液体平衡与称重:在ICU患者的比较:一个单一中心的观察性研究
R S M Mensink1, W Paans1,2, M H Renes1
1Department of Intensive Care, University Medical Center Groningen, Groningen, The Netherlands.
PloS one
|April 26, 2024
概括
液体平衡和每日体重测量显示在重症监护病房 (ICU) 中存在弱相关性. 临床医生应使用液体平衡和体重来准确监测患者体积状况.
科学领域:
- 关键护理医学 关键护理医学
- 对患者进行监测.
- 流体管理流体管理
背景情况:
- 在重症监护室 (ICU) 中,准确评估患者体积状况至关重要.
- 传统的流体平衡测量可以是复杂的,容易出错.
- 称重患者,特别是使用集成床秤,为体积状况评估提供了一个潜在的更简单的替代方案.
研究的目的:
- 为了比较ICU患者的体液平衡和体重变化随着时间的推移.
- 评估液体平衡 (以无感损失进行校正) 与每日体重之间的一致性.
主要方法:
- 在一所大学医院ICU的一个单中心观察研究.
- 连续使用综合称量表的患者的纳入.
- 每12小时收集重量和流体平衡的数据,并采用特定的排除标准.
主要成果:
- 在体重和液体平衡之间发现了弱相关性 (r=0.274).
- 纠正无意识流体损失的液体平衡并没有显著改善相关性 (r=0.268).
- 布兰德·奥尔特曼的分析表明,信任区间很宽,这表明方法之间的一致性很差.
结论:
- 在ICU患者中,液体平衡和体重之间存在微弱的相关性.
- 液体平衡和体重测量对于全面的体积状态监测至关重要.
- 综合方法可以减轻与个别测量方法中的潜在错误相关的风险.
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