Fluid Management Guided by Bioimpedance Analysis in Peritoneal Dialysis(PD) Patients.
A Prospective, Randomized Controlled Study of Bioimpedance Analysis(BIA) Guided Fluid Management in Peritoneal Dialysis Patients.
- Purpose: to investigate the effect of bioimpedance analysis(BIA) guided fluid management versus experiential way on clinical outcome in peritoneal dialysis patients.
- Design: prospective,randomized,controlled,single center study
- Study hypothesis: Patients on peritoneal dialysis are frequently hypervolemic, which is associated with increasing hazard of death and cardiovascular events. Bioimpedance analysis is a safe, and easy way, which appears to be more useful and sensitive than other techniques for assessing volume status in dialysis patients. Therefore we hypothesize that more concise and strict fluid management guided by BIA may help to improve patients' survival, decrease cardiovascular events and hospitalization rate.
Objects: incident and prevalent patients with overhydration status.
- anticipated cases:240
- arms: all the patients are randomized into two arms.(BIA group/clinical group)
- observational time:12 months
- Primary Outcome: all cause mortality. Secondary Outcomes: technique survival, cardiovascular events, peritonitis, residual renal function.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Guangdong
-
GuangZhou, Guangdong, Kina, 510080
- The First Affiliated Hospital of Sun Yat-sen University
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- patients who are undergoing peritoneal dialysis and clinically stable for at least 3 months;
- 18 Years and older;
- ratio extracellular water (ECW)/total body water(TBW)≧0.4;
- signed the informed consent
Exclusion Criteria:
- patients who have mental graft;
- amputation;
- patients who is unable to accomplish the BIA measurement in standing position for 3 minutes;
- patients whose heart function are class IV estimated by New York Heart Association (NYHA) standard;
- Patients who have acute complications within 30 days prior to study enrollment;
- patients whose life expectancy is within 6 months;
- patients who are pregnant;
- patients who are unable to give consent.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: bioimpedance monitoring group
patients whose fluid status will be monitored and guided by bioimpedance analysis
|
To assess the body composition using Multi-frequency bioelectrical impedance analysis
Andre navne:
|
|
Andet: clinical monitoring group
patients whose fluid status will be monitored and guided by clinical experience
|
clinical symptom and examination,such as edema, body weight, blood pressure, cardial function
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
death
Tidsramme: 12 months
|
all cause mortality;cardiovascular related mortality
|
12 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
technique failure
Tidsramme: 12 months
|
permanent hemodialysis transfer
|
12 months
|
|
cardiovascular events
Tidsramme: 12 months
|
heart failure, myocardial infarction,angina, Percutaneous coronary stenting, coronary artery bypass grafting,
|
12 months
|
|
clinical adverse events
Tidsramme: 12 months
|
hospitalization events due to overload; Non-PD related infection; PD related peritonitis; peripheral angiopathy
|
12 months
|
|
residual renal function
Tidsramme: 12 months
|
change of baseline residual renal function, measured as residual glomerular filtration rate(rGFR) and urine volume
|
12 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Xuqing Yu, MD,PHD, First Affiliated Hospital, Sun Yat-Sen University
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- SYSU-PD-BIA
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