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- W2105495318 abstract "Abstract: Relationships among five markers of volume status—cardio–thoracic ratio (CTR), atrial natriuretic peptide (ANP), inferior vena cava diameter at quiet expiration (IVCe), blood volume change (▵BV/TUF) during ultrafiltration and filtration coefficients of microvasculature (Lpst)—were investigated. Fifty stable hemodialysis patients were enrolled. The CTR was measured before hemodialysis (HD), and ultrasonic measurement of IVCe and sample collection for ANP were performed shortly after HD. Lpst and ▵BV/TUF were calculated using a CRIT‐LINE monitor. Overhydrated patients determined by each marker (OVERctr, OVERivc, OVERanp, OVERlp and OVERbv) were compared. The agreement of volume status determined by each marker was assessed by κ value, and the sensitivity and specificity of each marker to distinguish overhydrated patients were analyzed by a receiver‐operating characteristic (ROC) curve. IVCe, ANP, ▵BV/TUF and Lpst, significantly correlated with each other. The correlation coefficients of Lpst with IVCe, ANP and ▵BV/TUF were higher than the others. The κ value between ANP and Lpst was the highest. OVERanp was the highest, then OVERlp, OVERivc and OVERbv, in this order. The OVERlp and OVERivc patients were completely included in OVERanp. All patients, except one OVERbv patient, were included in OVERlp. The relatively high distinguishing ability of Lpst was demonstrated by ROC analysis. These results suggest that the determination of overhydration solely by ANP was an overestimation and by ▵BV/TUF was an underestimation. The relatively high correlation coefficients of Lpst with other markers, as well as its distinguishing ability, suggest that Lpst fluctuates in close relation to other markers." @default.
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- W2105495318 date "2007-03-22" @default.
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- W2105495318 title "Evaluation of Markers to Estimate Volume Status in Hemodialysis Patients: Atrial Natriuretic Peptide, Inferior Vena Cava Diameter, Blood Volume Changes and Filtration Coefficients of Microvasculature" @default.
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- W2105495318 doi "https://doi.org/10.1111/j.1744-9987.2007.00471.x" @default.
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