Preprint Review Version 3 Preserved in Portico This version is not peer-reviewed

Is modern medicine in need of an overhydration marker in kidney failure? The accuracy of available fluid overload markers and the potential of the new ones.

Version 1 : Received: 24 July 2023 / Approved: 9 August 2023 / Online: 9 August 2023 (12:44:33 CEST)
Version 2 : Received: 13 September 2023 / Approved: 14 September 2023 / Online: 15 September 2023 (11:01:27 CEST)
Version 3 : Received: 4 October 2023 / Approved: 5 October 2023 / Online: 5 October 2023 (14:28:42 CEST)

How to cite: Nikitiuk, B. E.; Rydzewska-Rosołowska, A.; Kakareko, K.; Głowińska, I.; Hryszko, T. Is modern medicine in need of an overhydration marker in kidney failure? The accuracy of available fluid overload markers and the potential of the new ones.. Preprints 2023, 2023071818. https://doi.org/10.20944/preprints202307.1818.v3 Nikitiuk, B. E.; Rydzewska-Rosołowska, A.; Kakareko, K.; Głowińska, I.; Hryszko, T. Is modern medicine in need of an overhydration marker in kidney failure? The accuracy of available fluid overload markers and the potential of the new ones.. Preprints 2023, 2023071818. https://doi.org/10.20944/preprints202307.1818.v3

Abstract

Overhydration (OH) is a prevalent medical problem occuring in patients with kidney failure, but a specific marker has still not been found. Currently, clinicians employ techniques such as bioimpedance spectroscopy (BIS), ultrasound (US) markers of fluid overload or markers of heart and kidney function such as NT-pro-BNP, GFR or creatinine levels. New serum markers, including but not limited to Ca-125, Galectin-3 (Gal-3), Adrenomedullin (AMD) and Urocortin-2 (UCN-2), are presently under research, displaying promising results. The necessity to ascertain a more precise marker of overhydration is urgent mainly because physical examination is exceptionally imprecise. Signs and symptoms of fluid overload, like edema or gradual increase of body mass, are not always present, notably in patients with chronic kidney disease. This review paper summarizes actual knowledge of a patient's hydration status estimation, focusing specifically on kidney diseases.

Keywords

fluid status; overhydration; hydration status; renal failure; kidney failure; heart failure; Ca-125; NT-pro-BNP; VEXUS; BIS

Subject

Medicine and Pharmacology, Internal Medicine

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.