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UK National Survey of Practice Patterns of Fluid Volume Management in Haemodialysis Patients: A Need for Evidence.

Dasgupta, Indranil and Farrington, Ken and Davies, Simon J and Davenport, Andrew and Mitra, Sandip (2016) UK National Survey of Practice Patterns of Fluid Volume Management in Haemodialysis Patients: A Need for Evidence. Blood purification, 41 (4). pp. 324-31. ISSN 1421-9735. Email http://www.heftlibrary.nhs.uk/?q=content/online-article-request-form to request full-text

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Official URL: https://www.karger.com/Article/Abstract/444246

Abstract

BACKGROUND

Fluid management in haemodialysis (HD) affects patient experience, morbidity and mortality. Standards for best practice are lacking. A national survey of the United Kingdom was undertaken to define prevalent practice.

METHODS

An online questionnaire was distributed to all UK renal centres.

RESULTS

Forty-five of 74 centres (173 dialysis units), serving 62% (n = 14,697) of UK HD population responded. Seventy-eight per cent had no agreed policy for managing fluid balance in patients on HD; 44% did not assess fluid status routinely. Clinical assessment was the norm; 27% used bio-impedance-based device. To achieve a target-weight, 53% reduced weight as far as tolerated. Twenty-two per cent measured residual renal function (RRF). Ninety-one per cent had no policy for fluid overload. Sixty-four per cent restricted salt and water. Ninety-three per cent used diuretics in patients with RRF. Thirty-eight per cent felt management was adequate; 77% felt there was a need for better evidence. Ninety-one per cent would participate in a study addressing this.

CONCLUSION

There is an urgent need for establishing an evidence base on the optimal approaches to fluid management.

Item Type: Article
Additional Information: Email http://www.heftlibrary.nhs.uk/?q=content/online-article-request-form to request full-text
Subjects: WJ Urogenital system. Urology
Divisions: Emergency Services > Renal
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 03 Feb 2017 11:57
Last Modified: 03 Feb 2017 11:57
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1163

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