Volume Balance in Chronic Kidney Disease: Evaluation Methodologies and Innovation Opportunities.
Kidney Blood Press Res
; 46(4): 396-410, 2021.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1299258
ABSTRACT
BACKGROUND:
Patients affected by chronic kidney disease are at a risk of cardiovascular morbidity and mortality. Body fluids unbalance is one of the main characteristics of this condition, as fluid overload is highly prevalent in patients affected by the cardiorenal syndrome.SUMMARY:
We describe the state of the art and new insights into body volume evaluation. The mechanisms behind fluid balance are often complex, mainly because of the interplay of multiple regulatory systems. Consequently, its management may be challenging in clinical practice and even more so out-of-hospital. Availability of novel technologies offer new opportunities to improve the quality of care and patients' outcome. Development and validation of new technologies could provide new tools to reduce costs for the healthcare system, promote personalized medicine, and boost home care. Due to the current COVID-19 pandemic, a proper monitoring of chronic patients suffering from fluid unbalances is extremely relevant. Key Message We discuss the main mechanisms responsible for fluid overload in different clinical contexts, including hemodialysis, peritoneal dialysis, and heart failure, emphasizing the potential impact provided by the implementation of the new technologies.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Equilibrio Hidroelectrolítico
/
Volumen Sanguíneo
/
Tecnología Biomédica
/
Insuficiencia Renal Crónica
/
Fallo Renal Crónico
Tipo de estudio:
Estudio experimental
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Kidney Blood Press Res
Asunto de la revista:
Nefrología
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
000515172
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