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Usefulness of Bioelectrical Impedance Analysis as a Guidance of Fluid Management in Critically Ill Patients after Major Abdomen Surgery; a Single Center, Prospective Cohort Study
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Yoon Ji Chung, Eun Young Kim
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Surg Metab Nutr 2020;11(2):53-60. Published online December 30, 2020
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DOI: https://doi.org/10.18858/smn.2020.11.2.53
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 Abstract
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- Purpose: We evaluated the patterns and changes in bioelectrical impedance analysis parameters of patient who underwent abdominal surgery throughout the early period in surgical intensive care unit stay.
Materials and Methods: From May 2019 to April 2020, patients admitted to surgical intensive care unit for more than 48 hours after surgery were enrolled. Body composition and volume status of patients were measured prospectively using portable bioelectrical impedance analysis device every morning for three days from the day of intensive care unit admission. Overhydration was defined as the case where the value of extracellular water ratio is above 0.390, and the participants were daily classified into overhydration or normohydration group. Relationship between daily volume status measured by bioelectrical impedance analysis and outcomes was assessed.
Results: 107 patients who underwent abdominal surgery and 26 patients who underwent endovascular surgery were reviewed as control group. During the first postoperative 48 hours, most of them showed overhydration status, while the rate of overhydaration was significantly lower in the control group. Overhydration status on day 3 was significant predictors of postoperative morbidities (OR 5.709, 95% CI 2.199~14.819, P<0.001) and in-hospital mortality (OR 4.244, 95% CI 1.398~12.883, P<0.001).
Conclusion: Overhydration status by extracellular water ratio on postoperative day 3 needs careful monitoring and appropriate interventions to improve the postoperative morbidities and in-hospital mortality. Bioelectrical impedance analysis could be a simple, easy and useful tool to monitor the volume status of patients who requiring intensive fluid resuscitation after abdominal surgery.
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Citations
Citations to this article as recorded by  - Effect of rigorous fluid management using monitoring of ECW ratio by bioelectrical impedance analysis in critically ill postoperative patients: A prospective, single-blind, randomized controlled study
Yoon Ji Chung, Gyeo Ra Lee, Hye Sung Kim, Eun Young Kim
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Life.2023; 13(5): 1119. CrossRef - Reducing In-Hospital and 60-Day Mortality in Critically Ill Patients after Surgery with Strict Nutritional Supplementation: A Prospective, Single-Labeled, Randomized Controlled Trial
Kyoung Moo Im, Eun Young Kim
Nutrients.2023; 15(21): 4684. CrossRef - Bioelectrical Impedance Spectroscopy for Monitoring Mammalian Cells and Tissues under Different Frequency Domains: A Review
Sara Abasi, John R. Aggas, Guillermo G. Garayar-Leyva, Brandon K. Walther, Anthony Guiseppi-Elie
ACS Measurement Science Au.2022; 2(6): 495. CrossRef - Consistency of the estimated target weights and ECW/TBW using BIA after hemodialysis in patients between standing and lying-down positions
Gwangho Choi, Ho Joong Yoon, Young Jin Song, Hae Min Jeong, Jae Eon Gu, Miyeun Han, Seok Hyung Kim, Jong-Woo Yoon, Hyunsuk Kim
BMC Nephrology.2022;[Epub] CrossRef
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