Bioelectrical impedance analysis during deresuscitation: correlation and agreement with cumulative fluid balance in ICU patients

体液 生物电阻抗分析 细胞外液 医学 秩相关 斯皮尔曼秩相关系数 平衡(能力) 内科学 麻醉 数学 化学 统计 体重 体质指数 物理疗法 细胞外 生物化学
作者
Martin Ruste,Charlotte Chabanol,Jean-Luc Fellahi,Matthias Jacquet‐Lagrèze
出处
期刊:Journal of Clinical Monitoring and Computing [Springer Nature]
卷期号:37 (2): 679-687 被引量:1
标识
DOI:10.1007/s10877-022-00923-0
摘要

Bioelectrical impedance analysis (BIA) is a promising tool to evaluate the body composition of critically-ill patients. The present study aimed to assess its value as a fluid management monitoring tool during standardized deresuscitation strategy. A historical cohort of critically-ill adult patients with fluid overload and continuous renal replacement therapy was used to explore both relationship and agreement between changes in cumulative fluid balance and BIA-derived hydration variables within the 5 days following initiation of deresuscitation strategy using net ultrafiltration. Correlations were described using Spearman’s rank correlation coefficient, and agreement using Bland–Altman analysis for repeated measurements. Sixty-one couples of fluid shift measurements from 30 patients were analyzed. The deresuscitation strategy induced a negative mean (± SD) cumulative fluid balance (− 4.2 ± 3.8 L) and a significant decrease in extra- and intracellular water (P < 0.001). Decreases in extra- and intracellular water were independent of weight variations inputted in the BIA device. Total body water (rho = 0.63), extracellular water (rho = 0.68), and intracellular water (rho = 0.67) were significantly correlated with cumulative fluid balance (all P values < 0.001). The limits of agreement did not allow interchangeability for a delta of 2L between cumulative fluid balance and BIA-derived hydration variables (P > 0.05). BIA hydration-derived variables are significantly correlated with cumulative fluid balance but the large limits of agreements exclude interchangeability of the measures.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
wny完成签到 ,获得积分10
2秒前
2秒前
刘老师发布了新的文献求助10
2秒前
2秒前
3秒前
右右发布了新的文献求助10
4秒前
4秒前
5秒前
6秒前
SciGPT应助新小pi采纳,获得20
6秒前
ymj完成签到,获得积分10
7秒前
田様应助LEON采纳,获得10
8秒前
热心市民余先生完成签到 ,获得积分10
8秒前
nilou完成签到,获得积分10
8秒前
8秒前
8秒前
9秒前
沉默友绿完成签到,获得积分20
9秒前
腼腆的若雁完成签到 ,获得积分10
10秒前
朴实嵩发布了新的文献求助10
11秒前
蒋海应助英勇绮南采纳,获得10
11秒前
苗条映菱发布了新的文献求助10
11秒前
12秒前
wangwang完成签到,获得积分20
12秒前
Leonardi完成签到,获得积分0
12秒前
12秒前
Luo完成签到 ,获得积分10
14秒前
沉默友绿发布了新的文献求助10
14秒前
14秒前
xiny发布了新的文献求助10
15秒前
少年啊完成签到,获得积分10
17秒前
17秒前
19秒前
动听山芙发布了新的文献求助10
20秒前
20秒前
22秒前
24秒前
欣球杯完成签到 ,获得积分10
24秒前
高分求助中
The ACS Guide to Scholarly Communication 2500
Sustainability in Tides Chemistry 2000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Threaded Harmony: A Sustainable Approach to Fashion 810
Pharmacogenomics: Applications to Patient Care, Third Edition 800
A Dissection Guide & Atlas to the Rabbit 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3082258
求助须知:如何正确求助?哪些是违规求助? 2735476
关于积分的说明 7537620
捐赠科研通 2385156
什么是DOI,文献DOI怎么找? 1264678
科研通“疑难数据库(出版商)”最低求助积分说明 612700
版权声明 597623