ArticlePediatric nephrology (Berlin, Germany)2015
The interdialytic weight gain: a simple marker of left ventricular hypertrophy in children on chronic haemodialysis.
Article in Pediatric nephrology (Berlin, Germany), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 35 citations in OpenAlex.
- Short, frequent, 5-days-per-week, in-center hemodialysis versus 3-days-per week treatment: a randomized crossover pilot trial through the Midwest Pediatric Nephrology Consortium.Pediatric nephrology (Berlin, Germany) · 2017Trial
- Reducing Excessive Interdialytic Weight Gain in Young Hemodialysis Patients: A Quality Improvement Initiative.Kidney medicine · 2025Article
- Machine learning models to predict post-dialysis blood pressure in children and young adults on maintenance hemodialysis.Scientific reports · 2023Article
- Developing a trigger tool to monitor adverse events during haemodialysis in children: a pilot project.Pediatric nephrology (Berlin, Germany) · 2023Article
- Nutritional status and volume control in adolescents on chronic hemodialysis.Pediatric nephrology (Berlin, Germany) · 2021Article
- Chronic haemodialysis in infants and children less than 15 kg.Pediatric nephrology (Berlin, Germany) · 2021Article
- Bedside sonographic assessments for predicting predialysis fluid overload in children with end-stage kidney disease.European journal of pediatrics · 2021Article
- Hemodialysis (HD) dose and ultrafiltration rate are associated with survival in pediatric and adolescent patients on chronic HD-a large observational study with follow-up to young adult age.Pediatric nephrology (Berlin, Germany) · 2021Observational
- Hemodiafiltration maintains a sustained improvement in blood pressure compared to conventional hemodialysis in children-the HDF, heart and height (3H) study.Pediatric nephrology (Berlin, Germany) · 2021Observational
- Nutritional Assessment and Management in Paediatric Chronic Kidney Disease.Journal of nutrition and metabolism · 2021Review
- Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance.Canadian journal of kidney health and disease · 2021Article
- Clinical Relevance of Fluid Volume Status Assessment by Bioimpedance Spectroscopy in Children Receiving Maintenance Hemodialysis or Peritoneal Dialysis.Journal of clinical medicine · 2020Article
- Improved blood pressure and left ventricular remodelling in children on chronic intermittent haemodialysis: a longitudinal study.Pediatric nephrology (Berlin, Germany) · 2019Article
- Assessment and management of fluid overload in children on dialysis.Pediatric nephrology (Berlin, Germany) · 2019Review
- Interdialytic weight gain and vasculopathy in children on hemodialysis: a single center study.Pediatric nephrology (Berlin, Germany) · 2018Article
- Artificial intelligence outperforms experienced nephrologists to assess dry weight in pediatric patients on chronic hemodialysis.Pediatric nephrology (Berlin, Germany) · 2018Article
- Finding covert fluid: methods for detecting volume overload in children on dialysis.Pediatric nephrology (Berlin, Germany) · 2016Observational
- Relationship between Interdialytic Weight Gain and Blood Pressure in Pediatric Patients on Chronic Hemodialysis.BioMed research international · 2016Observational
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3 authors at 1 institution in 1 country.
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Abstract
Despite multiple advances in haemodialysis (HD) technology over the years, the morbidity and mortality of HD patients remain unacceptably high. Cardiovascular disease is the most common cause of death, and left ventricular hypertrophy (LVH), seen in two-thirds of children on dialysis, is a significant contributor. The importance of volume control is increasingly recognized by nephrologists and now considered to be as important as urea kinetics, both in the day-to-day management and the long-term outcome of dialysis patients. The results published by Paglialonga et al. ( 10.1007/s00467-014-3005-2 ) in this issue of Pediatric Nephrology clearly demonstrate that there is a significant correlation between interdialytic weight gain (IDWG) and LVH in oligoanuric children on chronic HD and that children with an IDWG of >4 % are at high risk of LVH. One common practice to achieve euvolaemia is to prescribe very high ultrafiltration rates. However, both volume overload and aggressive fluid removal can induce circulatory stress and multi-organ injury. In adults, ultrafiltration rates of >1.24 % body weight per hour, even if well tolerated, are associated with a significant increase in mortality. Nephrologists should be aware of the risk of a high ultrafiltration rate, especially if tolerance is obtained by a positive dialysate-to-plasma sodium gradient. Haemodiafiltration, which allows for higher ultrafiltration rates with greater intradialytic haemodynamic stability, or more frequent and longer dialysis sessions allow for safe and effective fluid removal.
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