Dehydr8 and Deactiv8
NCT03179072 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 20
Last updated 2020-07-21
Summary
Managing fluid status is a complex but fundamental part of the clinical care of people receiving haemodialysis (HD). Day-to-day fluid management is usually based on the concept of 'target weight' - the weight used to determine how much fluid should be removed during each dialysis session. However, the focus of this approach is usually on avoiding fluid overload (hypervolaemia), since this is associated with a higher incidence of cardiovascular and pulmonary events, in addition to increased morbidity and morbidity. As a consequence, a significant proportion of people on maintenance HD spend a great deal of time in a dehydrated state. Although dehydration is known to be associated with a number of unwanted consequences (e.g. headaches, severe fatigue, impaired cognitive and physiological function), there has been little research focusing on the impact dehydration has on the physical and psychosocial well-being of this patient group. Considering the short life expectancy of individuals with end-stage renal disease (ESRD) reliant on maintenance HD, particularly those who are unable to receive a renal transplant, we should be focused on improving their function and quality of life (QoL).
Key issues that need addressing prior to developing interventions in this cohort are 1) investigating the best and alternative measures to assess hydration status and 2) documenting the biopsychosocial impact of typical target weight driven HD in a well-designed study.
Conditions
Sponsors & Collaborators
-
Portsmouth Hospitals NHS Trust
collaborator OTHER_GOV -
Swansea University
collaborator OTHER -
Bangor University
collaborator OTHER -
University of Portsmouth
lead OTHER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-07-19
- Primary Completion
- 2019-02-01
- Completion
- 2020-02-01
Countries
- United Kingdom
Study Locations
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