Impact of Volume Management on Volume Overload and Rehospitalization in CAPD Patients.
Heart failure due to volume overload is a major reason for rehospitalization in continuous ambulatory peritoneal dialysis patients. Strict volume control provides better cardiac functions and blood pressure in this population. Volume management, which is a volume control strategy, may decrease volume overload and related complications. Using a quasi-experimental design, 66 continuous ambulatory peritoneal dialysis patients were randomly assigned to the intervention group ( n = 34) and control group ( n = 32). The patients were followed up for 6 months with scheduled clinic and/or telephone visits; the intervention group adopted volume management strategy, while the control group adopted conventional care. Volume overload and cardiac function were compared between the two groups at the baseline and at 6 months. At Month 6, the intervention group resulted in significant improvement in volume overloaded status, cardiac function, and volume-overload-related rehospitalization. Volume management strategy allows for better control of volume overload and is associated with fewer volume-related readmissions.
1 The First Affiliated Hospital of Soochow University, China.
Yi
Y
Xu
2 Center for Reproduction and Genetics, Suzhou Hospital Affiliated to Nanjing Medical University, Suzhou, China.
Shen-Min
SM
Yang
1 The First Affiliated Hospital of Soochow University, China.
Xiao-Hua
XH
Wang
1 The First Affiliated Hospital of Soochow University, China.
Hai-Fang
HF
Wang
1 The First Affiliated Hospital of Soochow University, China.
Mei-E
ME
Niu
1 The First Affiliated Hospital of Soochow University, China.
Yi-Qun
YQ
Yang
1 The First Affiliated Hospital of Soochow University, China.
Guo-Yuan
GY
Lu
3 Jiangsu Shengze Hospital, Suzhou, China.
Jian-Hong
JH
Pang
1 The First Affiliated Hospital of Soochow University, China.
Fei
F
Wang
1 The First Affiliated Hospital of Soochow University, China.
Lin
L
Li
D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D004035:Diet Therapy / Q000379:methods*; D005260:Female; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D057446:Hydrodynamics; D008297:Male; D008875:Middle Aged; D020097:Natriuretic Peptide, Brain / Q000032:analysis / Q000097:blood; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000592:standards*; D018709:Statistics, Nonparametric
D020097:Natriuretic Peptide, Brain
continuous ambulatory peritoneal dialysis; rehospitalization; volume management; volume overload