Comparison of lung ultrasound and other volumetric methods in peritoneal dialysis patients

Sevinc, Mustafa; Hasbal, Nuri; BAŞTÜRK, Taner; Ozcafer, Perin; Kocas, Betul; Kilickesmez, Kadriye; ÖZEL, Alper; SAKACI, Tamer; AHBAP, Elbis; ÜNSAL, Abdulkadir; Koc, Yener

doi:10.1097/md.0000000000023856

Comparison of lung ultrasound and other volumetric methods in peritoneal dialysis patients

Sevinc M., Hasbal N. B., BAŞTÜRK T., Ozcafer P. N., Kocas B. B., Kilickesmez K., ...Daha Fazla

Medicine (United States), cilt.100, sa.3, 2021 (SCI-Expanded, Scopus)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 100 Sayı: 3
Basım Tarihi: 2021
Doi Numarası: 10.1097/md.0000000000023856
Dergi Adı: Medicine (United States)
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database, Directory of Open Access Journals
Anahtar Kelimeler: hypervolemia, lung ultrasound, peritoneal dialysis, vascular endothelial growth factor-C, volume control
Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

AbstractAlthough many alternative methods are present, maintaining ideal volume status in peritoneal dialysis (PD) patients still rely on clinical evaluation due to lack of an evidence-based method. Lung ultrasound (LUS) is a new method for evaluation of hidden congestion in this group.LUS findings and its relationship with other volumetric methods are investigated in this observational cross-sectional study.In this observational cross sectional study, LUS was performed to all PD patients and compared with symptoms of hypervolemia, physical examination, vascular endothelial growth factor-C (VEGF-C), and N-terminal pro-brain natriuretic peptide levels, chest radiography, echocardiography, bioelectrical impedance analysis.Data of 21 PD patients were evaluated. There was correlation between number of B lines and VEGF-C levels (r=0.447, P=.042), daily urine output (r=0.582, P=.007) and left ventricle mass index (r=-0.456, P=.038). Correlations with all other parameters were not significant. Daily urine output and VEGF-C levels were significantly different when B lines were grouped into 2 according to the median level (P<.05 for all).This is the widest spectrum study looking for LUS findings and other volumetric parameters in a small PD cohort. LUS might be useful to evaluate hidden hypervolemia. Its correlation with VEGF-C level is a novel finding.