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Published on: July 19, 2018
Pulmonary congestion and physical functioning in peritoneal dialysis patients
Giuseppe Enia1, Rocco Tripepi, Vincenzo Panuccio
1Nephrology, Dialysis, Hypertension and Renal Transplantation Unit, Azienda Ospedaliera, Reggio Calabria, Italy. enia1951@gmail.com
Summary
Lung congestion, even when asymptomatic, significantly impacts physical function in patients undergoing peritoneal dialysis (PD). This study highlights lung water as a key factor in reduced physical functioning for PD patients.
Area of Science:
- Nephrology
- Cardiology
- Pulmonology
Background:
- Physical function decline is common in dialysis patients.
- Lung congestion from fluid overload is a known complication.
- The link between lung congestion and physical function in dialysis patients remains under-investigated.
Purpose of the Study:
- To investigate the association between lung congestion and physical functioning in peritoneal dialysis (PD) patients.
- To determine if lung water levels correlate with physical functioning.
- To explore the role of dyspnea severity in this relationship.
Main Methods:
- Cross-sectional study of 51 PD patients.
- Assessed physical functioning using the KDQOL-SF.
- Measured lung water via ultrasonography.
- Evaluated dyspnea using the New York Heart Association (NYHA) classification.
Main Results:
- Moderate-to-severe lung congestion was present in 20 patients, with 55% being asymptomatic.
- Physical functioning was inversely associated with lung water, age, cardiovascular events, and fibrinogen.
- Lung water and fibrinogen were independent correlates of physical functioning in multiple regression analysis.
Conclusions:
- Symptomatic and asymptomatic lung congestion is a significant contributor to poor physical functioning in PD patients.
- Lung water is a relevant clinical factor for assessing physical function in this population.
- Further research may explore interventions targeting lung congestion to improve physical function.
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