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      Enhancement of Quality of Life with Adjustment of Dry Weight by Echocardiographic Measurement of Inferior Vena cava Diameter in Patients Undergoing Chronic Hemodialysis

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          Abstract

          Background/Aims: Ideal dry weight (DW) can serve as a marker of good quality of life (QOL) in patients receiving chronic hemodialysis. The size of the inferior vena cava (IVC) reflects the intravascular fluid status, and the diameter of IVC correlates indirectly with DW in these patients. Adjusting DW using echocardiographic measurement of the diameter of the IVC thus may be useful in maintenance of a better QOL in patients receiving chronic hemodialysis. Methods: This study included 119 patients with ages ranging between 27 and 90 years (mean ± standard deviation of 58.3 ± 12.8). All of the patients received the IVC diameter (IVCD) measurement by echocardiography every 2 months for 1 year. The study group included 68 patients in whom the DW were adjusted by echocardiographic measurement of the IVCD, while the control group included 51 patients in whom the DW was adjusted by the conventional method. QOL was evaluated using the short form 36 questionnaire (SF-36) at the beginning and at the end of the study. Besides, the Kt/V<sub>urea</sub> value, a parameter of total urea clearance, was measured at the beginning and at the end of the study in patients of both groups. Results: The scores of physical functioning, physical role functioning, general health and physical component summary showed a prominent improvement in the study group but not in the control group. The impact of periodic echocardiographic evaluation also demonstrated a significant change in the scores of physical functioning, physical role functioning and physical component summary in the study group. Furthermore, the Kt/V<sub>urea</sub> value, a parameter of total urea clearance, also increased significantly in the study group. Conclusion: Ideal DW is better adjusted by periodic echocardiographic measurement of the IVCD in patients undergoing chronic hemodialysis. Maintenance of a better DW leads to improve hemodialysis quality and QOL in these patients.

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          Most cited references 2

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          Hemodialysis for chronic renal failure. Clinical observations.

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            Prediction of quality of life in a cohort of end-stage renal disease patients

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              Author and article information

              Journal
              NEC
              Nephron Clin Pract
              10.1159/issn.1660-2110
              Nephron Clinical Practice
              S. Karger AG
              1660-2110
              2004
              July 2004
              17 November 2004
              : 97
              : 3
              : c90-c97
              Affiliations
              aDivision of Cardiology, Chang Gung Memorial Hospital at Chia-yi; bDivision of Nephrology, Li-Shin Hospital, and cSecond Section of Cardiology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Tauyuan, Taiwan
              Article
              78636 Nephron Clin Pract 2004;97:c90–c97
              10.1159/000078636
              15292685
              © 2004 S. Karger AG, Basel

              Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

              Page count
              Figures: 4, Tables: 1, References: 26, Pages: 1
              Product
              Self URI (application/pdf): https://www.karger.com/Article/Pdf/78636
              Categories
              Original Paper

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