Comparison of bioimpedance and clinical methods for dry weight prediction in maintenance hemodialysis patients

An Efficient Multiple Kernel Support Vector Regression Model for Assessing Dry Weight of Hemodialysis Patients

Background:

Dry Weight (DW) is the lowest weight after dialysis, and patients with lower weight usually have symptoms of hypotension and shock. Several clinical-based approaches have been presented to assess the dry weight of hemodialysis patients. However, these traditional methods all depend on special instruments and professional technicians.

Objective:

In order to avoid this limitation, we need to find a machine-independent way to assess dry weight, therefore we collected some clinical influencing characteristic data and constructed a Machine Learning-based (ML) model to predict the dry weight of hemodialysis patients.

Methods::

In this paper, 476 hemodialysis patients' demographic data, anthropometric measurements, and Bioimpedance spectroscopy (BIS) were collected. Among them, these patients' age, sex, Body Mass Index (BMI), Blood Pressure (BP) and Heart Rate (HR) and Years of Dialysis (YD) were closely related to their dry weight. All these relevant data were used to enter the regression equation. Multiple Kernel Support Vector Regression-based on Maximizes the Average Similarity (MKSVRMAS) model was proposed to predict the dry weight of hemodialysis patients.

Result:

The experimental results show that dry weight is positively correlated with BMI and HR. And age, sex, systolic blood pressure, diastolic blood pressure and hemodialysis time are negatively correlated with dry weight. Moreover, the Root Mean Square Error (RMSE) of our model was 1.3817.

Conclusion:

Our proposed model could serve as a viable alternative for dry weight estimation of hemodialysis patients, thus providing a new way for clinical practice. Our proposed model could serve as a viable alternative of dry weight estimation for hemodialysis patients, thus providing a new way for the clinic.

Assessing Dry Weight of Hemodialysis Patients via Sparse Laplacian Regularized RVFL Neural Network with L2,1-Norm

Dry weight is the normal weight of hemodialysis patients after hemodialysis. If the amount of water in diabetes is too much (during hemodialysis), the patient will experience hypotension and shock symptoms. Therefore, the correct assessment of the patient's dry weight is clinically important. These methods all rely on professional instruments and technicians, which are time-consuming and labor-intensive. To avoid this limitation, we hope to use machine learning methods on patients. This study collected demographic and anthropometric data of 476 hemodialysis patients, including age, gender, blood pressure (BP), body mass index (BMI), years of dialysis (YD), and heart rate (HR). We propose a Sparse Laplacian regularized Random Vector Functional Link (SLapRVFL) neural network model on the basis of predecessors. When we evaluate the prediction performance of the model, we fully compare SLapRVFL with the Body Composition Monitor (BCM) instrument and other models. The Root Mean Square Error (RMSE) of SLapRVFL is 1.3136, which is better than other methods. The SLapRVFL neural network model could be a viable alternative of dry weight assessment.