#5203 THE INCESSANT QUEST FOR DRY WEIGHT: SHOULD WE ADOPT NEW STRATEGIES?

نویسندگان

چکیده

Abstract Background and Aims The estimate of the hydration state in chronic hemodialysis patient is a key point his care. Currently, there no Gold Standard feasable daily routine despite increasingly numerous tools such as impedancemetry pulmonary cardiac ultrasound. objective our study to compare results clinical estimation dry weight with ultrasound results. Method This transverse dialysis unit Taher Sfar Mahdia hospital. was assessed before after session by three above methods. volume evaluation carried out score (NYHA> III dyspnea, orthopnee; jugular turgor (TJ), hepato-jugular reflux (HRJ), crackling auscultation, peripheral edema pre-dialysis hypertension); well (diameter lower vein, E/E ratio systolic arterial pressures). Results values ​​measured different techniques decreased significantly (p <0.001). At two -stroke studied, we have objectified significant correlation between impedancemetry, index vein its compliance. A difference provided studied found 64 % patients. Only orthopnee = 0.03) 0.04) were associated overload diagnosis. Conclusion existence subjective target suggests incessant need for mixture evaluated. Our strategy requires be adapted particularities each patient.

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 2023

ISSN: ['1460-2385', '0931-0509']

DOI: https://doi.org/10.1093/ndt/gfad063d_5203