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• W2517982720 abstract "<b><i>Introduction:</i></b> Bioelectrical impedance spectroscopy (BIS) devices are being used to determine ultrafiltration requirements to achieve target weight for haemodialysis (HD) patients. Pre-dialysis measurements are more convenient for both patients and staff. We wished to compare the changes in pre- and post-dialysis hydration measured by BIS with actual weight loss. <b><i>Methods:</i></b> We compared paired BIS measurements made pre and post HD using a BIS device based on a 3-compartmental model, designed to provide information on extracellular water (ECW) excess. <b><i>Results:</i></b> BIS was measured in 49 HD patients, 35 male (71.4%) with mean age 67.6 ± 14.2. Weight fell significantly from 69.2 ± 17.8 to 67.6 ± 17.4 kg, and BIS over hydration (OH) from 4.5 ± 3.3.4 to 3.4 ± 2.9 litres, and ECW from 16.8 ± 4.8 to 15.5 ± 4.4 litres, but there was no change in the amount of intracellular water. Weight loss correlated positively with the change in ECW, but exceeded the fall in OH; mean bias -0.58 (95% confidence limits -3.6 to 4.8 kg). <b><i>Summary:</i></b> We measured OH pre and post HD, but did not find that the change in OH correlated with changes in body weight. Although there was a correlation between changes in OH and ECW, there was none for weight. Our findings do not support total reliance on pre-dialysis BIS alone for assessing volume status in HD patients, but rather BIS should be considered an aid to clinical assessment of volume status." @default.
• W2517982720 created "2016-09-16" @default.
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• W2517982720 date "2016-01-01" @default.
• W2517982720 modified "2023-10-14" @default.
• W2517982720 title "Do Bioimpedance Measurements of Over-Hydration Accurately Reflect Post-Haemodialysis Weight Changes?" @default.
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• W2517982720 doi "https://doi.org/10.1159/000447702" @default.
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