-therapy-for-pediatric-patients
#8
REVIEW
Justine A Lee, Leah A Cohn
Young puppies and kittens have unique physiologic needs in regards to fluid therapy, which must address hydration, vascular fluid volume, electrolyte disturbances, or hypoglycemia. Pediatric patients have a higher fluid requirement compared with adults and can rapidly progress from mild dehydration to hypovolemia. Simultaneously, their small size makes overhydration a real possibility. Patient size complicates fluid administration because catheters used in larger pets may be difficult to place. Routes of fluid administration used in the neonate or pediatric patient include oral, subcutaneous, intraperitoneal, intraosseous, and intravenous...
December 8, 2016: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/27870908/n-terminal-pro-b-type-natriuretic-peptide-as-a-biomarker-for-loss-of-muscle-mass-in-prevalent-hemodialysis-patients
#9
Misa Ikeda, Hirokazu Honda, Keiko Takahashi, Kanji Shishido, Takanori Shibata
Protein-energy wasting (PEW) is common in hemodialysis (HD) patients. A recent study demonstrated that a high level of N-terminal pro-B-type natriuretic peptide (NT-proBNP) may be associated with PEW in those patients. This prospective study aimed to assess the association of NT-proBNP with body composition and muscle loss. A cohort of prevalent HD patients (n = 238) was examined. Blood samples were obtained at baseline to measure high-sensitive C-reactive protein (hsCRP), interleukin-6 (IL-6), adiponectin and NT-proBNP...
2016: PloS One
https://www.readbyqxmd.com/read/27843947/relationship-between-interdialytic-weight-gain-and-blood-pressure-in-pediatric-patients-on-chronic-hemodialysis
#10
Olivera Marsenic, Michael Anderson, Kevin G Couloures
Overhydration is reported to be the main cause of hypertension (HTN) as well as to have no association with HTN in hemodialysis (HD) population. This is the first report of the relationship between interdialytic weight gain (IDWG) and pre-HD blood pressure (BP) in pediatric patients in relation to residual urine output (RUO). We studied 170 HD sessions and interdialytic periods performed during a 12-week period in 5 patients [age 4-17 years, weight 20.8-66 kg, 3 anuric (102 HD sessions), and 2 nonanuric (68 HD sessions)]...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27834525/protecting-vulnerable-skin-from-moisture-associated-skin-damage
#11
Mark Collier, Debbie Simon
The skin, the body's largest organ, has several functions. Its barrier role can be undermined if it is in contact with urine, faeces and other sources of excess moisture; overhydration can also increase the likelihood of injury from friction through contact with clothing, incontinence pads or bed linen. If skin has been damaged by moisture or is at risk of this, its health can be supported through cleansing to maintain its acid mantle followed by protection with barrier products. Barrier preparations are available in different forms, and their effectiveness varies...
November 10, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27734218/the-importance-of-residual-renal-function-in-peritoneal-dialysis
#12
Dorota Sikorska, Krzysztof Pawlaczyk, Anna Olewicz-Gawlik, Natasza Czepulis, Bartlomiej Posnik, Ewa Baum, Maria Wanic-Kossowska, Bengt Lindholm, Andrzej Oko
BACKGROUND: Peritoneal dialysis (PD) patients with preserved residual diuresis have a lower risk of death and complications. Here we analyzed associations between residual diuresis and presence of fluid overload and biomarkers of cardiac strain and nutrition in PD patients. METHODS: Among 44 PD patients placed into three subgroups, depending on volume of residual diuresis (group A ≤ 500; group B 600-1900; and group C ≥ 2000 mL/day), we examined: overhydration (OH) assessed by bioimpedance analysis (BIA; yielding OH index OHBIA) and by clinical criteria (edema and hypertension); nutritional status (by subjective global assessment, SGA); metabolic status (electrolytes, serum lipid profile, CRP, and albumin); biomarkers of fluid overload and cardiac strain (N-terminal probrain natriuretic peptide, NT-proBNP, and troponin T, TnT); and, echocardiography and chest X-ray...
December 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27677366/changes-in-body-composition-following-haemodialysis-as-assessed-by-bioimpedance-spectroscopy
#13
K Tangvoraphonkchai, A Davenport
BACKGROUND/OBJECTIVES: Patients with chronic kidney disease treated by haemodialysis (HD) are at increased risk of sarcopenia. Bioelectrical impedance spectroscopy (BIS) can be used to determine body composition, and is one of the several potential screening tools for sarcopenia. The newer generation of portable hand-held devices can be readily used in dialysis centres. The results from BIS devices using a two-compartmental model of body composition can be affected by hydration status and so ideally measurements should be made when patients are not overhydrated...
February 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27659663/direct-cardiac-involvement-in-childhood-hemolytic-uremic-syndrome-case-report-and-review-of-the-literature
#14
Davide Rigamonti, Giacomo D Simonetti
: Overhydration, hypertension, anemia, or dyselectrolytemias sometimes cause cardiovascular impairment in childhood hemolytic-uremic syndrome. Here, we report the case of a 4.5-year-old boy with hemolytic-uremic syndrome and sudden onset, 6 h later, of hemodynamic compromise secondary to a cardiac thrombotic micro-angiopathy. The child died. In the literature, we found 18 further cases with cardiac compromise ≤25 days after diagnosis. The following causes were found: micro-angiopathy, pericardial blood causing tamponade, and myocarditis...
December 2016: European Journal of Pediatrics
https://www.readbyqxmd.com/read/27648408/is-overhydration-in-peritoneal-dialysis-patients-associated-with-cardiac-mortality-that-might-be-reversible
#15
Elizabeth Oei, Klara Paudel, Annemarie Visser, Hazel Finney, Stanley L Fan
AIM: To study the relationship between overhydration (OH) in peritoneal dialysis (PD) patients and cardiac mortality. METHODS: OH, as measured by body composition monitor (BCM), is associated with increased mortality in dialysis patients. BCM has been used to guide treatment on the assumption that correcting OH will improve cardiac morbidity and mortality although data demonstrating causality that is reversible is limited. We wished to determine if OH in PD patients predicted cardiac mortality, and if there was a correlation between OH and cardiac troponin-T (cTnT) levels...
September 6, 2016: World Journal of Nephrology
https://www.readbyqxmd.com/read/27647998/overhydration-negatively-affects-quality-of-life-in-peritoneal-dialysis-patients-evidence-from-a-prospective-observational-study
#16
Hye Eun Yoon, Young Joo Kwon, Ho Cheol Song, Jin Kuk Kim, Young Rim Song, Seok Joon Shin, Hyung Wook Kim, Chang Hwa Lee, Tae Won Lee, Young Ok Kim, Byung Soo Kim, Kyoung Hyoub Moon, Yoon Kyung Chang, Seong Suk Kim, Kitae Bang, Jong Tae Cho, Sung Ro Yun, Ki Ryang Na, Yang Wook Kim, Byoung Geun Han, Jong Hoon Chung, Kwang Young Lee, Jong Hyeok Jeong, Eun Ah Hwang, Yong-Soo Kim
UNLABELLED: Backgound: This study evaluated whether the hydration status affected health-related quality of life (HRQOL) during 12 months in peritoneal dialysis (PD) patients. METHODS: The hydration status and the HRQOL were examined at baseline and after 12 months using a bioimpedance spectroscopy and Kidney Disease Quality of Life-Short Form, respectively in PD patients. Four hundred eighty-one patients were included and divided according to the baseline overhydration (OH) value; normohydration group (NH group, -2L≤ OH ≤+2L, n=266) and overhydration group (OH group, OH >+2L, n=215)...
2016: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/27575931/echocardiographic-findings-in-haemodialysis-patients-according-to-their-state-of-hydration
#17
María Cristina Di Gioia, Raul Gascuena, Paloma Gallar, Gabriela Cobo, Rosa Camacho, Nuria Acosta, Zsofia Baranyi, Isabel Rodriguez, Aniana Oliet, Olimpia Ortega, Inmaculada Fernandez, Carmen Mon, Milagros Ortiz, Mari C Manzano, Juan C Herrero, José I Martinez, Joaquín Palma, Ana Vigil
BACKGROUND: Chronic fluid overload is frequent in hemodialysis patients (P) and it associates with hypertension, left ventricular hypertrophy (LVH) and higher mortality. Moreover, echocardiographic data assessing fluid overload is limited. Our aim was to evaluate the relationship between fluid overload measured by bioimpedance spectroscopy (BIS) and different echocardiographic parameters. METHODS: Cross-sectional observational study including 76 stable patients...
August 26, 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/27548748/are-we-being-drowned-by-overhydration-advice-on-the-internet
#18
Martin D Hoffman, Theodore L Bross, R Tyler Hamilton
OBJECTIVE: Because inappropriate recommendations about hydration during exercise appear widespread and potentially dangerous, we assessed the quality of a sampling of information currently available to the public on the Internet. METHODS: Internet searches using the Google search engine were conducted using the terms "hydration," "hydration guidelines," "drinking fluids" and "drinking guidelines" combined with "and exercise." From the first 50 websites for each search phrase, duplicates were removed yielding 141 unique websites that were categorized by source and examined for specific hydration related information and recommendations...
November 2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27515857/pre-dialysis-and-post-dialysis-hydration-status-and-n-terminal-pro-brain-natriuretic-peptide-and-survival-in-haemodialysis-patients
#19
Kamonwan Tangvoraphonkchai, Andrew Davenport
PURPOSE: Many dialysis centres have no formal program for assessing and adjusting post-haemodialysis (HD) target weight. Apart from clinical assessment, there are bioimpedance devices and natriuretic peptides that could potentially aid clinical management. We wished to determine whether pre- or post-HD bioimpedance assessment of extracellular water (ECW) or N terminal probrain natriuretic peptide (NT-proBNP) affected patient outcomes. METHODS: Multi-frequency bioimpedance assessments (MFBIA) were made before and after the midweek dialysis session, along with a post-dialysis NT-proBNP measurement...
August 19, 2016: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/27497672/pulmonary-function-in-patients-with-end-stage-renal-disease-effects-of-hemodialysis-and-fluid-overload
#20
Süreyya Yılmaz, Yasar Yildirim, Zülfükar Yilmaz, Ali Veysel Kara, Mahsuk Taylan, Melike Demir, Mehmet Coskunsel, Ali Kemal Kadiroglu, Mehmet Emin Yilmaz
BACKGROUND Respiratory system disorders are one of the most prevalent complications in end-stage renal disease patients on hemodialysis. However, the pathogenesis of impaired pulmonary functions has not been completely elucidated in these patients. We designed a study to investigate acute effects of hemodialysis treatment on spirometry parameters, focusing on the relationship between pulmonary function and fluid status in hemodialysis patients. MATERIAL AND METHODS We enrolled 54 hemodialysis patients in this study...
August 7, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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