Prognostic value of bioelectrical impedance analysis for assessment of fluid overload in ICU patients: a pilot study Article Swipe
Robbert Cleymaet
,
Thomas Scheinok
,
H. Maes
,
Amber Stas
,
Luca Malbrain
,
I. De Laet
,
K. Schoonheydt
,
H. Dits
,
Niels Van Regenmortel
,
Michaël Mekeirele
,
Andrea Minini
,
Paolo Severgnini
,
Adrian Wong
,
Manu L. N. G. Malbrain
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.5114/ait.2021.103526
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.5114/ait.2021.103526
Introduction The non-invasive analysis of body fluid composition with bio-electrical impedance analysis (BIA) provides additional information allowing for more personalised therapy to improve outcomes. The aim of this study is to assess the prognostic value of fluid overload (FO) in the first week of intensive care unit (ICU) stay. Material and methods A retrospective, observational analysis of 101 ICU patients. Whole-body BIA measurements were performed, and FO was defined as a 5% increase in volume excess from baseline body weight. Results Baseline demographic data, including severity scores, were similar in both the fluid overload-positive (FO+, n = 49) patients and in patients without fluid overload (FO–, n = 52). Patients with FO+ had significantly higher cumulative fluid balance during their ICU stay compared to those without FO (8.8 ± 7.0 vs. 5.5 ± 5.4 litres; P = 0.009), VE (9.9 ± 6.5 vs. 1.5 ± 1.5 litres; P < 0.001), total body water (63.0 ± 9.5 vs. 52.8 ± 8.1%; P < 0.001), and extracellular water (27.0 ± 7.3 vs. 19.6 ± 3.7 litres; P < 0.001). The presence of 5%, 7.5%, and 10% fluid overload was directly associated with increased ICU mortality rates. The percentage fluid overload (P = 0.039) was an independent predictor for hospital mortality. Conclusions A higher mortality rate in ICU-patients with FO was observed. FO is an independent prognostic factor because neither APACHE-II, SOFA, nor SAPS-II significantly differed on admission between survivors and non-survivors. Further research is needed to confirm these data prospectively and to evaluate whether BIA-guided deresuscitation in the subacute phase will improve mortality rates.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5114/ait.2021.103526
- https://www.termedia.pl/Journal/-118/pdf-43256-10?filename=Prognostic.pdf
- OA Status
- diamond
- Cited By
- 18
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3132512526
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3132512526Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5114/ait.2021.103526Digital Object Identifier
- Title
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Prognostic value of bioelectrical impedance analysis for assessment of fluid overload in ICU patients: a pilot studyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
-
2021-02-23Full publication date if available
- Authors
-
Robbert Cleymaet, Thomas Scheinok, H. Maes, Amber Stas, Luca Malbrain, I. De Laet, K. Schoonheydt, H. Dits, Niels Van Regenmortel, Michaël Mekeirele, Andrea Minini, Paolo Severgnini, Adrian Wong, Manu L. N. G. MalbrainList of authors in order
- Landing page
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https://doi.org/10.5114/ait.2021.103526Publisher landing page
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https://www.termedia.pl/Journal/-118/pdf-43256-10?filename=Prognostic.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.termedia.pl/Journal/-118/pdf-43256-10?filename=Prognostic.pdfDirect OA link when available
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Medicine, Bioelectrical impedance analysis, Intensive care medicine, Internal medicine, Body mass indexTop concepts (fields/topics) attached by OpenAlex
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18Total citation count in OpenAlex
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2024: 4, 2023: 4, 2022: 6, 2021: 2, 2019: 1Per-year citation counts (last 5 years)
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.research | 240 |
| abstract_inverted_index.severity | 85 |
| abstract_inverted_index.subacute | 256 |
| abstract_inverted_index.admission | 234 |
| abstract_inverted_index.impedance | 10 |
| abstract_inverted_index.including | 84 |
| abstract_inverted_index.increased | 190 |
| abstract_inverted_index.intensive | 44 |
| abstract_inverted_index.mortality | 192, 211, 260 |
| abstract_inverted_index.observed. | 218 |
| abstract_inverted_index.outcomes. | 23 |
| abstract_inverted_index.patients. | 59 |
| abstract_inverted_index.predictor | 204 |
| abstract_inverted_index.survivors | 236 |
| abstract_inverted_index.APACHE-II, | 227 |
| abstract_inverted_index.BIA-guided | 252 |
| abstract_inverted_index.Whole-body | 60 |
| abstract_inverted_index.additional | 14 |
| abstract_inverted_index.associated | 188 |
| abstract_inverted_index.cumulative | 115 |
| abstract_inverted_index.mortality. | 207 |
| abstract_inverted_index.percentage | 195 |
| abstract_inverted_index.performed, | 64 |
| abstract_inverted_index.prognostic | 33, 223 |
| abstract_inverted_index.Conclusions | 208 |
| abstract_inverted_index.composition | 7 |
| abstract_inverted_index.demographic | 82 |
| abstract_inverted_index.independent | 203, 222 |
| abstract_inverted_index.information | 15 |
| abstract_inverted_index.ICU-patients | 214 |
| abstract_inverted_index.Introduction | 0 |
| abstract_inverted_index.measurements | 62 |
| abstract_inverted_index.non-invasive | 2 |
| abstract_inverted_index.extracellular | 164 |
| abstract_inverted_index.observational | 54 |
| abstract_inverted_index.prospectively | 247 |
| abstract_inverted_index.significantly | 113, 231 |
| abstract_inverted_index.bio-electrical | 9 |
| abstract_inverted_index.non-survivors. | 238 |
| abstract_inverted_index.personalised | 19 |
| abstract_inverted_index.retrospective, | 53 |
| abstract_inverted_index.deresuscitation | 253 |
| abstract_inverted_index.overload-positive | 93 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5048878345 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 14 |
| corresponding_institution_ids | https://openalex.org/I13469542, https://openalex.org/I4210150429 |
| citation_normalized_percentile.value | 0.92640209 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |