Articles Vol. 67 No. 10 25/10/2026

FLUID STATUS AND ASSOCIATED FACTORS IN CONTINUOUS AMBULATORY PERITONEAL DIALYSIS PATIENTS

Bui Thi My Uyen, Nghiem Trung Dung, Dong The Uy
DOI: 10.52163/yhc.v67i10.6883
0 Views
0 Downloads
Abstract

Objectives: To assess fluid status using bioimpedance spectroscopy and investigate its associations with clinical and laboratory parameters in continuous ambulatory peritoneal dialysis patients. Subjects and Methods: A cross-sectional observational study involving 140 stage 5 chronic kidney disease patients treated with continuous ambulatory peritoneal dialysis at the Nephrology, Urology and Dialysis Center of Bach Mai Hospital, from November 2025 to April 2026. Results: The mean age of the patients was 45.66 ± 13.75 years. The prevalence of fluid overload was 64.3%. Independent factors associated with overhydration (OH) were gender, serum albumin, hematocrit, age, 24-hour urine volume and diuretic use. Conclusion: Fluid overload is highly prevalent among patients undergoing continuous ambulatory peritoneal dialysis (CAPD) and is associated with multiple factors. Periodic monitoring with the BCM device can support the early detection of fluid overload in this patient population.

References
[1]
1. Van Biesen W, Williams JD, Covic AC, Fan S, Claes K, Lichodziejewska-Niemierko M, et al. Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (EuroBCM) study cohort. PloS One. 2011;6(2):e17148. doi:10.1371/journal.pone.0017148. Google Scholar
[2]
2. Wieskotten S, Heinke S, Wabel P, Moissl U, Becker J, Pirlich M, et al. Bioimpedance-based identification of malnutrition using fuzzy logic. Physiol Meas. 2008 May;29(5):639–654. doi:10.1088/0967-3334/29/5/009. Google Scholar
[3]
3. Ronco C, Verger C, Crepaldi C, Pham J, De Los Ríos T, Gauly A, et al. Baseline hydration status in incident peritoneal dialysis patients: the initiative of patient outcomes in dialysis (IPOD-PD study). Nephrol Dial Transplant. 2015;30(5):849-858. doi:10.1093/ndt/gfv013. Google Scholar
[4]
4. Guo Q, Yi C, Li J, Wu X, Yang X, Yu X. Prevalence and risk factors of fluid overload in Southern Chinese continuous ambulatory peritoneal dialysis patients. PloS One. 2013;8(1):e53294. doi:10.1371/journal.pone.0053294. Google Scholar
[5]
5. Van Biesen W, Claes K, Covic A, Fan S, Lichodziejewska-Niemierko M, Schoder V, et al. A multicentric, international matched pair analysis of body composition in peritoneal dialysis versus haemodialysis patients. Nephrol Dial Transplant. 2013;28(10):2620-2628. doi:10.1093/ndt/gft296. Google Scholar
[6]
6. Fan S, Sayed RH, Davenport A. Extracellular volume expansion in peritoneal dialysis patients. Int J Artif Organs. 2012;35(5):338-345. doi:10.5301/ijao.5000080. Google Scholar