Mortality in adult patients with fluid overload evaluated by BIVA upon admission to the emergency department.

Abstract:

PURPOSE OF THE STUDY:The aim of this study was to investigate the association of fluid overload, measured by bioelectrical impedance vector analysis (BIVA) and also by accumulated fluid balance, with 30-day mortality rates in patients admitted to the emergency department (ED). DESIGN:We conducted a prospective observational study of fluid overload using BIVA, taking measures using a multiple-frequency whole-body tetrapolar equipment. Accumulated fluid balances were obtained at 24, 48 and 72 hours from ED admission and its association with 30-day mortality. PATIENTS:109 patients admitted to the ED classified as fluid overloaded by both methods. RESULTS:According to BIVA, 71.6% (n=78) of patients had fluid overload on ED admission. These patients were older and had higher Sequential Organ Failure Assessment scores. During a median follow-up period of 30 days, 32.1% (n=25) of patients with fluid overload evaluated by BIVA died versus none with normovolaemia (p=0.001). There was no statistically significant difference in mortality between patients with and without fluid overload as assessed by accumulated fluid balance (p=0.81). CONCLUSIONS:Fluid overload on admission evaluated by BIVA was significantly related to mortality in patients admitted to the ED.

journal_name

Postgrad Med J

authors

Kammar-García A,Pérez-Morales Z,Castillo-Martinez L,Villanueva-Juárez JL,Bernal-Ceballos F,Rocha-González HI,Remolina-Schlig M,Hernández-Gilsoul T

doi

10.1136/postgradmedj-2018-135695

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

386-391

issue

1113

eissn

0032-5473

issn

1469-0756

pii

postgradmedj-2018-135695

journal_volume

94

pub_type

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