Mp562asessment of Body Fuild Volume Status by Lung Ultrasound in Chronic Hemodialysis Patients

Nishihira, Morikuni; Shimoji, Kunihiro; Inoue, Taku; Sekiguchi, Takuya; Terukina, Shigetomo; Hanashiro, Toru; Kikumura, Tasuku; Nagayama, Kiyomitsu; Oroku, Masato; Yahagi, Koichi; Shiohira, Yoshiki; Iseki, Kunitoshi

doi:10.1093/ndt/gfw196.41

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“…These comprised 14 prospective cohort studies, 17 cross‐sectional studies, and two prospective observational studies (Figure 1). The meta‐analysis incorporated 13 studies 6,7,18–28 of the included 33 studies, while the other 20 studies, lacking sufficient numerical data, were included for qualitative analysis as part of the systematic review 9,29–47 …”

Section: Resultsmentioning

confidence: 99%

“…13,[17][18][19] Furthermore, other investigations reported a correlation between recurrent positive lung ultrasound and the rate of cardiovascular events, including hospitalization. 20,21 Additionally, positive associations were found between lung comet numbers and pre-dialysis diastolic blood pressure, 22 as well as between B-lines and NT-pro-BNP in hemodialysis patients 23 (Table 2).…”

Section: Correlation Between B-lines and Inferior Vena Cava Or Hydrat...mentioning

confidence: 92%

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The use of lung ultrasound in evaluation of extravascular lung water in hemodialysis patients: Systematic review and meta‐analysis

Elgenidy,

Amin,

Awad

et al. 2024

Hemodialysis International

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Rationale and ObjectivesDetermining dry weight is crucial for optimizing hemodialysis, influencing efficacy, cardiovascular outcomes, and overall survival. Traditional clinical assessment methods for dry weight, relying on factors such as blood pressure and edema, frequently lack reliability. Lung ultrasound stands out as a promising tool for assessing volume status, given its non‐invasiveness and reproducibility. This study aims to explore the role of Lung ultrasound in evaluating the impact of hemodialysis and ultrafiltration on extravascular lung water, with a specific focus on changes in B‐lines post‐hemodialysis compared to pre‐hemodialysis.Materials and MethodsThe research encompassed searches across PubMed, WOS, and Scopus databases for studies related to lung ultrasound and hemodialysis. A meta‐analysis was then performed to determine the mean differences in various parameters before compared to after, hemodialysis, including the number of B‐lines, indexed end‐inspiratory and end‐expiratory inferior vena cava diameters, inferior vena cava collapsibility index, weight, blood pressure, and serum levels of NT‐pro‐BNP.ResultsOur meta‐analysis, included 33 studies with 2301 hemodialysis patients, revealed a significant decrease in the number of B‐lines post‐hemodialysis (mean difference = 8.30, 95% CI [3.55 to 13.05]). Furthermore, there was a noteworthy reduction in inspiratory and expiratory inferior vena cava diameters post‐hemodialysis (mean difference = 2.32, 95% CI [0.31 to 4.33]; mean difference = 4.05, 95% CI [2.44 to 5.65], respectively). Additionally, a significant positive correlation was observed between B‐lines and the maximum inferior vena cava diameter both pre‐ and post‐hemodialysis (correlation coefficient = 0.39; correlation coefficient = 0.32, respectively).ConclusionThese findings indicate the effectiveness of lung ultrasound in detection of volume overload and assessment of response to ultrafiltration in hemodialysis patients.

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Section: Resultsmentioning

confidence: 99%

Section: Correlation Between B-lines and Inferior Vena Cava Or Hydrat...mentioning

confidence: 92%

The use of lung ultrasound in evaluation of extravascular lung water in hemodialysis patients: Systematic review and meta‐analysis

Elgenidy,

Amin,

Awad

et al. 2024

Hemodialysis International

View full text Add to dashboard Cite

show abstract

Mp562asessment of Body Fuild Volume Status by Lung Ultrasound in Chronic Hemodialysis Patients

Cited by 1 publication

References 0 publications

The use of lung ultrasound in evaluation of extravascular lung water in hemodialysis patients: Systematic review and meta‐analysis

The use of lung ultrasound in evaluation of extravascular lung water in hemodialysis patients: Systematic review and meta‐analysis

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