Pedal edema and jugular venous pressure for volume overload in peritoneal dialysis patients

Canadian Journal of Kidney Health and Disease
Michael A Garfinkle, James Barton

Abstract

The diagnostic strength of the jugular venous pressure (JVP) and pedal edema as physical examination tools for the assessment of volume status has been minimally studied. We conducted a prospective observational study in an outpatient peritoneal dialysis clinic in Saskatoon, Canada. Patients were adult (age 18 or older) peritoneal dialysis outpatients without any history of cardiac dysfunction, a central line, and current arteriovenous fistula. JVP was assessed by both a resident and a staff nephrologist, while the presence of edema was assessed by the resident only. Likelihood ratios were calculated for the absence or presence of pedal edema as well as the JVP at multiple cutoffs. The criterion standard for volume overload was defined as an overhydration to extracellular water ratio of greater than or equal to 7 % as determined by bioimpedance (Body Composition Monitor-Fresnius Medical Care). Twenty-five separate patient encounters were assessed. Twelve patients were found to be volume overloaded while 13 were euvolemic. The presence and absence of edema were both significant signs for the presence (+likelihood ratio (LR) 16, 95 % confidence interval (CI) 1.02-260) or absence (-LR 0.44, 95 % CI 0.23-0.83) of volume overload, r...Continue Reading

References

Jan 1, 1991·Journal of Clinical Epidemiology·D L SimelD B Matchar
May 1, 1970·Annals of Surgery·G Johnson, W B Blythe
Mar 23, 1999·JAMA : the Journal of the American Medical Association·S McGeeD L Simel
Nov 15, 2003·Journal of Clinical Epidemiology·Afina S GlasPatrick M M Bossuyt
Jul 27, 2006·Physiological Measurement·Ulrich M MoisslNigel J Fuller
Dec 7, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Rajiv AgarwalJ Howard Pratt
Feb 19, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ender HurErcan Ok
Mar 4, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Mihai OnofriescuAdrian C Covic
Mar 4, 2014·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·David ArroyoJuan Manuel López-Gómez

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Citations

Feb 18, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Angela Yee-Moon WangSimon Davies

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