The value of osmotic conductance and free water transport in the prediction of encapsulating peritoneal sclerosis.

Denise E Sampimon, Deirisa Lopes Barreto, Annemieke M Coester, Dirk G Struijk, Raymond T Krediet
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Abstract

Qualitative assessments in long-term patients and in those with encapsulating peritoneal sclerosis (EPS) have shown that impaired osmotic conductance is likely a factor contributing to the presence of ultrafiltration failure in those individuals. In the present study, we investigated the value of osmotic conductance, its components LpA and the reflection coefficient sigma, and free water transport (FWT) in 12 patients with EPS, in 21 patients with long-term ultrafiltration failure, and in 26 time-restricted control subjects with normal ultrafiltration. A decrease in all parameters was observed during a period of 4 years in patients with EPS and ultrafiltration failure, with FWT showing the largest difference between all three groups; however, the receiver operating curves showed that only FWT appeared to be a significant predictor of EPS. Because its measurement is simple, FWT should be included in the regular assessment of peritoneal function.

渗透电导和自由水输送在预测包膜性腹膜硬化中的价值。
对长期患者和包封性腹膜硬化症(EPS)患者的定性评估表明,渗透传导受损可能是导致这些个体出现超滤失败的一个因素。在本研究中,我们研究了12例EPS患者、21例长期超滤失败患者和26例超滤正常的限时对照者的渗透电导、渗透电导组分LpA和反射系数sigma以及自由水输送(FWT)的值。在4年的时间里,EPS和超滤衰竭患者的所有参数都有所下降,其中FWT在三组之间的差异最大;然而,受试者工作曲线显示,只有FWT似乎是EPS的显著预测因子。由于其测量方法简单,因此应将FWT纳入腹膜功能的常规评估。
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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