Cumulative changes in weight but not fluid volume balances reflect fluid accumulation in <scp>ICU</scp> patients

Koster, Maria P. H.; Dennhardt, S.; Jüttner, F.; Hopf, Hans‐Bernd

doi:10.1111/aas.12840

Cited by 24 publications

(30 citation statements)

References 26 publications

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“…The potential for calculation or documentation errors in the charting of daily fluid balance was not discussed in six studies (Bihari, Baldwin, & Berstein, ; Fulop et al., ; Kelm et al., ; Koster, Dennhardt, Juttner, & Hopf, ; Roos, Westendorp, Frolich, & Meinders, ; You et al., ). Seven studies discussed the incidence of errors or implied that inaccuracies had occurred during the charting of fluid balance (Asfour, ; Davies, Leslie, & Morgan, ; Diacon & Bell, ; Eastwood, ; Perren et al., ; Schneider, Baldwin, Freitag, Glassford, & Bellomo, ; Schneider, Thorpe, Dellbridge, Matalanis, & Bellomo, ).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies gave an explanation on how fluid balance charts were checked for accuracy and the extent of discrepancy between what was charted and then calculated by the checker (Asfour, ; Davies et al., ; Diacon & Bell, ; Eastwood, ; Perren et al., ). Two studies mentioned the use of an electronic spreadsheet in the charting of daily fluid balance totals (Koster et al., ; Schneider et al., ); otherwise, the remaining studies relied on paper‐based charting or were silent on the issue.…”

Section: Resultsmentioning

confidence: 99%

“…Koster et al. () used the same approach for calculating insensible perspiration, but the presence of sweating associated with fever was not corrected. In two studies by Schneider et al.…”

Section: Resultsmentioning

confidence: 99%

“…A standardized approach for the weighing of patients was described in nine studies (Bihari et al., ; Davies et al., ; Eastwood, ; Koster et al., ; Perren et al., ; Roos et al., ; Schneider et al., , ; You et al., ). The requirement for nurses to be trained on how to use electronic bed scales was considered important to minimize variability when body weight was measured by different operators (You et al., ).…”

Section: Resultsmentioning

confidence: 99%

“…The requirement for nurses to be trained on how to use electronic bed scales was considered important to minimize variability when body weight was measured by different operators (You et al., ). Attention was also given to ensuring extra blankets and pillows or other items of equipment, not present when the bed was originally tarred, were removed before the patient was weighed (Bihari et al., ; Davies et al., ; Eastwood, ; Koster et al., ; Perren et al., ; Roos et al., ; Schneider et al., , ).…”

Section: Resultsmentioning

confidence: 99%

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Estimation of Body Fluid Status by Fluid Balance and Body Weight in Critically Ill Adult Patients: A Systematic Review

Davies

Leslie

Jacob

et al. 2019

Worldviews Ev Based Nurs

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Background The charting of daily fluid balances and measurement of body weight changes are two noninvasive methods commonly used in the intensive care unit for estimating body fluid status. The determination of body fluid status plays an important role in the management of critically ill patients where aggressive fluid resuscitation is often required. This can adversely affect patient outcomes if changes in fluid distribution are not detected early in patients who are susceptible to fluid overload. Aim To synthesize the best available evidence on the accuracy of daily fluid balance charting compared with the measurement of body weight for the estimation of body fluid status in critically ill adult patients. Methods The review considered studies that investigated the accuracy of charting daily fluid balances or changes in body weight measurements or used both noninvasive methods in the estimation of body fluid status. The search sought to identify published, English language studies from 1980 until February 2018. Databases searched included MEDLINE, CINAHL, EMBASE, TRIP, Scopus, TROVE, ProQuest Dissertations, Australian and New Zealand Trials Registry, and Cochrane Central Register of Clinical Trials. Three reviewers independently assessed retrieved studies that matched inclusion criteria using standardized critical appraisal instruments. Results The review included 13 cohort studies. Effectiveness of daily fluid balance charting was affected by inaccuracies observed in seven studies. Inability to obtain consecutive daily body weight measurements reduced the accuracy of monitoring changes in five studies. Seven studies found measurement of daily fluid balance inconsistent with changes in body weight. Linking Evidence to Action The accuracy of charting fluid balance is suspect. Measurement of body weight is hard to accomplish. A combination of the two commonly used methods is more likely to be effective in estimating body fluid status than reliance on one single approach.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Koster et al. () used the same approach for calculating insensible perspiration, but the presence of sweating associated with fever was not corrected. In two studies by Schneider et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Estimation of Body Fluid Status by Fluid Balance and Body Weight in Critically Ill Adult Patients: A Systematic Review

Davies

Leslie

Jacob

et al. 2019

Worldviews Ev Based Nurs

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Correlation of postoperative fluid balance and weight and their impact on outcomes

Butti

Pache

Winiker

et al. 2020

Langenbecks Arch Surg

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Introduction Normovolemia after major surgery is critical to avoid complications. The aim of the present study was to analyze correlation between fluid balance, weight gain, and postoperative outcomes. Methods All consecutive patients undergoing elective or emergency major abdominal surgery needing intermediate care unit (IMC) admission from September 2017 to January 2018 were included. Postoperative fluid balances and daily weight changes were calculated for postoperative days (PODs) 0–3. Risk factors for postoperative complications (30-day Clavien) and prolonged length of IMC and hospital stay were identified through uni- and multinominal logistic regression. Results One hundred eleven patients were included, of which 55% stayed in IMC beyond POD 1. Overall, 67% experienced any complication, while 30% presented a major complication (Clavien ≥ III). For the entire cohort, median cumulative fluid balance at the end of PODs 0–1–2–3 was 1850 (IQR 1020–2540) mL, 2890 (IQR 1610–4000) mL, 3890 (IQR 2570–5380) mL, and 4000 (IQR 1890–5760) mL respectively, and median weight gain was 2.2 (IQR 0.3–4.3) kg, 3 (1.5–4.7) kg, and 3.9 (2.5–5.4) kg, respectively. Fluid balance and weight course showed no significant correlation (r = 0.214, p = 0.19). Extent of surgery, analyzed through Δ albumin and duration of surgery, significantly correlated with POD 2 fluid balances (p = 0.04, p = 0.006, respectively), as did POD 3 weight gain (p = 0.042). Prolonged IMC stay of ≥ 3 days was related to weight gain ≥ 3 kg at POD 2 (OR 2.8, 95% CI 1.01–8.9, p = 0.049). Conclusion Fluid balance and weight course showed only modest correlation. POD 2 weight may represent an easy and pragmatic tool to optimize fluid management and help to prevent fluid-related postoperative complications.

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A quality initiative to improve recognition of fluid overload among pediatric ICU patients requiring continuous kidney replacement therapy: preliminary results

et al. 2022

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Cumulative changes in weight but not fluid volume balances reflect fluid accumulation in ICU patients

Cited by 24 publications

References 26 publications

Estimation of Body Fluid Status by Fluid Balance and Body Weight in Critically Ill Adult Patients: A Systematic Review

Estimation of Body Fluid Status by Fluid Balance and Body Weight in Critically Ill Adult Patients: A Systematic Review

Correlation of postoperative fluid balance and weight and their impact on outcomes

A quality initiative to improve recognition of fluid overload among pediatric ICU patients requiring continuous kidney replacement therapy: preliminary results

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