Impact of positive fluid balance on critically ill surgical patients: A prospective observational study

2014 ◽  
Vol 29 (6) ◽  
pp. 936-941 ◽  
Author(s):  
Galinos Barmparas ◽  
Douglas Liou ◽  
Debora Lee ◽  
Nicole Fierro ◽  
Matthew Bloom ◽  
...  
Keyword(s):  
Observational Study ◽  
Critically Ill ◽  
Fluid Balance ◽  
Prospective Observational Study ◽  
Surgical Patients ◽  
Positive Fluid Balance ◽  
Critically Ill Surgical Patients

scholarly journals Relation between fluid balance and incidence of morbidity and mortality rates in critically ill patients prospective observational study

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M G A Gerges ◽  
H M M Elazzazi ◽  
M H S A Elsersi ◽  
S A R Mustafa ◽  
M A Saeed
Keyword(s):  
Mechanical Ventilation ◽  
Observational Study ◽  
Critically Ill ◽  
Fluid Balance ◽  
Critically Ill Patients ◽  
Prospective Observational Study ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
University Hospitals ◽  
Cumulative Fluid Balance

Abstract Background While administration of fluid can be lifesaving, it has been suggested that the fluid accumulation after initial resuscitation and hemodynamic stabilization can contribute to potentially avoidable adverse effects and less favorable outcomes. Objective The aim of this study is to assess whether positive fluid balance in comparison with negative or even fluid balance is associated with increased morbidity and mortality rates in critically ill patients. Patients and Methods This prospective observational study was performed on 145 Patients older than 18 years admitted to intensive care units at Helwan university hospitals and Ain shams university hospitals during the period from November 2017 till May 2018. Results A total of 145 patients with an ICU mortality rate of 14.5% were enrolled. The median cumulative fluid balance of the 124 patients who survive was -110 ml (IQR -2.1-2.2 L) after the fourth day following randomization while the median cumulative fluid balance of the 21 patients who not survive was 3800 ml (IQR 1.7-5.2 L) after the fourth day in ICU. In our study critically ill patients with fluid balance more than 1.2 litres per day had higher ICU complications: increased risk of AKI, longer ICU and hospital stays, and mechanical ventilation, and fluid balance was independently associated with mortality. Conclusion In the view of this study, we concluded that:Zero fluid balance and negative fluid balance independently associated with decrease mortality and morbidity rates in critically ill patients after 4 days from admission in ICU.There was higher cumulative fluid balance in non survivors compared to survivors. Cumulative fluid balance after 4 days from admission was independently predictive of mortality in a heterogeneous group of critically ill patients.96 hour negative fluid balance in critically ill patients was associated with less length of stay at ICU and less mechanical ventilation duration.Positive fluid balance, mechanical ventilation, vasopressors, and high admission SAPS II, SOFA, APACHE II and KIDGO were significantly associated with high mortality.

The Impact of IV Electrolyte Replacement on the Fluid Balance of Critically Ill Surgical Patients

2019 ◽  
Vol 85 (10) ◽  
pp. 1171-1174 ◽  
Author(s):  
Andrew S. Wang ◽  
Navpreet K. Dhillon ◽  
Nikhil T. Linaval ◽  
Nicholas Rottler ◽  
Audrey R. Yang ◽  
...  
Keyword(s):  
Critically Ill ◽  
Fluid Balance ◽  
Fluid Administration ◽  
Surgical Patients ◽  
Icu Patients ◽  
Surgical Icu ◽  
The Impact ◽  
To Receive ◽  
Electrolyte Replacement ◽  
Critically Ill Surgical Patients

Avoiding excess fluid administration is necessary when managing critically ill surgical patients. The aim of this study was to delineate the current practices of IVelectrolyte (IVE) replacement in a surgical ICU and quantify their contribution to the fluid balance (FB) status. Patients admitted to the surgical ICU over a six-month period were reviewed. Patients undergoing dialysis and those with ICU stay <72 hours were excluded. A total of 248 patients were included. The median age was 60 years, and 57 per cent were male. Overall, 1131 patient ICU days were analyzed. The median daily FB was 672 mL. IVEs were administered in 62 per cent of ICU days. In days that IVEs were used, negative FB was significantly less likely to be achieved (62% vs 69%, P = 0.02). The most commonly administered IVE was calcium (32% of ICU days); however, the largest volume of IVE was administered in the form of phosphorus (median 225 mL). Diuretics were administered in 17 per cent of ICU days. Patients who received diuretics were significantly more likely to receive IVE (70% vs 61%, P = 0.02). Administration of IVE may contribute to the daily positive FB of surgical ICU patients. Implementation of practices that can ameliorate this effect is encouraged.

scholarly journals Acute and long-term survival in chronically critically ill surgical patients: a retrospective observational study

Critical Care ◽  
2007 ◽  
Vol 11 (3) ◽  
pp. R55 ◽  
Author(s):  
Wolfgang H Hartl ◽  
Hilde Wolf ◽  
Christian P Schneider ◽  
Helmut Küchenhoff ◽  
Karl-Walter Jauch
Keyword(s):  
Observational Study ◽  
Critically Ill ◽  
Surgical Patients ◽  
Retrospective Observational Study ◽  
Term Survival ◽  
Long Term Survival ◽  
Chronically Critically Ill ◽  
Critically Ill Surgical Patients

scholarly journals Impact of Early Fluid Balance on Long-Term Mortality in Critically Ill Surgical Patients: A Retrospective Cohort Study in Central Taiwan

2021 ◽  
Vol 10 (21) ◽  
pp. 4873
Author(s):  
Chieh-Liang Wu ◽  
Kai-Chih Pai ◽  
Li-Ting Wong ◽  
Min-Shian Wang ◽  
Wen-Cheng Chao
Keyword(s):  
Regression Model ◽  
Critically Ill ◽  
Fluid Balance ◽  
Surgical Patients ◽  
Central Taiwan ◽  
Early Fluid ◽  
The Impact ◽  
Critically Ill Surgical Patients ◽  
Long Term Mortality

Fluid balance is an essential issue in critical care; however, the impact of early fluid balance on the long-term mortality in critically ill surgical patients remains unknown. This study aimed to address the impact of day 1–3 and day 4–7 fluid balance on the long-term mortality in critically ill surgical patients. We enrolled patients who were admitted to surgical intensive care units (ICUs) during 2015–2019 at a tertiary hospital in central Taiwan and retrieved date-of-death from the Taiwanese nationwide death registration profile. We used a Log-rank test and a multivariable Cox proportional hazards regression model to determine the independent mortality impact of early fluid balance. A total of 6978 patients were included for analyses (mean age: 60.9 ± 15.9 years; 63.9% of them were men). In-hospital mortality, 90-day mortality, 1-year and overall mortality was 10.3%, 15.8%, 23.8% and 31.7%, respectively. In a multivariable Cox proportional hazard regression model adjusted for relevant covariates, we found that positive cumulative day 4–7 fluid balance was independently associated with long-term mortality (aHR 1.083, 95% CI 1.062–1.105), and a similar trend was found on day 1–3 fluid balance, although to a lesser extent (aHR 1.027, 95% CI 1.011–1.043). In conclusion, the fluid balance in the first week of ICU stay, particularly day 4–7 fluid balance, may affect the long-term outcome in critically ill surgical patients.

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