Early positive fluid balance is predictive for venous thromboembolism in critically ill surgical patients
| Autor: | Eric J. Ley, Navpreet K. Dhillon, Geena Conde, Daniel R. Margulies, Samantha Toscano, Ting-Lung Lin, Galinos Barmparas |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Icu patients Time Factors Critical Illness Resuscitation Risk Assessment law.invention 03 medical and health sciences 0302 clinical medicine Positive fluid balance Predictive Value of Tests Risk Factors law Humans Medicine cardiovascular diseases 030212 general & internal medicine Aged Retrospective Studies Retrospective review business.industry Critically ill 030208 emergency & critical care medicine Venous Thromboembolism General Medicine Middle Aged Water-Electrolyte Balance equipment and supplies Intensive care unit Intensive Care Units PULMONARY EMBOLUS Emergency medicine Fluid Therapy Female Surgery business Venous thromboembolism Surgical patients |
| Zdroj: | The American Journal of Surgery. 222:220-226 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2020.08.032 |
| Popis: | Positive fluid balance (FB) in the intensive care unit (ICU) may be a marker for increased venous thromboembolism (VTE) risk. We hypothesized that an early positive fluid balance (FB) would be associated with increased VTE occurrence.A single-center retrospective review of surgical ICU patients was conducted from May 2011 to December 2014. Patients with a VTE were compared to those who did not develop a VTE (NVTE).There were 619 patients analyzed with 77 (12.4%) diagnosed with a VTE; these patients had longer ventilator days (12.3 vs. 5.0 days, p 0.01) and ICU stays (10.3 vs. 6.4 days, p 0.01), and were more likely to have a net FB ≥ 4L over the first three days (62% vs. 44%, p 0.01). A FB ≥ 4L over the first three ICU days was an independent predictor of VTE (AOR 1.74, p = 0.04).Patients with an early positive FB are more likely to develop a VTE. |
| Databáze: | OpenAIRE |
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