A Practical Abdominal Voice Wearable Device Improves Nutritional Status and Reduces Risk Factors for Intradialytic Hypotension
摘要
Historically, feeding during hemodialysis treatment has been associated with an increased risk of adverse intradialytic symptoms and events, risks that have led to the implementation of restrictive in-center feeding and nutrition policies. However, recent studies have documented a shift in clinical practice, with an increasing number of physicians viewing intradialytic diet and supplement management as a simple and effective way to increase caloric intake and improve nutritional status in hemodialysis patients. Early studies have shown that eating during hemodialysis treatment results in a rapid drop in blood pressure after a meal and increases the incidence of symptomatic intradialytic hypotension. The AbSound device is a non-invasive signal acquisition device that can be attached to the abdomen and simultaneously acquire multiple related signals. By precise positioning and adjusting microphones and specific sensors, we can capture faint but complex bowel sounds and gain insight into real-time gastrointestinal function. This AbSound study investigated the effects of diet and dietary structure on hemodynamic stability and health-related quality of life during hemodialysis treatment and the expected benefits of this strategy on diet, health-related quality of life, and reduced incidence of hypotension. Pressure. We conclude that the effects of this AbSound need the warrant further studies addressing the effect of intradialytic feeding on chronic hemodialysis, with risk factors for blood pressure being captured through the expected benefits of this strategy on caloric intake and nutritional status.