Accurate dialysis dose evaluation and extrapolation algorithms during online optical dialysis monitoring

IEEE Trans Biomed Eng. 2013 May;60(5):1371-7. doi: 10.1109/TBME.2012.2234458. Epub 2012 Dec 20.

Abstract

The aim of this study was to propose an improved method for accurate dialysis dose evaluation and extrapolation by means of Kt/ V from online UV-absorbance measurements for real time and continuous treatment monitoring. The study included a total of 24 treatments from ten uremic patients, seven of whom were male and three females. All patients were on chronic thrice-weekly hemodialysis therapy. The study included both stable and unstable treatments. A known signal processing algorithm, Levenberg-Marquardt, and the newly developed SMART were utilized for the removal of disturbances not relevant for dialysis dose evaluation. Finally, the results were compared with the Kt/ V values based on the blood samples. The new data processing algorithm, SMART, removes disturbances, helps estimate the online Kt/ V with significant precision increase and without any time delay, and more effectively predicts the end Kt/ V for the treatment than the known algorithms.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Algorithms*
  • Biomedical Engineering
  • Female
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Physiologic / methods*
  • Renal Dialysis*
  • Signal Processing, Computer-Assisted*
  • Spectrophotometry, Ultraviolet
  • Urea / blood
  • Uremia / therapy

Substances

  • Urea