Advances in Evaluating Fluid Levels: Bioimpedance in Patients with Kidney Failure

Harith Abdelkareem Baker, Mohammed Sabah Jarjees, Amer Farhan Sheet, Thair Hawas Hamed
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Abstract

This study delves deeply into the various facets of bioimpedance analysis as it relates to the development of chronic kidney disease (CKD). The use of bioimpedance spectroscopy (BIS) to evaluate the effectiveness of peritoneal dialysis (PD) and determine dialysis adequacy using variables like volume (V) and Kt/V is at the heart of this compilation. The investigations closely look at how important water distribution is for the advancement of CKD and how that affects patient outcomes. Evaluation of several body composition measurement methods is emphasized, especially the combination of the bioelectrical impedance analysis (BIA) ratio and the dry mass index (DMI). By applying the BIA TBW Watson ratio, these approaches provide important insights into the relationships between fluid volume and physiological indicators, such as body mass index (BMI) and total body water (TBW). The study emphasizes the differences in fluid overload diagnosis between conventional clinical assessments and sophisticated bioimpedance techniques, particularly in older patients with chronic kidney disease (CKD), underscoring the need for proper monitoring and intervention. Bioimpedance analysis is crucial to understanding chronic renal disease and associated cardiac complications, as shown in the assembled study. Bioimpedance analysis, used in devices like the Body Composition Monitor (BCM), is highlighted in this study collection to monitor hydration and improve dialysis adequacy. Bioimpedance analysis improves illness treatment, giving chronic renal failure and heart failure patients a more precise and nuanced grasp of fluid management, according to the literature.
评估体液水平的进展:肾衰竭患者的生物阻抗
本研究深入探讨了生物阻抗分析与慢性肾脏病(CKD)发展相关的各个方面。使用生物阻抗光谱(BIS)评估腹膜透析(PD)的有效性,并利用容量(V)和 Kt/V 等变量确定透析是否充分,是本汇编的核心内容。这些研究密切关注水分分布对慢性肾脏病进展的重要性,以及水分分布对患者预后的影响。其中强调了对几种身体成分测量方法的评估,尤其是生物电阻抗分析 (BIA) 比值和干体重指数 (DMI) 的结合。通过应用 BIA TBW Watson 比值,这些方法为了解液体量与体重指数 (BMI) 和身体总水分 (TBW) 等生理指标之间的关系提供了重要依据。这项研究强调了传统临床评估与复杂的生物阻抗技术在诊断体液超负荷方面的差异,尤其是在患有慢性肾脏病(CKD)的老年患者中,强调了适当监测和干预的必要性。生物阻抗分析用于人体成分监测仪(BCM)等设备,在本研究集中重点介绍了生物阻抗分析,以监测水合作用并提高透析的充分性。文献显示,生物阻抗分析能改善疾病治疗,让慢性肾衰竭和心力衰竭患者更精确、更细致地掌握液体管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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