Abstract
BACKGROUND: Fluid management in haemodialysis (HD) affects patient experience, morbidity and mortality. Standards for best practice are lacking. A national survey of the United Kingdom was undertaken to define prevalent practice.
METHODS: An online questionnaire was distributed to all UK renal centres.
RESULTS: Forty-five of 74 centres (173 dialysis units), serving 62% (n = 14,697) of UK HD population responded. Seventy-eight per cent had no agreed policy for managing fluid balance in patients on HD; 44% did not assess fluid status routinely. Clinical assessment was the norm; 27% used bio-impedance-based device. To achieve a target-weight, 53% reduced weight as far as tolerated. Twenty-two per cent measured residual renal function (RRF). Ninety-one per cent had no policy for fluid overload. Sixty-four per cent restricted salt and water. Ninety-three per cent used diuretics in patients with RRF. Thirty-eight per cent felt management was adequate; 77% felt there was a need for better evidence. Ninety-one per cent would participate in a study addressing this.
CONCLUSION: There is an urgent need for establishing an evidence base on the optimal approaches to fluid management.
| Original language | English |
|---|---|
| Pages (from-to) | 324-31 |
| Number of pages | 8 |
| Journal | Blood Purification |
| Volume | 41 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Apr 2016 |
Keywords
- Diet
- Disease Management
- Diuretics
- Electric Impedance
- Fluid Therapy
- Health Surveys
- Humans
- Kidney Failure, Chronic
- Practice Patterns, Physicians'
- Renal Dialysis
- Surveys and Questionnaires
- Survival Analysis
- United Kingdom
- Water-Electrolyte Balance
- Journal Article