Association between weight change and clinical outcomes in critically ill patients

You, Jungwan; Lee, Seung Jun; Kim, You Eun; Cho, Yu Ji; Jeong, Yi Yeong; Kim, Ho Cheol; Lee, Jong Deog; Kim, Jang Rak; Hwang, Young Sil

doi:10.1016/j.jcrc.2013.07.055

Cited by 34 publications

(43 citation statements)

References 8 publications

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“…Malnutrition is a common condition in critically ill patients 1 . The incidence of malnutrition has been reported to be 20%–69% in hospitalized patients.…”

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confidence: 99%

“…In individuals who are malnourished, the lean body mass decreases dramatically. Loss of lean body mass is associated with impaired wound healing and increased rate of infections, mortality, morbidity, length of hospital stay, and hospital costs 1 . Therefore, it is important to identify patients with malnutrition upon admission to the ICU, since nutrition interventions may change the patient prognosis.…”

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confidence: 99%

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Association of the Adductor Pollicis Muscle Thickness With Clinical Outcomes in Intensive Care Unit Patients

et al. 2016

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“…Malnutrition is a common condition in critically ill patients 1 . The incidence of malnutrition has been reported to be 20%–69% in hospitalized patients.…”

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confidence: 99%

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confidence: 99%

Association of the Adductor Pollicis Muscle Thickness With Clinical Outcomes in Intensive Care Unit Patients

et al. 2016

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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%

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., ). 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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Association between fluid overload and delirium/coma in mechanically ventilated patients

Ouchi

Sakuramoto

Hoshino

et al. 2020

Acute Medicine & Surgery

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Aim: Several studies have shown an association between fluid overload (FO) and mortality or duration of mechanical ventilation in critically ill patients. However, the association between FO and delirium duration remains unclear. Methods: This retrospective observational cohort study was undertaken at University of Tsukuba Hospital (Tsukuba, Japan) from April 2015 to March 2017. Mechanically ventilated patients who stayed in the intensive care unit for more than 7 days were eligible for inclusion. Univariate analysis was carried out with the Mann-Whitney U-test for continuous variables and Fisher's exact test for categorical variables. A multivariate proportional odds logistic regression model was used to evaluate the association between FO and delirium/coma days (DCDs) during the 7-day study period. Results: A total of 118 patients were included and divided into FO and non-FO groups. Fluid overload occurred in 40% of patients. The FO group had a higher APACHE II score than the non-FO group (19 [16-26] versus 23 [20-29], P = 0.017). Cumulative fluid balance at day 3 was higher in the FO group (3,238 [281-6,530] versus 7,886 [4,106-10,631], P < 0.001). Delirium days within 7 days was longer in the FO group (1 [0-3] versus 2 [1-3], P = 0.048) and DCDs was longer in the FO group (4 [1-5] versus 6 [3-7], P = 0.002). After adjusting for covariates, there were significant associations between FO and DCDs (odds ratio, 2.16; 95% confidence interval, 1.05-4.47). Conclusions: Our findings suggest that FO is associated with increased DCDs in mechanically ventilated patients.

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Association between weight change and clinical outcomes in critically ill patients

Cited by 34 publications

References 8 publications

Association of the Adductor Pollicis Muscle Thickness With Clinical Outcomes in Intensive Care Unit Patients

Association of the Adductor Pollicis Muscle Thickness With Clinical Outcomes in Intensive Care Unit Patients

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

Association between fluid overload and delirium/coma in mechanically ventilated patients

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