Introduction:
Fluid balance is an integral component of hemodialysis treatment to prevent under or overhydration which has significant effect on intradialytic morbidity and cardiovascular complications. Bioimpedence spectroscopy serve as a clinical bed side tool for the assessment of dry weight in hemodialysis patients.
Methods:
Patient > 18 years with > 3 months on hemodialysis with cardiac function >40% euvolemic patient included.
Echocardiography was performed and IVC diameter and collapsibility during expiration phase measured on same day of BCM analysis.
Patients were monitored in subsequent dialysis session and target dry weight was achieved.
After 3months patients Re-assessed in Dry weight, systolic and Diastolic Blood pressure, IVC diameter and Number of antihypertensive pills (score).
Results:
Out of 63 patient, 68.3% patients had frequency of hemodialysis twice a week and 31.7% thrice a week.
As per the BCM 74.5% were overhydrated and 25.5% underhydrated.
On follow up In BCM group, among overhydration and underhydration group there is reduction and increase in parameters (median weight, systolic and diastolic blood pressure, IVC diameter and mean drug score at 3 months follow up). In BCM with clinical modification group, among overhydration group there is reduction in parameters. This reduction is statistically significant (p<0.05) except for drug score. However, among underhydration group there is no statistically significant difference between baseline and at follow up in parameters.
Conclusions:
Post dialysis target weight adjustment by BCM helps in controlling systolic and diastolic blood pressure with antihypertensive pill burden with add on effect on preventing hypovolemia related symptoms.
I have no potential conflict of interest to disclose.
I did not use generative AI and AI-assisted technologies in the writing process.