Bedside sonographic assessments for predicting predialysis fluid overload in children with end-stage kidney disease

Yöntem, Ahmet; Çağlı, Çağla; Yıldızdaş, Dinçer; Horoz, Özden Özgür; Ekinci, Faruk; Atmış, Bahriye; Bayazıt, Aysun Karabay

doi:10.1007/s00431-021-04086-z

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…A positive linear correlation between B‐lines and fluid overload has been shown in pediatric patients, before and after dialysis sessions 29,31,39 . In all children with clinical signs of moderate to severe fluid overload, a minimum of 8−12 B‐lines was observed, regardless of the adopted B‐lines scoring system 29–31,37 . Quantification of B‐lines at LUS, may be superior to other methods for detecting hypervolemia in children on dialysis, and more easily carried out at the bedside 30,37 .…”

Section: B‐lines In Neonates and Childrenmentioning

confidence: 99%

“…Various scoring systems have been proposed to standardize the ultrasound quantification of B-lines 10,22,[28][29][30][31][32][33][34][35][36][37] and a list of these scanning technique used to quantify B-lines is reported in Table 1.…”

Section: B -Line Scoring Systemsmentioning

confidence: 99%

“…29,31,39 In all children with clinical signs of moderate to severe fluid overload, a minimum of 8−12 B-lines was observed, regardless of the adopted B-lines scoring system. [29][30][31]37 Quantification of Blines at LUS, may be superior to other methods for detecting hypervolemia in children on dialysis, and more easily carried out at the bedside. 30,37 Finally, LUS scoring adapted from Enghard et al 44 and based on the count of B-lines, has been used to semi-quantify loss of aeration and oxygenation, as a marker of disease severity in children with acute bronchiolitis.…”

Section: B -Lines In Neonates and Childrenmentioning

confidence: 99%

“…[29][30][31]37 Quantification of Blines at LUS, may be superior to other methods for detecting hypervolemia in children on dialysis, and more easily carried out at the bedside. 30,37 Finally, LUS scoring adapted from Enghard et al 44 and based on the count of B-lines, has been used to semi-quantify loss of aeration and oxygenation, as a marker of disease severity in children with acute bronchiolitis. 58,59 7 | CONCLUSIONS submitted and agree to be accountable for all aspects of the work.…”

Section: B -Lines In Neonates and Childrenmentioning

confidence: 99%

“…Various scoring systems have been proposed to standardize the ultrasound quantification of B‐lines 10,22,28–37 and a list of these scanning technique used to quantify B‐lines is reported in Table 1. These techniques have mainly been studied in adult patients and differ by the setting (e.g., emergency and nephrology) for which they were developed and described.…”

Section: B‐line Scoring Systemsmentioning

confidence: 99%

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To B or not to B. The rationale for quantifying B‐lines in pediatric lung diseases

Parri

Allinovi

Giacalone

et al. 2022

Pediatric Pulmonology

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Lung ultrasound (LUS) is emerging as adjunct tool to be used during clinical assessment. Among the different hallmarks of LUS, B-lines are well known artifacts, which are not correlated with identifiable structures, but which can be used for pathological classification. The presence of multiple B-lines is a sonographic sign of lung interstitial syndrome. It has been demonstrated in adults that there is a direct correlation between the number of B-lines and the severity of the interstitial involvement of lung disease. Counting B-lines is an attempt to enrich the clinical assessment and clinical information, beyond obtaining a simple dichotomous answer.Semiquantitative or quantitative B-line assessment has been shown to correlate with fluid overload and demonstrated prognostic implications in specific neonatal and pediatric conditions. LUS with quantitative B-lines assessment is promising. Current evidence allows for quantification of B-lines in a limited number of neonatal and pediatric diseases.

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Section: B‐lines In Neonates and Childrenmentioning

confidence: 99%

Section: B -Line Scoring Systemsmentioning

confidence: 99%

Section: B -Lines In Neonates and Childrenmentioning

confidence: 99%

Section: B -Lines In Neonates and Childrenmentioning

confidence: 99%

Section: B‐line Scoring Systemsmentioning

confidence: 99%

See 3 more Smart Citations

To B or not to B. The rationale for quantifying B‐lines in pediatric lung diseases

Parri

Allinovi

Giacalone

et al. 2022

Pediatric Pulmonology

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How to Prepare a Chronic Kidney Disease Patient for Dialysis

Correa-Rotter,

Ramírez-Sandoval

2023

Management of Chronic Kidney Disease

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Value of lung ultrasound in detection of volume overload in children chronic kidney disease on regular hemodialysis: prospective cohort study

Sweed,

Shafei,

Mohamed

et al. 2023

Egypt J Radiol Nucl Med

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Background Several methods have emerged to predict the occurrence of early volume overload (VO) in pediatric patients with chronic kidney disease undergoing regular hemodialysis (HD). Nevertheless, achieving an accurate assessment remains challenging. Consequently, this study aimed to identify VO in pediatric HD patients using lung ultrasound (LUS). Additionally, the study sought to investigate the relationship between various clinical parameters employed to detect VO and the ultrasonographic B-line score. Methods This prospective observational cohort study was conducted on 30 pediatric patients with end-stage renal disease undergoing a maintenance HD program for 4 months. The clinical evaluation of the fluid status of pediatric patients involved using LUS pre-, intra, and post-HD. The study included the dry weight (DW) and non-DW groups; within these groups, the B-line scores were evaluated pre-, intra, and post-HD sessions. Tabulations were conducted to document the variations in body weight and B-line scores during pre-, intra-, and post-dialytic periods. Results The results of the LUSs performed on the 30 pediatric patients pre-, intra, and post-HD revealed that the B-line scores significantly reduced post-HD in all pediatric patients with more significant reduction in non-dry weight group (p < 0.001). There was a positive relation between the total number of B-lines pre-HD and inter-dialytic weight gain, pre-dialytic blood pressure, and clinical fluid score (r = 0.811, p < 0.01; r = 0.59, p < 0.001; and r = 0.75, p < 0.001, respectively) and also post-dialysis. Eventually, dialytic weight loss exhibited a significant direct positive correlation to B-line score reduction (r = 0.891, p < 0.01). Conclusions LUS is an innovative, simple noninvasive bedside method that provides real-time evaluation of fluid volume alterations in pediatric HD patients with chronic conditions. LUS shows excellent potential as a viable approach for assessing DW and non-dry weight in pediatric HD patients.

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Bedside sonographic assessments for predicting predialysis fluid overload in children with end-stage kidney disease

Cited by 5 publications

References 31 publications

To B or not to B. The rationale for quantifying B‐lines in pediatric lung diseases

To B or not to B. The rationale for quantifying B‐lines in pediatric lung diseases

How to Prepare a Chronic Kidney Disease Patient for Dialysis

Value of lung ultrasound in detection of volume overload in children chronic kidney disease on regular hemodialysis: prospective cohort study

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