Comparison of whole body versus thoracic bioimpedance in relation to ultrafiltration volume and systolic blood pressure during hemodialysis
In contrast to whole body bioimpedance, which estimates fluid status at a single point in time, thoracic bioimpedance applied by a wearable device could enable continuous measurements. However, clinical experience with thoracic bioimpedance in patients on dialysis is limited. To test the reproducibi...
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| Veröffentlicht in: | Journal of applied physiology (1985) 2023-12, Vol.135 (6), p.1330-1338 |
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| creator | Schoutteten, Melanie K Lindeboom, Lucas Brys, Astrid Lanssens, Dorien Smeets, Christophe J P De Cannière, Hélène De Moor, Bart Peeters, Jacques Heylen, Line Van Hoof, Chris Groenendaal, Willemijn Kooman, Jeroen P Vandervoort, Pieter M |
| description | In contrast to whole body bioimpedance, which estimates fluid status at a single point in time, thoracic bioimpedance applied by a wearable device could enable continuous measurements. However, clinical experience with thoracic bioimpedance in patients on dialysis is limited. To test the reproducibility of whole body and thoracic bioimpedance measurements and to compare their relationship with hemodynamic changes during hemodialysis, these parameters were measured pre- and end-dialysis in 54 patients during two sessions. The resistance from both bioimpedance techniques was moderately reproducible between two dialysis sessions (intraclass correlations of pre- to end-dialysis whole body and thoracic resistance between
and
were 0.711 [0.58-0.8] and 0.723 [0.6-0.81], respectively). There was a very high to high correlation between changes in ultrafiltration volume and changes in whole body thoracic resistance. Changes in systolic blood pressure negatively correlated to both bioimpedance techniques. Although the relationship between changes in ultrafiltration volume and changes in resistance was stronger for whole body bioimpedance, the relationship with changes in blood pressure was at least comparable for thoracic measurements. These results suggest that thoracic bioimpedance, measured by a wearable device, may serve as an interesting alternative to whole body measurements for continuous hemodynamic monitoring during hemodialysis.
We examined the role of whole body and thoracic bioimpedance in hemodynamic changes during hemodialysis. Whole body and thoracic bioimpedance signals were strongly related to ultrafiltration volume and moderately, negatively, to changes in blood pressure. This work supports the further development of a wearable device measuring thoracic bioimpedance longitudinally in patients on hemodialysis. As such, it may serve as an innovative tool for continuous hemodynamic monitoring during hemodialysis in hospital or in a home-based setting. |
| doi_str_mv | 10.1152/japplphysiol.00600.2022 |
| format | Article |
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and
were 0.711 [0.58-0.8] and 0.723 [0.6-0.81], respectively). There was a very high to high correlation between changes in ultrafiltration volume and changes in whole body thoracic resistance. Changes in systolic blood pressure negatively correlated to both bioimpedance techniques. Although the relationship between changes in ultrafiltration volume and changes in resistance was stronger for whole body bioimpedance, the relationship with changes in blood pressure was at least comparable for thoracic measurements. These results suggest that thoracic bioimpedance, measured by a wearable device, may serve as an interesting alternative to whole body measurements for continuous hemodynamic monitoring during hemodialysis.
We examined the role of whole body and thoracic bioimpedance in hemodynamic changes during hemodialysis. Whole body and thoracic bioimpedance signals were strongly related to ultrafiltration volume and moderately, negatively, to changes in blood pressure. This work supports the further development of a wearable device measuring thoracic bioimpedance longitudinally in patients on hemodialysis. As such, it may serve as an innovative tool for continuous hemodynamic monitoring during hemodialysis in hospital or in a home-based setting.</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>DOI: 10.1152/japplphysiol.00600.2022</identifier><identifier>PMID: 37767559</identifier><language>eng</language><publisher>United States</publisher><subject>Blood Pressure ; Electric Impedance ; Humans ; Renal Dialysis ; Reproducibility of Results ; Ultrafiltration - methods</subject><ispartof>Journal of applied physiology (1985), 2023-12, Vol.135 (6), p.1330-1338</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c313t-d3b49d3d687c3513378606f9198fabe454707ee6604b3fd634904906af0777e63</citedby><cites>FETCH-LOGICAL-c313t-d3b49d3d687c3513378606f9198fabe454707ee6604b3fd634904906af0777e63</cites><orcidid>0000-0002-7217-2405</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3026,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37767559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schoutteten, Melanie K</creatorcontrib><creatorcontrib>Lindeboom, Lucas</creatorcontrib><creatorcontrib>Brys, Astrid</creatorcontrib><creatorcontrib>Lanssens, Dorien</creatorcontrib><creatorcontrib>Smeets, Christophe J P</creatorcontrib><creatorcontrib>De Cannière, Hélène</creatorcontrib><creatorcontrib>De Moor, Bart</creatorcontrib><creatorcontrib>Peeters, Jacques</creatorcontrib><creatorcontrib>Heylen, Line</creatorcontrib><creatorcontrib>Van Hoof, Chris</creatorcontrib><creatorcontrib>Groenendaal, Willemijn</creatorcontrib><creatorcontrib>Kooman, Jeroen P</creatorcontrib><creatorcontrib>Vandervoort, Pieter M</creatorcontrib><title>Comparison of whole body versus thoracic bioimpedance in relation to ultrafiltration volume and systolic blood pressure during hemodialysis</title><title>Journal of applied physiology (1985)</title><addtitle>J Appl Physiol (1985)</addtitle><description>In contrast to whole body bioimpedance, which estimates fluid status at a single point in time, thoracic bioimpedance applied by a wearable device could enable continuous measurements. However, clinical experience with thoracic bioimpedance in patients on dialysis is limited. To test the reproducibility of whole body and thoracic bioimpedance measurements and to compare their relationship with hemodynamic changes during hemodialysis, these parameters were measured pre- and end-dialysis in 54 patients during two sessions. The resistance from both bioimpedance techniques was moderately reproducible between two dialysis sessions (intraclass correlations of pre- to end-dialysis whole body and thoracic resistance between
and
were 0.711 [0.58-0.8] and 0.723 [0.6-0.81], respectively). There was a very high to high correlation between changes in ultrafiltration volume and changes in whole body thoracic resistance. Changes in systolic blood pressure negatively correlated to both bioimpedance techniques. Although the relationship between changes in ultrafiltration volume and changes in resistance was stronger for whole body bioimpedance, the relationship with changes in blood pressure was at least comparable for thoracic measurements. These results suggest that thoracic bioimpedance, measured by a wearable device, may serve as an interesting alternative to whole body measurements for continuous hemodynamic monitoring during hemodialysis.
We examined the role of whole body and thoracic bioimpedance in hemodynamic changes during hemodialysis. Whole body and thoracic bioimpedance signals were strongly related to ultrafiltration volume and moderately, negatively, to changes in blood pressure. This work supports the further development of a wearable device measuring thoracic bioimpedance longitudinally in patients on hemodialysis. As such, it may serve as an innovative tool for continuous hemodynamic monitoring during hemodialysis in hospital or in a home-based setting.</description><subject>Blood Pressure</subject><subject>Electric Impedance</subject><subject>Humans</subject><subject>Renal Dialysis</subject><subject>Reproducibility of Results</subject><subject>Ultrafiltration - methods</subject><issn>8750-7587</issn><issn>1522-1601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNUctOxDAMjBAIlscvQI5cuiRNm7RHtOIlIXGBc5U2LhuU1iVuQfsN_DRdXkKybMmeseUZxs6kWEqZpxcvdhjCsN6Qx7AUQguxTEWa7rDFPE0TqYXcZYvC5CIxeWEO2CHRixAyy3K5zw6UMdrkeblgHyvsBhs9Yc-x5e9rDMBrdBv-BpEm4uMao218w2uPvhvA2b4B7nseIdjRz7QR-RTGaFu_zV-tNwxTB9z2jtOGRgxbfkB0fIhANEXgboq-f-Zr6NB5G-ZP6JjttTYQnPzUI_Z0ffW4uk3uH27uVpf3SaOkGhOn6qx0yunCNCqXSplCC92WsixaW0OWZ0YYAK1FVqvWaZWVYg5tW2GMAa2O2Pn33iHi6wQ0Vp2nBkKwPeBEVVqYWSlVSjNDzTe0iUgUoa2G6DsbN5UU1daJ6r8T1ZcT1daJmXn6c2SqO3B_vF_p1Sc7AIw3</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Schoutteten, Melanie K</creator><creator>Lindeboom, Lucas</creator><creator>Brys, Astrid</creator><creator>Lanssens, Dorien</creator><creator>Smeets, Christophe J P</creator><creator>De Cannière, Hélène</creator><creator>De Moor, Bart</creator><creator>Peeters, Jacques</creator><creator>Heylen, Line</creator><creator>Van Hoof, Chris</creator><creator>Groenendaal, Willemijn</creator><creator>Kooman, Jeroen P</creator><creator>Vandervoort, Pieter M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7217-2405</orcidid></search><sort><creationdate>20231201</creationdate><title>Comparison of whole body versus thoracic bioimpedance in relation to ultrafiltration volume and systolic blood pressure during hemodialysis</title><author>Schoutteten, Melanie K ; Lindeboom, Lucas ; Brys, Astrid ; Lanssens, Dorien ; Smeets, Christophe J P ; De Cannière, Hélène ; De Moor, Bart ; Peeters, Jacques ; Heylen, Line ; Van Hoof, Chris ; Groenendaal, Willemijn ; Kooman, Jeroen P ; Vandervoort, Pieter M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c313t-d3b49d3d687c3513378606f9198fabe454707ee6604b3fd634904906af0777e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blood Pressure</topic><topic>Electric Impedance</topic><topic>Humans</topic><topic>Renal Dialysis</topic><topic>Reproducibility of Results</topic><topic>Ultrafiltration - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schoutteten, Melanie K</creatorcontrib><creatorcontrib>Lindeboom, Lucas</creatorcontrib><creatorcontrib>Brys, Astrid</creatorcontrib><creatorcontrib>Lanssens, Dorien</creatorcontrib><creatorcontrib>Smeets, Christophe J P</creatorcontrib><creatorcontrib>De Cannière, Hélène</creatorcontrib><creatorcontrib>De Moor, Bart</creatorcontrib><creatorcontrib>Peeters, Jacques</creatorcontrib><creatorcontrib>Heylen, Line</creatorcontrib><creatorcontrib>Van Hoof, Chris</creatorcontrib><creatorcontrib>Groenendaal, Willemijn</creatorcontrib><creatorcontrib>Kooman, Jeroen P</creatorcontrib><creatorcontrib>Vandervoort, Pieter M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied physiology (1985)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schoutteten, Melanie K</au><au>Lindeboom, Lucas</au><au>Brys, Astrid</au><au>Lanssens, Dorien</au><au>Smeets, Christophe J P</au><au>De Cannière, Hélène</au><au>De Moor, Bart</au><au>Peeters, Jacques</au><au>Heylen, Line</au><au>Van Hoof, Chris</au><au>Groenendaal, Willemijn</au><au>Kooman, Jeroen P</au><au>Vandervoort, Pieter M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of whole body versus thoracic bioimpedance in relation to ultrafiltration volume and systolic blood pressure during hemodialysis</atitle><jtitle>Journal of applied physiology (1985)</jtitle><addtitle>J Appl Physiol (1985)</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>135</volume><issue>6</issue><spage>1330</spage><epage>1338</epage><pages>1330-1338</pages><issn>8750-7587</issn><eissn>1522-1601</eissn><abstract>In contrast to whole body bioimpedance, which estimates fluid status at a single point in time, thoracic bioimpedance applied by a wearable device could enable continuous measurements. However, clinical experience with thoracic bioimpedance in patients on dialysis is limited. To test the reproducibility of whole body and thoracic bioimpedance measurements and to compare their relationship with hemodynamic changes during hemodialysis, these parameters were measured pre- and end-dialysis in 54 patients during two sessions. The resistance from both bioimpedance techniques was moderately reproducible between two dialysis sessions (intraclass correlations of pre- to end-dialysis whole body and thoracic resistance between
and
were 0.711 [0.58-0.8] and 0.723 [0.6-0.81], respectively). There was a very high to high correlation between changes in ultrafiltration volume and changes in whole body thoracic resistance. Changes in systolic blood pressure negatively correlated to both bioimpedance techniques. Although the relationship between changes in ultrafiltration volume and changes in resistance was stronger for whole body bioimpedance, the relationship with changes in blood pressure was at least comparable for thoracic measurements. These results suggest that thoracic bioimpedance, measured by a wearable device, may serve as an interesting alternative to whole body measurements for continuous hemodynamic monitoring during hemodialysis.
We examined the role of whole body and thoracic bioimpedance in hemodynamic changes during hemodialysis. Whole body and thoracic bioimpedance signals were strongly related to ultrafiltration volume and moderately, negatively, to changes in blood pressure. This work supports the further development of a wearable device measuring thoracic bioimpedance longitudinally in patients on hemodialysis. As such, it may serve as an innovative tool for continuous hemodynamic monitoring during hemodialysis in hospital or in a home-based setting.</abstract><cop>United States</cop><pmid>37767559</pmid><doi>10.1152/japplphysiol.00600.2022</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7217-2405</orcidid></addata></record> |
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| ispartof | Journal of applied physiology (1985), 2023-12, Vol.135 (6), p.1330-1338 |
| issn | 8750-7587 1522-1601 |
| language | eng |
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| source | MEDLINE; American Physiological Society; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Blood Pressure Electric Impedance Humans Renal Dialysis Reproducibility of Results Ultrafiltration - methods |
| title | Comparison of whole body versus thoracic bioimpedance in relation to ultrafiltration volume and systolic blood pressure during hemodialysis |
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