Telemed J E Health - Body weight telemetry is useful to reduce interdialytic weight gain in patients with end-stage renal failure on hemodialysis.

Tópicos

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Resumo

Lacking compliance with liquid intake restrictions is one of the major problems in patients on hemodialysis and causes an increased mortality. In 120 patients on hemodialysis with an average interdialytic weight gain (IWG) exceeding 1.5kg on at least 2 days during the 4 weeks preceding the intervention, the effect of telemetric body weight measurement (TBWM) on IWG, ultrafiltration rate, and blood pressure was evaluated over a period of 3 months. Patients of the telemetric group (TG) were supplied with automatic scales, which transferred the weight via telemetry on a daily basis. In the case of IWG of more than 0.75 kg/24h, a telephonic contact was made as required, and in the case of an IWG of more than 1.5kg, telephonic contacting was obligatory along with the advice of a liquid intake restriction to 0.5 L/day until the next dialysis. The patients of the control group (CG) received standard treatment without telemetric monitoring. We examined specific data of the second interdialytic interval (IDI2) and the average within 1 week. The average difference of IWG between TG and CG was not significant before the start of the study but 0.2kg (p=0.027) (IDI2)/0.27kg (p=0.001) (WP) at the end of the study, respectively. The average difference in the ultrafiltration rate within 1 week was 19.0mL/h (p=0.282) (IDI2)/8.2mL/h (p=0.409) before the start of the study but 28.4mL/h (p=0.122) (IDI2)/30.9mL/h (p=0.004) at the end of the study, respectively. Thus, TBWM is a feasible method for optimizing the IWG and reducing the ultrafiltration rate.

Resumo Limpo

lack complianc liquid intak restrict one major problem patient hemodialysi caus increas mortal patient hemodialysi averag interdialyt weight gain iwg exceed kg least day week preced intervent effect telemetr bodi weight measur tbwm iwg ultrafiltr rate blood pressur evalu period month patient telemetr group tg suppli automat scale transfer weight via telemetri daili basi case iwg kgh telephon contact made requir case iwg kg telephon contact obligatori along advic liquid intak restrict lday next dialysi patient control group cg receiv standard treatment without telemetr monitor examin specif data second interdialyt interv idi averag within week averag differ iwg tg cg signific start studi kg p idikg p wp end studi respect averag differ ultrafiltr rate within week mlh p idimlh p start studi mlh p idimlh p end studi respect thus tbwm feasibl method optim iwg reduc ultrafiltr rate

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