Factors related to ultrafiltration volume with icodextrin dialysate use in children View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-09-02

AUTHORS

Naoaki Mikami, Riku Hamada, Ryoko Harada, Yuko Hamasaki, Kenji Ishikura, Masataka Honda, Hiroshi Hataya

ABSTRACT

BackgroundIcodextrin has a lower absorption rate, and icodextrin peritoneal dialysate contributes to more water removal than glucose dialysate in patients with high peritoneal permeability. There are limited data on icodextrin dialysate use in children.MethodsThis study included all pediatric patients who received peritoneal equilibration tests and peritoneal dialysis with icodextrin dialysate at the study center. The factors related to ultrafiltration volume with icodextrin dialysate with long dwell time were statistically analyzed. Then the ultrafiltration volume with icodextrin and medium-concentration glucose dialysate was compared in individual cycles in the same patients.ResultsThirty-six samples were included in the icodextrin group, and nine samples were used to compare the ultrafiltration volume with icodextrin and glucose dialysate. Dwell time, D/P-creatinine, D/D0-glucose, age, height, and weight correlated significantly with the ultrafiltration volume of icodextrin dialysate (p < 0.05). A dwell volume equal to or more than 550 mL/m2 was associated with a significantly higher ultrafiltration volume than a lower dwell volume (p = 0.039). Multiple regression analysis revealed that dwell time (p = 0.038) and height (p < 0.01) correlated with ultrafiltration volume significantly. In addition, the ultrafiltration volume was superior (p < 0.01), and dwell time was longer (p = 0.02), with icodextrin dialysate than with medium-concentration glucose dialysate.ConclusionsThe ultrafiltration volume with icodextrin dialysate decreases in patients with small stature. Providing sufficient dwell time and volume is important for maximal water removal even in children. Ultrafiltration volume is superior with icodextrin than medium-concentration glucose dialysate for long dwell times.Graphical abstractA higher resolution version of the Graphical abstract is available as Supplementary information More... »

PAGES

1-7

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-022-05720-0

DOI

http://dx.doi.org/10.1007/s00467-022-05720-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1150701296

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36053354


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176 rdf:type schema:Organization
177 grid-institutes:grid.265050.4 schema:alternateName Department of Nephrology, Faculty of Medicine, Toho University, Ota-Ku, Tokyo, Japan
178 schema:name Department of Nephrology, Faculty of Medicine, Toho University, Ota-Ku, Tokyo, Japan
179 Department of Nephrology, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
180 rdf:type schema:Organization
181 grid-institutes:grid.410786.c schema:alternateName Department of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
182 schema:name Department of Nephrology, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
183 Department of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
184 rdf:type schema:Organization
185 grid-institutes:grid.417084.e schema:alternateName Department of General Pediatrics, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
186 Department of Nephrology, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
187 schema:name Department of General Pediatrics, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
188 Department of Nephrology, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
189 Department of Pediatrics, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan
190 rdf:type schema:Organization
 




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