The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients
AbstractPurpose Existed methods like biochemical markers improve the accuracy of fluid evaluation for the maintenance hemodialysis patients, but none of them has become the gold standard. This study aimed to evaluate the potential of lung ultrasonography as a useful tool for monitoring the volume st...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Renal Failure |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2022.2132169 |
| _version_ | 1797950954811686912 |
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| author | Linlin Cui Jiejian Chen Chaoyang Ye |
| author_facet | Linlin Cui Jiejian Chen Chaoyang Ye |
| author_sort | Linlin Cui |
| collection | DOAJ |
| description | AbstractPurpose Existed methods like biochemical markers improve the accuracy of fluid evaluation for the maintenance hemodialysis patients, but none of them has become the gold standard. This study aimed to evaluate the potential of lung ultrasonography as a useful tool for monitoring the volume status of the patients.Methods A total of 88 patients undergoing maintenance hemodialytic were enrolled in this prospective observational study. Patients were divided into three groups: overhydration (OH), normohydration, and hypohydration according to bioimpedance spectroscopy. Lung ultrasonography parameters, echocardiography parameters, and clinical characteristics of three groups were analyzed. After an average follow-up of 433 days, all-cause mortality among groups was compared.Results The total number of lung comets was statistically reduced in patients after dialysis (Z= −6.891, p < 0.001). This reduction was related to ΔOH (OH – ΔW (the weight gain from dry weight)) and echocardiographic parameters, which proved the relationship among the comet-tail, hydration status of body and cardiac performance. The Kappa consistency test showed that lung ultrasonography and bioelectrical spectroscopy had moderate consistency. ROC analysis showed that the best cut-point of lung comet is 13. The pre-/post-dialysis lung comet-tail, cardiac function and total body impedance with all-cause mortality was investigated. Kaplan–Meier’s analysis revealed that the all-cause mortality was higher in lung congestion patients.Conclusions This study proposes a potentially reliable lung ultrasonography method for estimating fluids overload, which also has implication value of all-cause mortality. |
| first_indexed | 2024-04-10T22:24:19Z |
| format | Article |
| id | doaj.art-8ad4a25072b648a2bb73082bb604a057 |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2024-04-10T22:24:19Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-8ad4a25072b648a2bb73082bb604a0572023-01-17T11:32:46ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492022-12-014411985199210.1080/0886022X.2022.2132169The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patientsLinlin Cui0Jiejian Chen1Chaoyang Ye2Kidney Institute of CPLA and Division of Nephrology, Changzheng Hospital, Naval Military Medical University, Shanghai, ChinaDepartment of Nephrology, The 900th Hospital of Joint Logistic Support Force, PLA, Fuzhou, ChinaDepartment of Nephrology, Shuguang Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaAbstractPurpose Existed methods like biochemical markers improve the accuracy of fluid evaluation for the maintenance hemodialysis patients, but none of them has become the gold standard. This study aimed to evaluate the potential of lung ultrasonography as a useful tool for monitoring the volume status of the patients.Methods A total of 88 patients undergoing maintenance hemodialytic were enrolled in this prospective observational study. Patients were divided into three groups: overhydration (OH), normohydration, and hypohydration according to bioimpedance spectroscopy. Lung ultrasonography parameters, echocardiography parameters, and clinical characteristics of three groups were analyzed. After an average follow-up of 433 days, all-cause mortality among groups was compared.Results The total number of lung comets was statistically reduced in patients after dialysis (Z= −6.891, p < 0.001). This reduction was related to ΔOH (OH – ΔW (the weight gain from dry weight)) and echocardiographic parameters, which proved the relationship among the comet-tail, hydration status of body and cardiac performance. The Kappa consistency test showed that lung ultrasonography and bioelectrical spectroscopy had moderate consistency. ROC analysis showed that the best cut-point of lung comet is 13. The pre-/post-dialysis lung comet-tail, cardiac function and total body impedance with all-cause mortality was investigated. Kaplan–Meier’s analysis revealed that the all-cause mortality was higher in lung congestion patients.Conclusions This study proposes a potentially reliable lung ultrasonography method for estimating fluids overload, which also has implication value of all-cause mortality.https://www.tandfonline.com/doi/10.1080/0886022X.2022.2132169Lung ultrasonographyhemodialysisexcessive fluid volumemortality |
| spellingShingle | Linlin Cui Jiejian Chen Chaoyang Ye The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients Renal Failure Lung ultrasonography hemodialysis excessive fluid volume mortality |
| title | The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients |
| title_full | The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients |
| title_fullStr | The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients |
| title_full_unstemmed | The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients |
| title_short | The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients |
| title_sort | role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients |
| topic | Lung ultrasonography hemodialysis excessive fluid volume mortality |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2022.2132169 |
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