{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:04:06Z","timestamp":1791608646394,"version":"4.3.4"},"reference-count":0,"publisher":"Queen's University Library","issue":"1","license":[{"start":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T00:00:00Z","timestamp":1682467200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["pocus"],"abstract":"<jats:p>Background:\u00a0Volume overload is common in end stage kidney disease (ESKD) and dialysis patients. Hence, the need for objective tools to detect such volume excess. Point of care ultrasound (POCUS) is a goal-directed, bedside examination to answer such a specific diagnostic question.\u00a0Methods:\u00a0One hundred Iraqi adult hemodialysis patients were recruited from February 1 to May 31, 2022. Primary clinical, dialysis data, and prescriptions were recorded. A nephrologist performed a POCUS examination after the last dialysis session of the week. In addition, an ultrasound examination of the chest was performed to detect B-lines and pleural effusion. Caval parameters included inferior vena cava (IVC) diameter and collapsibility index.\u00a0\u00a0Results:\u00a0The mean age of the study group was 51.48 \u00b1 14.6 years, with 53% males. The mean interdialytic weight gain was 2.74 \u00b1 1.15 Kg. Lower limb edema and pleural effusion were present in 33% and 27%, respectively. Forty-seven percent of patients had &gt;3 B-lines on lung ultrasound with a range of 12. Forty-three percent of patients had an IVC diameter of &gt;2 cm, and 93% had &lt;50% IVC collapsibility. In total, 97% of patients had evidence of excess volume by ultrasound criteria. IVC collapsibility index was the most prevalent sign of excess volume (93%). Patients without lower limb edema and pleural effusion had positive B-lines in 38.8% and 38.3%, an IVC diameter &gt;2 cm in 46.2% and 38.3%, and IVC collapsibility &lt;50% in 89.5% and 95.8% respectively.\u00a0\u00a0Conclusion:\u00a0Iraqi maintenance hemodialysis patients are volume overloaded, which warrants proper intervention for detection and dialysis management. POCUS is a useful and easily performed technique to assess the volume status.<\/jats:p>","DOI":"10.24908\/pocus.v8i1.15802","type":"journal-article","created":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T04:02:43Z","timestamp":1682568163000},"page":"52-59","source":"Crossref","is-referenced-by-count":8,"title":["Lung Ultrasound and Caval Indices to Assess Volume Status in Maintenance Hemodialysis Patients"],"prefix":"10.24908","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2418-4583","authenticated-orcid":false,"given":"Mujtaba Z.","family":"AL-Saray","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5538-6068","authenticated-orcid":false,"given":"Ala","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10534","published-online":{"date-parts":[[2023,4,26]]},"container-title":["POCUS Journal"],"original-title":[],"link":[{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/15802\/10751","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/15802\/10752","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/15802\/10751","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T04:02:44Z","timestamp":1682568164000},"score":1,"resource":{"primary":{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/view\/15802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,26]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,4,26]]}},"URL":"https:\/\/doi.org\/10.24908\/pocus.v8i1.15802","relation":{},"ISSN":["2369-8543"],"issn-type":[{"value":"2369-8543","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,26]]}}}