A STUDY OF THE CLINICAL OUTCOMES ASSOCIATED WITH FLUID OVERLOAD IN CRITICALLY ILL PEDIATRIC PATIENTS
Journal Title: INTERNATIONAL JOURNAL OF PURE MEDICAL RESEARCH - Year 2017, Vol 2, Issue 6
Abstract
Background and aim: Intravenous uid administration is one of the most frequently used therapies provided in hospitals. Daily uid balance have been monitored to determine the incidence of uid overload and its impact on the clinical outcome of the critically ill pediatric patients Methods: Over a 12 month period, all pediatric patients admitted to intensive care unit who completed more than 48 hours in the PICU were included. Data recorded for each patient: percentage uid overload = (uid in minus uid out in liters)/ PICU admission weight in KG x 100 %, demographic and clinical data. Data were entered into SPSS and analyzed in terms of frequency and percentage. Results: 203 subjects were included in the study, median age 9 months, mortality rate 26.1 %, and were divided according to the peak positive uid balance recorded during the admission into 3 groups: group A peak uid overload (PFO) <5%, group B PFO 5-10% and group C PFO>10%. The incidence of uid overload was 54(%), 82(%) and 67(%), in group A, B and C respectively. The incidence of PFO in survivors was 28% and was 47.1% among the non survivors (p=0.025*). PICU length of stay, mechanical ventilation days and the incidence of AKI differed signicantly between the 3 groups (p= 0.002, 0.000 and 0.032 respectively). While vasoinotropic score, need for dialysis and diuretics revealed no statistically signicant difference between the three groups (p=0.054, 0.537 and 0.109 respectively). Conclusions: Fluid overload is a common problem in PICU, with PFO associated with respiratory morbidity, need for mechanical ventilation, PICU length of stay and mortality rates.
Authors and Affiliations
Ahmed Ahmed El- Nawawy, Azza Ahmed Mostafa, Manal Abdelmalik Antonios Barsoum, May Mohamed Adel Atta
Keywords
Related Articles
- EP ID EP597655
- DOI -
- Views 65
- Downloads 0
ROLE OF PLATELET RICH PLASMA IN TREATMENT OF ROTATOR CUFF TENDINOPATHY AND PARTIAL THICKNESS TEAR: FOLLOW UP BY ULTRASOUND
The pathophysiology of RCT is characterized by progressive, degenerative changes within the tendon as a result of overuse, altered shoulder mechanics, and a limitation of the normal tendon repair system with a broblasti...
EVOLUTION OF THE CELL BLOOD COUNT (CBC) PARAMETERS IN THE CONSTANT K2.EDTA CONCENTRATION WITH DIFFERENT BLOOD VOLUMES: A RANDOMIZED STUDY
Background: All of we know that the phlebotomy is a very hard practice in some conditions. So, it's important to get the best results with the lowest blood sample value. K2.EDTA is usually used as a routine anticoagulant...
CONN'S ADENOMA A RARE CAUSE OF ARTERIAL HYPERTENSION ABOUT SIX CASES
The aldosterone-producing adenoma (aldosteronoma) is the most important cause of hyperaldosteronism and represents one of the few curable causes of secondary arterial hypertension. The patients may be asymptomatic or oli...
POST NATAL SERVICE UTILIZATION AND ASSOCIATED FACTORS IN ARBA MINCH ZURIA WOREDA, GAMO GOFA ZONE, SNNPRS , SOUTHERN ETHIOPIA,2016
BACKGROUND: Postnatal care is a vital element of safe motherhood. It provides an opportunity to assess and treat delivery complications and to advise mothers about the care for themselves and their children. Lack of care...
SHORT TERM OUTCOME OF THORACIC ENDOVASCULAR AORTIC REPAIR IN PATIENTS WITH THORACIC AORTIC DISEASES
Aim and Background: Open surgical repair for thoracic aortic diseases is associated with a high perioperative mortality and morbidity. Most of type B aortic dissections are uncomplicated and are medically treated which c...