Determinants of volume status in peritoneal dialysis: A longitudinal study
Nephrology May 07, 2020
Jaques DA, et al. - Given a frequent occurrence of fluid overload in peritoneal dialysis (PD) as well as its link with cardiac dysfunction and death, researchers investigated a longitudinal cohort of PD outpatients in order to define clinical determinants of fluid overload in these patients. Consecutive inclusion of PD outpatients managed with continuous ambulatory PD or automated PD, visiting for their routine clinical visit at a single tertiary hospital, was done. Enrolled patients were 155 in total, and the median follow‐up duration was 12 months. Findings corroborated that fluid overload was highly prevalent in PD patients, and was identified to be strongly related to older age, diabetes, hypoalbuminemia and protein energy wasting. In contrast, residual renal function, PD modality and peritoneal features were not decisive in controlling volume status, on tailoring PD prescription to patient's individual features.
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