Comparison of lung ultrasound and other volumetric methods in peritoneal dialysis patients. Issue 3 (22nd January 2021)

• Record Type: Journal Article
• Authors: Sevinc, Mustafa; Hasbal, Nuri Baris; Basturk, Taner; Ozcafer, Perin Nazif; Kocas, Betul Balaban; Kilickesmez, Kadriye; Ozel, Alper; Sakaci, Tamer; Ahbap, Elbis; Unsal, Abdulkadir; Koc, Yener
• Other Names: Palmieri. Flavio section editor.
• Is Part Of: Medicine. Volume 100:Issue 3(2021)
• Publication Date: 2021-01-22
• Subjects: hypervolemia -- lung ultrasound -- peritoneal dialysis -- vascular endothelial growth factor-C -- volume control; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000023856
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Abstract: Although 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.