Rodrigo Menoni, Centro de hemodiálisis, Hospital Británico, Montevideo, Uruguay
Soledad Lecueder, Centro de hemodiálisis, Hospital Británico, Montevideo, Uruguay
Mariana Cabrera, Centro de hemodiálisis, Hospital Británico, Montevideo, Uruguay
Gabriela Talice, Centro de hemodiálisis, Hospital Británico, Montevideo, Uruguay
Mariela Garau, Centro de Nefrología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay
Asunción Álvarez, Servicio de Nefrología, Sanatorio Casa de Galicia, Montevideo, Uruguay
Introduction: Multiparametric assessment allowed us to increase the detection of overhydration in patients who were normohydrated after a history and physical examination. Material and methods: This was an observational, descriptive, non-interventional study at the chronic hemodialysis center of the British Hospital of Uruguay 2024. Results: Of 46 patients, 14 were female(30.4%). 18,6% reported some degree of exertional dyspnea, 6.5% in recunmbent position. Nine (19.6%) presented significant overhydration (OH > 2.5L) using bioelectrical impedance. Of 10 patients with predialysis B-lines, 50% (5)were moderate to severe. Of 25 patients who did not present clinical signs of overhydration, 3 (12%) had some degreeof congestion on ultrasound. It is noteworthy that 1.2 out of 10 patients assessed as having adequate hydration status throughhistory and physical examination were moderately to severely overhydrated by ultrasound and/or bioimpedance. Conclusion: In overhydrated patients not clinically detected, the addition of ultrasound and bioimpedance imaging would allow for betteradjustments to ultrafiltration rates and reassessment of estimated dry weight.
Keywords: Hemodialysis. Overhydration. Ultrasound. Bioimpedance.
