Association of perioperative weight-based fluid balance with 30-day mortality and acute kidney injury among patients in the surgical intensive care unit

Purpose Perioperative positive fluid balance has negative effects on short-term outcomes, such as surgical complications, although the associations with postoperative mortality remain unclear. This study evaluated the associations of perioperative fluid balance (FB) with 30-day mortality and acute k...

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Bibliographic Details
Published in:Journal of anesthesia 2019-06, Vol.33 (3), p.354-363
Main Authors: Oh, Tak Kyu, Song, In-Ae, Do, Sang-Hwan, Jheon, Sanghoon, Lim, Cheong
Format: Article
Language:English
Subjects:
Acute Kidney Injury - etiology
Adult
Aged
Analysis
Anesthesiology
Body Weight
Critical Care
Critical Care Medicine
Emergency Medicine
Female
Hospital patients
Humans
Incidence
Intensive
Intensive Care Units
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Mortality
Original Article
Pain Medicine
Patient outcomes
Postoperative Period
Retrospective Studies
Water-Electrolyte Balance
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Summary:Purpose Perioperative positive fluid balance has negative effects on short-term outcomes, such as surgical complications, although the associations with postoperative mortality remain unclear. This study evaluated the associations of perioperative fluid balance (FB) with 30-day mortality and acute kidney injury (AKI) after postoperative intensive care unit (ICU) admission. Methods This retrospective study evaluated data from adult patients who were admitted to the ICU after surgery during 2012–2016. Weight-based cumulative FB (%) was calculated for 3 time periods [postoperative day (POD) 0 (24 h), 0–1 (48 h), and 0–2 (72 h)] and was categorized as positive (≥ 5%), mild to moderate positive (5–10%), severe positive (> 10%), normal (0–5%), or negative (
ISSN:0913-8668
1438-8359
DOI:10.1007/s00540-019-02630-8