Bioelectrical impedance analysis during deresuscitation: correlation and agreement with cumulative fluid balance in ICU patients.
Bioelectrical impedance analysis
Continuous renal replacement therapy
Cumulative fluid balance
Deresuscitation
Fluid overload
Journal
Journal of clinical monitoring and computing
ISSN: 1573-2614
Titre abrégé: J Clin Monit Comput
Pays: Netherlands
ID NLM: 9806357
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
received:
14
09
2022
accepted:
19
09
2022
medline:
4
4
2023
pubmed:
6
10
2022
entrez:
5
10
2022
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 36197549
doi: 10.1007/s10877-022-00923-0
pii: 10.1007/s10877-022-00923-0
doi:
Substances chimiques
Water
059QF0KO0R
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
679-687Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Nature B.V.
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