Article Sidebar
Views pdf: 23
STUDY THE CHANGE OF BODY FLUID STATUS AND INFERIOR VENA CAVA DIAMETER BEFORE AND AFTER DIALYSIS IN PATIENTS WITH CHRONIC KIDNEY DISEASE
Main Article Content
Abstract
Objective: Evaluate the changes of body fluid status and inferior vena cava diameter by ultrasound before and after dialysis in patients with chronic kidney disease. Subjects and methods: Cross-sectional descriptive study in 70 chronic kidney disease patients on dialysis from January 2023 to June 2023; measure the size of the inferior vena cava by ultrasound before and after dialysis; Estimate body fluid status based on IVC-CI. Results: Patients with chronic kidney disease had BMI within the normal range of 64.3%, overweight was 17.1%, and level I obesity was 7.1%. The average body skin area (BSA) of the study subjects was 1.56 ± 0.15 m2. Before dialysis, patients with excess body fluid accounted for 41.43%, patients with normal fluid status accounted for 58.57%. After dialysis, patients with excess body fluids account for 20%, patients with normal body fluids account for 78.6%, and patients with deficient body fluids account for 1.4%. There is a correlation between ultrafiltration volume and the change in IVC-CI index before and after dialysis (p<0.05). Conclusion: There is a relationship between changes in body fluid status and the index of inferior vena cava collapse before and after dialysis in patients with chronic kidney disease.
Article Details
Keywords
Body fluids, inferior vena cava, chronic kidney disease, hemodialysis
References
2. Rudski L. G., Lai W. W., Afilalo J., et al. (2010). Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr, 23 (7), 685-713; quiz 786-688.
3. Hafiz, M.A.E.H., Mohamed, E.A., Mohamed, M.A.E.N. et al. (2021). Inferior vena cava diameter and collapsibility index as a marker of fluid status in regular hemodialysis patients. Egypt J Intern Med 33, 43 https://doi.org/ 10.1186/ s43162- 021-00072-x.
4. Shrestha, SK, Ghimire, A., Ansari, SR, & Adhikari, A. (2018). Use of handheld ultrasound to estimate fluid status of hemodialysis patients. Nep Med J 1(2):65–69.
5. Nguyễn Ngọc Tuấn (2015) “Khảo sát một số chỉ số thành phần cơ thể của bệnh nhân lọc máu chu kỳ bằng thiết bị đo các thành phần cơ thể”. Luận văn CKII y học, Học viện Quân y.
6. Postorino M., Mancini E., D'Arrigo G., et al. (2016). Body mass index trend in haemodialysis patients: the shift of nutritional disorders in two Italian regions. Nephrology Dialysis Transplantation, 31 (10), 1699-1705.
7. Matthew J Kaptein, John S Kaptein, Zayar Oo & Elaine M Kaptein (2018) Relationship of inferior vena cava collapsibility to ultrafiltration volume achieved in critically ill hemodialysis patients, International Journal of Nephrology and Renovascular Disease, , 195-209.