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What Is the Upper Limitation of Volume in Chinese Peritoneal Dialysis Patients?
Luo, Ya-Jun; Wang, Tao
关键词Overhydration Peritoneal dialysis Body composition
刊名BLOOD PURIFICATION
2011
DOI10.1159/000322615
31期:4页:289-295
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Hematology ; Urology & Nephrology
研究领域[WOS]Hematology ; Urology & Nephrology
关键词[WOS]HEMODIALYSIS-PATIENTS ; BIOIMPEDANCE SPECTROSCOPY ; BODY-COMPOSITION ; BLOOD-PRESSURE ; RENAL-FAILURE ; FLUID STATUS ; DRY-WEIGHT ; HYPERTENSION ; DISEASE ; HEALTH
英文摘要

Background: Overhydration (OH) is a well-recognized problem in peritoneal dialysis (PD) patients and is an independent risk factor of mortality in this patient population. Achieving normohydration remains an important issue in dialysis therapy. The present study tries to compare clinical signs and find the optimal range for PD patients in China. Methods: A new bioimpedance spectroscopy device [body composition monitor (BCM)], which allows quantitative determination of how much the hydration status deviates from normal ranges (Delta HS), was selected. Blood pressure and Delta HS were analyzed in 92 PD patients from 1 dialysis center and compared with a matched healthy population (n = 45). Statistical analysis was performed using SPSS software, version 16.0 (SPSS Inc., Chicago, III., USA). Results: We took different OH values as cutoff thresholds; predictive accuracy was evaluated with sensitivity and specificity, and a receiver-operating characteristics curve and Youden′s index were adopted. Conclusion: Our data suggest that 2.0 liters is a reasonable cutoff value for Delta HS. This represents an important step towards a more objective choice of strategies for the optimal treatment of hypertension and fluid overload. Copyright (C) 2011 S. Karger AG, Basel

语种英语
WOS记录号WOS:000291159700009
项目编号30900681 ; D09050704310905
资助机构National Natural Science Foundation of China ; Beijing Municipal Science &amp ; Technology Commission
引用统计
被引频次:10[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63844
专题北京大学第三临床医学院_肾内科
北京大学公共卫生学院_公共卫生学院
作者单位Peking Univ, Hosp 3, Div Nephrol, Beijing 100191, Peoples R China
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GB/T 7714
Luo, Ya-Jun,Wang, Tao. What Is the Upper Limitation of Volume in Chinese Peritoneal Dialysis Patients?[J]. BLOOD PURIFICATION,2011,31(4):289-295.
APA Luo, Ya-Jun,&Wang, Tao.(2011).What Is the Upper Limitation of Volume in Chinese Peritoneal Dialysis Patients?.BLOOD PURIFICATION,31(4),289-295.
MLA Luo, Ya-Jun,et al."What Is the Upper Limitation of Volume in Chinese Peritoneal Dialysis Patients?".BLOOD PURIFICATION 31.4(2011):289-295.
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