Digitizing fluid balance monitoring may offer a solution for optimizing patient care.
Digital technology
automation
equipment design
monitoring
physiologic
water-electrolyte balance
Journal
Technology and health care : official journal of the European Society for Engineering and Medicine
ISSN: 1878-7401
Titre abrégé: Technol Health Care
Pays: Netherlands
ID NLM: 9314590
Informations de publication
Date de publication:
21 Sep 2023
21 Sep 2023
Historique:
pubmed:
2
10
2023
medline:
2
10
2023
entrez:
2
10
2023
Statut:
aheadofprint
Résumé
Precise fluid balance monitoring is essential for patient treatment, as incorrect fluid balance can lead to disorders. This study aimed to assess the accuracy of the digital technology LICENSE (LIquid balanCE moNitoring SystEm) for fluid balance charting and compare it to the standard method (SM) to determine its usability in clinical practice. This prospective study included 20 patients. The results from LICENSE were compared to those from SM and a reference measurement (manual weight of fluids, RM). Three LICENSE devices were used for urine output, intravenous fluids, and oral fluid intake. The accuracy of methods was evaluated using Bland Altman plots. The mean difference between LICENSE and RM was less than 2 millilitres (p= 0.031 and p= 0.047), whereas the mean difference between SM and RM was 6.6 ml and 10.8 ml (p< 0.0001). The range between the upper and lower limits of agreement was between 16.4 and 27.8 ml for LICENSE measurements and 25.2 and 52 ml for SM. LICENSE is comparable to or more accurate than the standard method for fluid balance monitoring. The use of LICENSE may improve the accuracy of fluid balance measurements. Further research is needed to evaluate its feasibility in daily clinical practice.
Sections du résumé
BACKGROUND
BACKGROUND
Precise fluid balance monitoring is essential for patient treatment, as incorrect fluid balance can lead to disorders.
OBJECTIVE
OBJECTIVE
This study aimed to assess the accuracy of the digital technology LICENSE (LIquid balanCE moNitoring SystEm) for fluid balance charting and compare it to the standard method (SM) to determine its usability in clinical practice.
METHODS
METHODS
This prospective study included 20 patients. The results from LICENSE were compared to those from SM and a reference measurement (manual weight of fluids, RM). Three LICENSE devices were used for urine output, intravenous fluids, and oral fluid intake. The accuracy of methods was evaluated using Bland Altman plots.
RESULTS
RESULTS
The mean difference between LICENSE and RM was less than 2 millilitres (p= 0.031 and p= 0.047), whereas the mean difference between SM and RM was 6.6 ml and 10.8 ml (p< 0.0001). The range between the upper and lower limits of agreement was between 16.4 and 27.8 ml for LICENSE measurements and 25.2 and 52 ml for SM.
CONCLUSION
CONCLUSIONS
LICENSE is comparable to or more accurate than the standard method for fluid balance monitoring. The use of LICENSE may improve the accuracy of fluid balance measurements. Further research is needed to evaluate its feasibility in daily clinical practice.
Identifiants
pubmed: 37781831
pii: THC230664
doi: 10.3233/THC-230664
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM