Application of Remote Dielectric Sensing in Volumetric Evaluation for Maintenance Hemodialysis Patients.

IF 2.2 3区医学 Q3 HEMATOLOGY

Blood Purification Pub Date : 2025-06-18 DOI:10.1159/000546872

Chun-Yue Wang, Li Zhou, Yuqing Chen

{"title":"Application of Remote Dielectric Sensing in Volumetric Evaluation for Maintenance Hemodialysis Patients.","authors":"Chun-Yue Wang, Li Zhou, Yuqing Chen","doi":"10.1159/000546872","DOIUrl":null,"url":null,"abstract":"Background: Fluid overload increases the risk of cardiovascular events and all-cause mortality in hemodialysis patients. Remote dielectric sensing (ReDS) is a newly wearable device which can evaluate the volumetric status via the ratio of fluid and air in pulmonary tissue. In this study we explored whether ReDS can be used in evaluation of volume status in dialysis patients.Methods: We involved maintenance hemodialysis patients in the cross-sectional study and obtained both pre- and post-dialysis ReDS values. We also collected pre- and post-dialysis over hydration values by bioelectrical impedance analysis and biochemistry indicators like brain natriuretic peptide and analyzed their correlations with ReDS values to explore whether ReDS was feasible in fluid assessment for hemodialysis patients.Results: 115 maintenance hemodialysis patients were enrolled. The average pre-dialysis ReDS reading was 27.47% ± 4.88% (range from 16.00% to 39.00%), and the median post-dialysis ReDS value was 24% (range from 16% to 37%). ReDS can distinguish fluid overload patients (pre-dialysis over hydration value≥2.5L, p<0.001). ReDS value has a positive correlation with over hydration value (pre-dialysis: R=0.38, p<0.001) and a negative correlation with left ventricular ejection fraction (R=-0.333, p=0.018). ROC analysis showed that cut-off of pre-dialysis ReDS value to discriminate pre-dialysis over hydration value≥2.5L was 26.5%.Conclusion: ReDS has potential in fluid evaluation for maintenance hemodialysis patients and can serve as a useful tool to assist in clinical hydration status assessment.","PeriodicalId":8953,"journal":{"name":"Blood Purification","volume":" ","pages":"1-22"},"PeriodicalIF":2.2000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Blood Purification","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000546872","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Fluid overload increases the risk of cardiovascular events and all-cause mortality in hemodialysis patients. Remote dielectric sensing (ReDS) is a newly wearable device which can evaluate the volumetric status via the ratio of fluid and air in pulmonary tissue. In this study we explored whether ReDS can be used in evaluation of volume status in dialysis patients.

Methods: We involved maintenance hemodialysis patients in the cross-sectional study and obtained both pre- and post-dialysis ReDS values. We also collected pre- and post-dialysis over hydration values by bioelectrical impedance analysis and biochemistry indicators like brain natriuretic peptide and analyzed their correlations with ReDS values to explore whether ReDS was feasible in fluid assessment for hemodialysis patients.

Results: 115 maintenance hemodialysis patients were enrolled. The average pre-dialysis ReDS reading was 27.47% ± 4.88% (range from 16.00% to 39.00%), and the median post-dialysis ReDS value was 24% (range from 16% to 37%). ReDS can distinguish fluid overload patients (pre-dialysis over hydration value≥2.5L, p<0.001). ReDS value has a positive correlation with over hydration value (pre-dialysis: R=0.38, p<0.001) and a negative correlation with left ventricular ejection fraction (R=-0.333, p=0.018). ROC analysis showed that cut-off of pre-dialysis ReDS value to discriminate pre-dialysis over hydration value≥2.5L was 26.5%.

Conclusion: ReDS has potential in fluid evaluation for maintenance hemodialysis patients and can serve as a useful tool to assist in clinical hydration status assessment.

查看原文本刊更多论文

电介质遥感在维持性血液透析患者容量评价中的应用。

背景：血液透析患者体液超载会增加心血管事件和全因死亡率的风险。远程介质传感（red）是一种新型的可穿戴设备，它可以通过肺组织中流体与空气的比值来评估肺组织的体积状态。在这项研究中，我们探讨了红血球是否可以用于评估透析患者的容量状态。方法：我们在横断面研究中纳入维持性血液透析患者，并获得透析前和透析后的red值。我们还通过生物电阻抗分析和脑钠肽等生化指标收集透析前和透析后的水合值，并分析其与red值的相关性，探讨red在血液透析患者体液评估中的可行性。结果：纳入维持性血液透析患者115例。透析前的平均red读数为27.47%±4.88%(16.00% ~ 39.00%)，透析后的中位red值为24%（16% ~ 37%）。结论：red在维持性血液透析患者的体液评价中具有潜在的应用价值，可作为辅助临床水合状态评估的有用工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Blood Purification 医学-泌尿学与肾脏学

CiteScore

5.80

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Practical information on hemodialysis, hemofiltration, peritoneal dialysis and apheresis is featured in this journal. Recognizing the critical importance of equipment and procedures, particular emphasis has been placed on reports, drawn from a wide range of fields, describing technical advances and improvements in methodology. Papers reflect the search for cost-effective solutions which increase not only patient survival but also patient comfort and disease improvement through prevention or correction of undesirable effects. Advances in vascular access and blood anticoagulation, problems associated with exposure of blood to foreign surfaces and acute-care nephrology, including continuous therapies, also receive attention. Nephrologists, internists, intensivists and hospital staff involved in dialysis, apheresis and immunoadsorption for acute and chronic solid organ failure will find this journal useful and informative. ''Blood Purification'' also serves as a platform for multidisciplinary experiences involving nephrologists, cardiologists and critical care physicians in order to expand the level of interaction between different disciplines and specialities.