Predictors of excess fluid volume in hemodialysis patients: an observational study

Author:

Fernandes Maria Isabel da Conceição Dias1ORCID,Tinôco Jéssica Dantas de Sá2ORCID,Fernandes Renata Marinho1ORCID,Silva Juliana Barbosa da1ORCID,Almeida Anna Thays Dias1ORCID,Frazão Cecília Maria Farias de Queiroz3ORCID,Lopes Marcos Venícius de Oliveira4ORCID,Lira Ana Luisa Brandão de Carvalho4ORCID

Affiliation:

1. Universidade Federal do Rio Grande do Norte, Brazil

2. Universidade do Estado do Rio Grande do Norte, Brazil

3. Universidade Federal de Pernambuco, Brazil

4. Universidade Federal do Ceará, Brazil

Abstract

ABSTRACT Objectives: to assess risk factors for excess fluid volume in hemodialysis patients. Methods: a retrospective case-control study was conducted. A total of 392 patients (196 cases and 196 controls) from two hemodialysis centers were included. Sociodemographic data and 23 risk factors for excess fluid volume were assessed using a data collection form. Data were analyzed using a multivariate logistic regression model. Results: the insufficient knowledge (OR=2.06), excessive fluid intake (OR=2.33), inadequate fluid removal during hemodialysis (OR=2.62) and excessive sodium intake (OR=1.91) risk factors may increase the chance of occurrence of excess fluid volume in hemodialysis patients by approximately two times. Education level (OR=0.95) and age (OR=0.97) are protective factors for excessive fluid volume. Conclusions: knowing these risk factors may help nurses with accurate and rapid diagnostic inference of the risk of excessive fluid volume.

Publisher

FapUNIFESP (SciELO)

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