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Determinants of extracellular fluid after hemodialysis in CKD stage G5D patients measured by the bioelectrical impedance (BIA) method: A propensity score matching study
https://jichi-ir.repo.nii.ac.jp/records/1272
https://jichi-ir.repo.nii.ac.jp/records/12724ab8840d-b507-4eef-94f7-0cb79e032cc6
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
自治医科大学紀要 1881-252X(45)P1-10 2023 (160.2 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||||||||||||||
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| 公開日 | 2023-06-09 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | Determinants of extracellular fluid after hemodialysis in CKD stage G5D patients measured by the bioelectrical impedance (BIA) method: A propensity score matching study | |||||||||||||||||
| 言語 | en | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | Bioimpedance | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | Extracellular body water | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | Hemodialysis | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | Propensity score matching | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
| 資源タイプ | departmental bulletin paper | |||||||||||||||||
| 著者 |
Murakami, Takuya
× Murakami, Takuya
× Saito, Osamu
× Saito, Takako
× Ueno, Koshi
× Akimoto, Tetsu
× Nagata, Daisuke
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| 著者別名 | ||||||||||||||||||
| 姓名 | 村上, 琢哉 | |||||||||||||||||
| 言語 | ja | |||||||||||||||||
| 著者別名 | ||||||||||||||||||
| 姓名 | 齋藤, 修 | |||||||||||||||||
| 言語 | ja | |||||||||||||||||
| 著者別名 | ||||||||||||||||||
| 姓名 | 齋藤, 孝子 | |||||||||||||||||
| 言語 | ja | |||||||||||||||||
| 著者別名 | ||||||||||||||||||
| 姓名 | 上野, 公司 | |||||||||||||||||
| 言語 | ja | |||||||||||||||||
| 著者別名 | ||||||||||||||||||
| 姓名 | 秋元, 哲 | |||||||||||||||||
| 言語 | ja | |||||||||||||||||
| 著者別名 | ||||||||||||||||||
| 姓名 | 長田, 太助 | |||||||||||||||||
| 言語 | ja | |||||||||||||||||
| 抄録 | ||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||
| 内容記述 | Background: Hemodialysis patients have a higher incidence of extracellular edema than patients with a normal renal function, even if their dry weight (DW) setting is appropriate. However, the factors determining post-dialysis edema in hemodialysis patients have not been fully elucidated. We investigated the determinants of post-dialysis ECW/TBW index (ratio of extracellular body water to total body water) in hemodialysis patients and compared them with non-chronic kidney disease (non-CKD) patients. Methods: The ECW/TBW index was measured using a bioimpedance body composition analyzer. We measured clinical parameters and the ECW/TBW index in 159 hemodialysis patients and 385 non-CKD patients. We evaluated the relationships with various clinical parameters by a multivariable linear analysis and stepwise regression analysis. Differences in age and BMI between the hemodialysis and non-CKD patients were adjusted by propensity score matching. The modified groups were analyzed by multivariable linear analysis and stepwise regression analyses. Results: The ECW/TBW index was significantly higher in the hemodialysis patients. A multivariable linear analysis with the ECW/TBW index as the objective variable showed significant associations in age, pre-dialysis Hb, Ht, TP, Alb, Cr, human atrial natriuretic peptide (HANP) and percent creatinine generation rate (%CGR) in hemodialysis patients. After propensity score matching for age and BMI, a strong effect of age was observed in the non-CKD patients, while Alb affected the ECW/TBW index in the hemodialysis patients. Conclusion: While age strongly influenced the ECW/TBW index in non-CKD patients, that in hemodialysis patients was more strongly influenced by serum Alb than age. High ECW/TBW index is associated with a poor prognosis in hemodialysis patients, suggesting the importance of paying attention to the pre-dialysis albumin concentration in the setting of the body fluid removal for DW. |
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| 書誌情報 |
自治医科大学紀要 en : Jichi Medical University Journal 巻 45, p. 1-10, 発行日 2023-03 |
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| 出版者 | ||||||||||||||||||
| 出版者 | 自治医科大学 | |||||||||||||||||
| ISSN | ||||||||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||||||||
| 収録物識別子 | 1881-252X | |||||||||||||||||
