Indonesian Journal of Kidney and Hypertension
Vol 2 No 3 (2025): Volume 2 No. 3, December 2025

The Correlation of Volume Overload Measured by Bio Impedance Analysis and Intradialytic Hypertension in End Stage Kidney Disease Patients at Bandung Hasan Sadikin Hospital

Muhammad Iqbal (Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine Universitas Padjadjaran-Hasan Sadikin Hospital, Bandung, Indonesia)
Ria Bandiara (Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine Universitas Padjadjaran-Hasan Sadikin Hospital, Bandung, Indonesia)
Rudi Supriyadi (Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine Universitas Padjadjaran-Hasan Sadikin Hospital, Bandung, Indnesia)
Lazuardhi Dwipa (Division of Geriatric, Department of Internal Medicine, Faculty of Medicine Universitas Padjadjaran-Hasan Sadikin Hospital, Bandung, Indonesia)



Article Info

Publish Date
24 Dec 2025

Abstract

Abstract Background: Assessing dry weight is essential for calculating the ultrafiltration volume during dialysis. Volume overload affects hemodynamic stability including intradialytic hypertension (IDH). Using Bio Impedance Analysis (BIA) to guide fluid assessment enhances the accuracy of fluid overload evaluation. Objective: Find the correlation between volume overload and IDH in patients undergoing chronic dialysis at Bandung Hasan Sadikin Hospital. Methods: This is a cross-sectional study to evaluate the correlation of volume overload and IDH in patients undergoing chronic dialysis at Bandung Hasan Sadikin Hospital. Exclusion criteria was patient below the age of 18 years old, unable to performed BIA measurement. Blood pressure before, during and after dialysis session was recorded to asses IDH. BIA was measured after dialysis session. Point biserial correlation used to analyze correlation between volume overload and intradialytic hypertension. The data were analysed with SPSS version 23.0. The statistical significance was set at P<0.05. Result: Ninety-seven patients enrolled, the average age was 49,9 ± 12.3 years old, 55,7% was male. There were 23,7% of patients with IDH with increasing systolic blood pressure of 19.21 mmHg (10-66). A significant correlation was observed between the incidence of IDH and the percentage of volume overload after dialysis with R coefficient 0,238 (p 0,014). Conclusion: The majority (59.87%) of patients undergoing chronic hemodialysis had a greater dry weight based on BIA examination, 23,7% had IDH and its occurrence has a significant correlation with the percentage of volume overload after dialysis. Keywords: volume overload, dry weight, BIA, IDH.

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Journal Info

Abbrev

inakidney

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Description

The primary mission of this journal is to serve as a conduit for the dissemination of both clinical and foundational research pertinent to the expansive domains of nephrology and hypertension. Spanning a diverse array of topics, the journal delves into multifaceted areas including but not limited to ...