CONTROL OF THE DIALYSIS DOSE BY IONIC DIALYSANCE AND BIOIMPEDANCE.
CONTROL DE LA DOSIS DE DIALISIS MEDIANTE DIALISANCIA IONICA Y BIOIMPEDANCIA
J.L. Teruel Nefrología Hospital Ramón y Cajal, L.E. Alvarez Rangel Nefrología Hospital La Raza, Méjico, M. Fernández Lucas Nefrología Hospital Ramón y
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Teruel Nefrología Hospital Ramón y Cajal, L.E. Alvarez Rangel Nefrología Hospital La Raza, Méjico, M. Fernández Lucas Nefrología Hospital Ramón y" "autores" => array:1 [ 0 => array:1 [ "nombre" => "J.L. Teruel Nefrología Hospital Ramón y Cajal, L.E. Alvarez Rangel Nefrología Hospital La Raza, Méjico, M. Fernández Lucas Nefrología Hospital Ramón y" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "CONTROL DE LA DOSIS DE DIALISIS MEDIANTE DIALISANCIA IONICA Y BIOIMPEDANCIA" ] ] "pdfFichero" => "P-E-S-A4381-EN.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec436404" "palabras" => array:4 [ 0 => "Palabras clave: Dialisancia iónica" 1 => "Bioimpedancia" 2 => "Dosis de hemodiálisis" 3 => "Kt/V" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec436405" "palabras" => array:4 [ 0 => "Ionic dialysance" 1 => "Bioelectrical impedance" 2 => "Dose of dialysis" 3 => "Kt/V" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "ABSTRACT Introduction: The ionic dialysance monitor allows an automated measure of Kt in each dialysis session. Bioelectrical impedance analysis (BIA) determines the total body water which it is equivalent to the urea volume of distribution (V). If the Kt, determined by ionic dialysance, is divided by the V, estimated by bioelectrical impedance, a Kt/V at the end of dialysis session (Kt/VDiBi) is obtained. Aim of the Study: To evaluate the agreement between the Kt/VDiBi and the Kt/V obtained by two simplified formulas: the monocompartimental (Kt/Vm) and the equilibrated (Kt/Ve) Daugirdas equations. Methods: The Kt/VDiBi, the Kt/Vm and the Kt/Ve were determined in 38 hemodialysis patients (27 males and 11 females) in the same hemodialysis session. The patients were on dialysis three times a week for 3.5 to 4 hours. The V was determined by monofrequency bioelectrical impedance (50 kHz) at the end of the dialysis session. Results: The Kt/VDiBi, Kt/Vm and Kt/Ve were 1.29±0.26, 1.54±0.29 and 1.36±0.25, respectively (p <0 001 between the kt vdibi and ktvm p <0 001 between the ktv dibi and kt ve intraclass correlation coefficient showed better concordance 0 88 than vdibi ktvm 65 relative difference of was 8 3 6 4 with respect to 18 7 vm p <0 001 the relative difference between kt vdibi and ve was lower than 15 in 84 of patients 10 64 conclusions: if v obtained by bioelectrical impedance analysis is included ionic dialysance monitor we can obtain a for each patient real time which similar to equilibrated from daugirdas equation</0> </0> </0>" ] "es" => array:1 [ "resumen" => "RESUMEN Introducción: El monitor de dialisancia iónica permite obtener el Kt de cada sesión de diálisis de forma automática. La técnica de bioimpedancia proporciona el parámetro correspondiente al contenido corporal total de agua que es similar al volumen de distribución de la urea (V). Si dividimos el Kt de la dialisancia iónica entre el V calculado por la bioimpedancia conseguimos un Kt/V (Kt/VDiBi). Objetivo: El objetivo del presente trabajo es estudiar la concordancia existente entre el Kt/VDiBi y el Kt/V simplificado obtenido por las ecuaciones de Daugirdas correspondientes a los modelos monocompartimental (Kt/Vm) y equilibrado (Kt/Ve). Material y Métodos: El estudio se realizó en 38 enfermos en los que se calculó en la misma sesión de hemodiálisis el Kt/VDiBi, el Kt/Vm y el Kt/Ve. Se trata de 27 varones y 11 mujeres que se dializaban 3 veces a la semana, en sesiones de 3,5 ¿ 4 horas de duración. El V se calculó al finalizar la sesión de hemodiálisis con técnica de bioimpedancia vectorial de monofrecuencia. Resultados: Los resultados de Kt/VDiBi, Kt/Vm y Kt/Ve fueron: 1,29 ±0,26, 1,54±0,29 y 1,36±0,25 respectivamente (p <0 001 entre kt vdibi y ktvm p <0 001 entre ktv dibi y kt ve el coeficiente de correlación intraclase mostró una mejor concordancia vdibi 0 88 excelente que vm 65 buena la diferencia relativa del fue 8 3 6 4 con respecto al 18 7 p <0 001 la diferencia relativa entre kt vdibi y ve fue inferior a 15 en el 84 de los enfermos e 10 64 conclusiones: si introducimos monitor dialisancia iónica v obtenido por bioimpedancia podemos obtener cada sesión hemodiálisis un para enfermo que es equiparable al equilibrado ecuación daugirdas</0> </0> </0>" ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002700000001/v0_201502091552/X2013251407020768/v0_201502091552/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002700000001/v0_201502091552/X2013251407020768/v0_201502091552/en/P-E-S-A4381-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407020768?idApp=UINPBA000064" ]
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