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Renal failure
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Around 60,000 patients in the UK are being treated for severe kidney failure. The most common treatment is haemodialysis (HD). An important part of HD is removing extra fluid from the body which the kidneys normally remove in urine. Deciding how much fluid to remove is not easy. It is normally based on clinical signs, such as blood pressure or tissue swollen with fluid, but there is a need for better tests to help guide these decisions.
Bioimpedance tests are one way of measuring fluid status. They involve passing a small electric current through tissue using stickers on the skin. The test is portable, cheap, simple, painless and harmless. One bioimpedance device, the Body Composition Monitor (BCM), has been designed particularly for kidney patients. However the BCM measures fluid in the whole body and cannot tell us how much fluid is in the blood (the blood volume), which has the biggest effect on patients’ health.
The aim of this study is to see whether blood volume measurements can help to make fluid management more individualised. This could reduce the impact of dialysis on patients’ health and improve patients’ experience of the treatment.
Objective 1: To demonstrate whether the addition of blood volume measurements can help to tailor fluid management to HD patients’ individual needs. In particular we will look at how body size, nutritional state, age and localised fluid can affect patients’ blood volume.
Objective 2: To see if there is a simple way of making blood volume measurements with no need for expertise or extra equipment.
We hope to recruit 40 patients into 4 clinically different groups and compare results between them.
The results will be compared between groups to help us understand how decisions about fluid management can be tailored to keep blood volume at the optimal level.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
Observational type: Case-controlled study;
You can take part if:
You may not be able to take part if:
Not stated
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
The study is sponsored by LEEDS TEACHING HOSPITALS NHS TRUST and funded by NIHR Academy .
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for Trial ID: CPMS 40448
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