Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.

<h4>Background</h4>Euvolemia is an important adequacy parameter in peritoneal dialysis (PD) patients. However, accurate tools to evaluate volume status in clinical practice and data on volume status in PD patients as compared to healthy population, and the associated factors, have not be...

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Autores principales:	Wim Van Biesen, John D Williams, Adrian C Covic, Stanley Fan, Kathleen Claes, Monika Lichodziejewska-Niemierko, Christian Verger, Jurg Steiger, Volker Schoder, Peter Wabel, Adelheid Gauly, Rainer Himmele, EuroBCM Study Group
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4e30b62237974564b28da87cd02d9481
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spelling	oai:doaj.org-article:4e30b62237974564b28da87cd02d94812021-11-18T06:58:15ZFluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.1932-620310.1371/journal.pone.0017148https://doaj.org/article/4e30b62237974564b28da87cd02d94812011-02-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21390320/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Euvolemia is an important adequacy parameter in peritoneal dialysis (PD) patients. However, accurate tools to evaluate volume status in clinical practice and data on volume status in PD patients as compared to healthy population, and the associated factors, have not been available so far.<h4>Methods</h4>We used a bio-impedance spectroscopy device, the Body Composition Monitor (BCM) to assess volume status in a cross-sectional cohort of prevalent PD patients in different European countries. The results were compared to an age and gender matched healthy population.<h4>Results</h4>Only 40% out of 639 patients from 28 centres in 6 countries were normovolemic. Severe fluid overload was present in 25.2%. There was a wide scatter in the relation between blood pressure and volume status. In a multivariate analysis in the subgroup of patients from countries with unrestricted availability of all PD modalities and fluid types, older age, male gender, lower serum albumin, lower BMI, diabetes, higher systolic blood pressure, and use of at least one exchange per day with the highest hypertonic glucose were associated with higher relative tissue hydration. Neither urinary output nor ultrafiltration, PD fluid type or PD modality were retained in the model (total R² of the model = 0.57).<h4>Conclusions</h4>The EuroBCM study demonstrates some interesting issues regarding volume status in PD. As in HD patients, hypervolemia is a frequent condition in PD patients and blood pressure can be a misleading clinical tool to evaluate volume status. To monitor fluid balance, not only fluid output but also dietary input should be considered. Close monitoring of volume status, a correct dialysis prescription adapted to the needs of the patient and dietary measures seem to be warranted to avoid hypervolemia.Wim Van BiesenJohn D WilliamsAdrian C CovicStanley FanKathleen ClaesMonika Lichodziejewska-NiemierkoChristian VergerJurg SteigerVolker SchoderPeter WabelAdelheid GaulyRainer HimmeleEuroBCM Study GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 2, p e17148 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wim Van Biesen John D Williams Adrian C Covic Stanley Fan Kathleen Claes Monika Lichodziejewska-Niemierko Christian Verger Jurg Steiger Volker Schoder Peter Wabel Adelheid Gauly Rainer Himmele EuroBCM Study Group Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.
description	<h4>Background</h4>Euvolemia is an important adequacy parameter in peritoneal dialysis (PD) patients. However, accurate tools to evaluate volume status in clinical practice and data on volume status in PD patients as compared to healthy population, and the associated factors, have not been available so far.<h4>Methods</h4>We used a bio-impedance spectroscopy device, the Body Composition Monitor (BCM) to assess volume status in a cross-sectional cohort of prevalent PD patients in different European countries. The results were compared to an age and gender matched healthy population.<h4>Results</h4>Only 40% out of 639 patients from 28 centres in 6 countries were normovolemic. Severe fluid overload was present in 25.2%. There was a wide scatter in the relation between blood pressure and volume status. In a multivariate analysis in the subgroup of patients from countries with unrestricted availability of all PD modalities and fluid types, older age, male gender, lower serum albumin, lower BMI, diabetes, higher systolic blood pressure, and use of at least one exchange per day with the highest hypertonic glucose were associated with higher relative tissue hydration. Neither urinary output nor ultrafiltration, PD fluid type or PD modality were retained in the model (total R² of the model = 0.57).<h4>Conclusions</h4>The EuroBCM study demonstrates some interesting issues regarding volume status in PD. As in HD patients, hypervolemia is a frequent condition in PD patients and blood pressure can be a misleading clinical tool to evaluate volume status. To monitor fluid balance, not only fluid output but also dietary input should be considered. Close monitoring of volume status, a correct dialysis prescription adapted to the needs of the patient and dietary measures seem to be warranted to avoid hypervolemia.
format	article
author	Wim Van Biesen John D Williams Adrian C Covic Stanley Fan Kathleen Claes Monika Lichodziejewska-Niemierko Christian Verger Jurg Steiger Volker Schoder Peter Wabel Adelheid Gauly Rainer Himmele EuroBCM Study Group
author_facet	Wim Van Biesen John D Williams Adrian C Covic Stanley Fan Kathleen Claes Monika Lichodziejewska-Niemierko Christian Verger Jurg Steiger Volker Schoder Peter Wabel Adelheid Gauly Rainer Himmele EuroBCM Study Group
author_sort	Wim Van Biesen
title	Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.
title_short	Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.
title_full	Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.
title_fullStr	Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.
title_full_unstemmed	Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.
title_sort	fluid status in peritoneal dialysis patients: the european body composition monitoring (eurobcm) study cohort.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/4e30b62237974564b28da87cd02d9481
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Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort.

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