Hydration status of patients with end-stage renal disease after kidney transplantation

Gueutin, Victor; Ficheux, Maxence; Châtelet, Valérie; Lecouf, Angélique Thuillier; Henri, Patrick; Ligny, Bruno Hurault de; Ryckelynck, Jean-Philippe; Lobbedez, Thierry

doi:10.1111/j.1399-0012.2011.01496.x

Cited by 10 publications

(8 citation statements)

References 30 publications

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“…In line with our data, a BIS trial investigating fluid status before and after transplantation revealed a high percentage of persistent overhydration 3 months after intervention. 26 However, a recent study involving BIS and 23 Na-MRI in CKD patients found that BIS measurements seem to overestimate water amount in study participants due to relying predominantly on tissue Na + concentration and its conductance. 27 This would be particularly relevant in light of tissue Na + deposition, as BIS might rather reflect Na + load than water amount and should be kept in mind when interpreting BIS derived body water analysis in our CKD patients.…”

Section: Discussionmentioning

confidence: 99%

Reduction of Tissue Na+ Accumulation After Renal Transplantation

Dahlmann

Linz

Zucker

et al. 2021

Kidney International Reports

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Section: Discussionmentioning

confidence: 99%

Reduction of Tissue Na+ Accumulation After Renal Transplantation

Dahlmann

Linz

Zucker

et al. 2021

Kidney International Reports

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“…However, we failed to demonstrate that this association remained after adjustment for confounders, possibly because of the small sample size of our study. On the other hand, excessive fluid J o u r n a l P r e -p r o o f administration can promote harmful fluid overload complications, as we and others have previously reported [6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

“…Excessive fluid administration however can promote harmful fluid overload complications, as we and others have previously reported. 6 , 7 , 8 …”

Section: Discussionmentioning

confidence: 99%

A Pilot Study on the Association Between Early Fluid Status Indicators After Kidney Transplantation and Graft Function Recovery

Dupont

Bonnet‐Lebrun

Boilève

et al. 2022

Kidney International Reports

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“…The evaluation of the hydration status of patients with ESRD is challenging. Several articles advise on how to monitor the hydration status of patients with ESRD using different physical and instrumental methods [6][7][8][9]. The most popular objective instrumental methods are bioimpedance analysis (BIA) and lung ultrasonography (LUS).…”

Section: Introductionmentioning

confidence: 99%

The Role of Pre- and Post-Transplant Hydration Status in Kidney Graft Recovery and One-Year Function

Bura,

Kaupe,

Karpaviciute

et al. 2023

Medicina

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Background and Objectives: Early improvements to graft function are crucial for good outcomes in kidney transplantation (kTx). Various factors can influence early graft function. This study aimed to evaluate the pre- and post-transplant hydration statuses of kTx recipients using bioimpedance analysis (BIA) and lung ultrasonography (LUS) and to investigate the hydration status’ relationship with the function of the transplanted kidney during the first year after transplantation. Materials and Methods: This observational prospective cohort study included deceased kidney recipients transplanted in the Hospital of the Lithuanian University of Health Sciences between September 2016 and January 2023. BIA and LUS were performed before transplantation, on days 3 and 7, and at discharge. Data on recipient and donor clinical characteristics were collected. Graft function was evaluated according to the serum creatinine reduction ratio and the need for dialysis. Hydration status was evaluated by calculating B-lines (BL) on LUS and the ratio of extracellular/total body water on BIA. Results: Ninety-eight kTx recipients were included in the study. Patients with immediate graft function (IGF) were compared to those with slow or delayed graft function (SGF + DGF). Recipients in the SGF + DGF group had a higher sum of BL on LUS before transplantation. After transplantation in early postoperative follow-up, both groups showed hyperhydration as determined by BIA and LUS. After one year, recipients with no BL before transplantation had better graft function than those with BL. Logistic regression analysis showed that having more than one BL in LUS was associated with a 2.5 times higher risk of SGF or DGF after transplantation. Conclusions: This study found that lung congestion detected by LUS before kTx was associated with slower graft recovery and worse kidney function after 1 year. Meanwhile, the hyperhydration status detected by BIA analysis did not correlate with the function of the transplanted kidney.

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Hydration status of patients with end-stage renal disease after kidney transplantation

Abstract: Patients receiving a first kidney transplant frequently have a hydration disorder. Transplantation is associated with increased hydration status, which seems to persist if DGF or SGF occurs.

Cited by 10 publications

References 30 publications

Reduction of Tissue Na+ Accumulation After Renal Transplantation

Reduction of Tissue Na+ Accumulation After Renal Transplantation

A Pilot Study on the Association Between Early Fluid Status Indicators After Kidney Transplantation and Graft Function Recovery

The Role of Pre- and Post-Transplant Hydration Status in Kidney Graft Recovery and One-Year Function

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