ArticleAnnals of surgery2017
Population-based Assessment of Intraoperative Fluid Administration Practices Across Three Surgical Specialties.
Article in Annals of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed, 25 citations in OpenAlex.
- Intraoperative Hemodynamic Management During Esophagectomy and Implications for Postoperative Care.Journal of the American College of Surgeons · 2026Article
- Delayed ambulation in adult patients after major abdominal surgery in Northwest Ethiopia: a multicenter prospective follow up study.Scientific reports · 2025Article
- Preoperative carbohydrate volume optimization in ERAS-guided minimally invasive gastrectomy: a single-blinded RCT assessing gastric residuals and metabolic safety profiles.Frontiers in surgery · 2025Article
- Impact of Various Fluid Volumes on Mechanical Ventilation Time, Hospitalization Duration, and Hospitalization Cost in Postoperative Patients with Left Ventricular Diastolic Dysfunction Undergoing Non-Cardiac Surgery.Journal of multidisciplinary healthcare · 2023Article
- Correlation of postoperative fluid balance and weight and their impact on outcomes.Langenbeck's archives of surgery · 2020Article
- Postoperative outcomes based on crystalloid administration in pediatric patients with necrotizing enterocolitis undergoing laparotomy.Medicine · 2020Observational
- Reduction in Cardiac Arrhythmias Within an Enhanced Recovery After Surgery Program in Colorectal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Thresholds for optimal fluid administration and weight gain after laparoscopic colorectal surgery.BJS open · 2019Article
- Intraoperative Urine Output Is Associated with Postoperative Outcome in Pediatric Population Undergone Major Abdominal Operations.Therapeutics and clinical risk management · 2019Article
- Statewide Clinic Registries: The Michigan Surgical Quality Collaborative.Clinics in colon and rectal surgery · 2019Review
- Variability of fluid administration during exploratory laparotomy for abdominal trauma.Trauma surgery & acute care open · 2018Article
- Post-operative outcomes of intra-operative restrictive and conventional fluid management in laparoscopic colorectal cancer surgery.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo assess the variation in hospitals' approaches to intraoperative fluid management and their association with postoperative recovery.
backgroundDespite increasing interest in goal-directed, restricted-volume fluid administration for major surgery, there remains little consensus on optimal strategies, due to the lack of institution-level studies of resuscitation practices.
methodsAmong 64 hospitals in a state-wide surgical collaborative, we profiled fluid administration practices during 8404 intestinal resections, 22,854 hysterectomies, and 1471 abdominopelvic endovascular procedures. We computed intraoperative fluid balance, accounting for patient morphometry, crystalloid, colloid, blood products, urine, blood loss, duration, and approach. We stratified hospitals by average fluid balance quartile, and compared patterns across disciplines and associations with risk-adjusted postoperative length of stay (pLOS).
resultsThere was wide variation in fluid balance between hospitals (P < 0.001, all procedures), but significant within-hospital correlation across operations (Pearson rho: intestinal-hysterectomy = 0.50, intestinal-endovascular = 0.36, hysterectomy-endovascular = 0.54, all P < 0.05). Highest fluid balance hospitals had significantly longer adjusted pLOS than lowest balance hospitals for intestinal resection (6.5 vs 5.7 d, P < 0.001) and hysterectomy (1.9 vs 1.7 d, P < 0.001), but not endovascular (2.1 vs 2.3 d, P = 0.69). Risk-adjusted complication rates were not associated with fluid balance rankings.
conclusionsHospitals' approaches to intraoperative fluid administration vary widely, and their practice patterns are pervasive across disparate procedures. High fluid balance hospitals have 12% to 14% longer risk-adjusted pLOS for visceral abdominal surgery, independent of patient complexity and complications. These findings are consistent with evidence that isovolemic resuscitation in enhanced recovery protocols accelerates recovery of bowel function.
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