Research output: Contribution to journal › Article › peer-review
UK National Survey of Practice Patterns of Fluid Volume Management in Haemodialysis Patients : A Need for Evidence. / Dasgupta, Indranil; Farrington, Ken; Davies, Simon J; Davenport, Andrew; Mitra, Sandip.
In: Blood Purification, Vol. 41, No. 4, 01.04.2016, p. 324-31.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - UK National Survey of Practice Patterns of Fluid Volume Management in Haemodialysis Patients
T2 - A Need for Evidence
AU - Dasgupta, Indranil
AU - Farrington, Ken
AU - Davies, Simon J
AU - Davenport, Andrew
AU - Mitra, Sandip
N1 - © 2016 S. Karger AG, Basel.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - 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.
AB - 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.
KW - Diet
KW - Disease Management
KW - Diuretics
KW - Electric Impedance
KW - Fluid Therapy
KW - Health Surveys
KW - Humans
KW - Kidney Failure, Chronic
KW - Practice Patterns, Physicians'
KW - Renal Dialysis
KW - Surveys and Questionnaires
KW - Survival Analysis
KW - United Kingdom
KW - Water-Electrolyte Balance
KW - Journal Article
U2 - 10.1159/000444246
DO - 10.1159/000444246
M3 - Article
C2 - 26863433
VL - 41
SP - 324
EP - 331
JO - Blood Purification
JF - Blood Purification
SN - 0253-5068
IS - 4
ER -