A physiologically based model of vascular refilling during ultrafiltration in hemodialysis

作者：de los Reyes Aurelio A; Fuertinger Doris H; Kappel Franz^*; Meyring Woesten Anna; Thijssen Stephan; Kotanko Peter

来源：Journal of Theoretical Biology, 2016, 390: 146-155.

DOI：10.1016/j.jtbi.2015.11.012

• Mathematical modeling
• Parameter estimation
• Blood volume monitoring
• Filtration coefficient
• Capillary fluid exchange
• Microvascular permeability

An assessment of fluid status can be obtained by monitoring relative blood volume (RBV) during hemodialysis (HD) treatment. The dynamics of RBV is determined by fluid removal from the intravascular compartment by ultrafiltration (UF) and vascular refill from the interstitium. To characterize this dynamics, a two-compartment model describing the short-term dynamics of vascular refilling and UF is developed. Fluid movement between the compartments is governed by lymphatic and microvascular fluid shifts. Further, protein flux is described by convection, diffusion and the lymphatic protein flux. Patient specific parameters are identified based on hematocrit (Hct) measurements by the Grit-Line monitor (CLM). Different measurement frequencies and UF profiles are compared to determine data fidelity and influence on the quality of parameter estimates. This relevant information can be used to assess the (patho)physiological status of hemodialysis patients and could aid in individualizing therapy.

• 出版日期2016-2-7