Key result
A volume management strategy significantly improved volume overloaded status, cardiac function, and volume-overload-related rehospitalization at 6 months compared to conventional care.
Why the study?
Does a volume management strategy improve volume overload, cardiac function, and reduce rehospitalization in continuous ambulatory peritoneal dialysis patients?
RCT (n=66)
randomly assigned
Does a volume management strategy improve volume overload, cardiac function, and reduce rehospitalization in continuous ambulatory peritoneal dialysis patients?
A volume management strategy significantly improves volume status, cardiac function, and reduces volume-related readmissions in continuous ambulatory peritoneal dialysis patients.
Answers are grounded in this paper and cite their sources.
Supports volume management in peritoneal dialysis; extends RCT evidence on volume overload to continuous ambulatory patients.
Heart failure due to volume overload is a major reason for rehospitalization in continuous ambulatory peritoneal dialysis patients. Strict volume control provides better cardiac functions and blood pressure in this population. Volume management, which is a volume control strategy, may decrease volume overload and related complications. Using a quasi-experimental design, 66 continuous ambulatory peritoneal dialysis patients were randomly assigned to the intervention group ( n = 34) and control group ( n = 32). The patients were followed up for 6 months with scheduled clinic and/or telephone visits; the intervention group adopted volume management strategy, while the control group adopted conventional care. Volume overload and cardiac function were compared between the two groups at the baseline and at 6 months. At Month 6, the intervention group resulted in significant improvement in volume overloaded status, cardiac function, and volume-overload-related rehospitalization. Volume management strategy allows for better control of volume overload and is associated with fewer volume-related readmissions.
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Xu et al. (2016) conducted an RCT in Continuous ambulatory peritoneal dialysis (CAPD) (n=66). Volume management strategy vs. Conventional care was evaluated on Volume overload, cardiac function, and volume-overload-related rehospitalization. A volume management strategy significantly improved volume overloaded status, cardiac function, and volume-overload-related rehospitalization at 6 months compared to conventional care.
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