Kidney Disease Clinical Trial
Official title:
Interdialytic Kt/V Variability Measurement With Adimea (IVP STUDY)
Session-to-session variations in delivered Kt/V that may cause failure to achieve the
prescribed dialysis dose may be significant in regular clinical practice. To date, this is
not recognized due to monthly blood Kt/V measurements only. Suboptimal delivery of
prescribed dialysis dose may be caused by low effective treatment time, vascular access
dysfunction, hemodynamic stability, blood pump speed, membrane influences, lab value
variability or others which may vary from session to session. Patients close to recommended
target limits of dialysis dose may thus be "randomly" attributed to be adequately or
inadequately dialyzed. Therefore, in the literature, use of average Kt/V values is
recommended.
Adimea allows easy Kt/V determination in every session and thus documentation of the monthly
achieved Kt/V in patients who repeatedly miss Kt/V. Knowledge, therefore, of
session-to-session variability as well as knowledge of dialysis dose monitoring at every
dialysis may enhance and secure delivery of adequate dialysis.
The main objective is the estimation of the pooled within-patient SDs (standard deviation)
for single treatment Adimea and of urea kinetic modeling (UKM)/ blood spKt/V. Failure of
Kt/V>1.2 delivery as well as its potential causes will be assessed. spKt/V target
achievement is assessed by monitoring dose by Adimea at every dialysis. This shall
demonstrate that session-to-session variability can be decreased with usage of Adimea.
n/a
Observational Model: Case-Only, Time Perspective: Prospective
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