Evidence map›Paper›PMID 38074831›Full record

ArticleAmerican journal of translational research2023

The correlation between early net fluid balance and the clinical outcomes of patients receiving extracorporeal cardiopulmonary resuscitation.

Yanbin Dong, Li'na Mao, Zhongman Zhang, Xielun Li, Wei Li, Yongxia Gao

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Article in American journal of translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yanbin DongDepartment of Emergency, The First Affiliated Hospital of Nanjing Medical University Nanjing 210029, Jiangsu, China.
Li'na MaoDepartment of Emergency, The First Affiliated Hospital of Nanjing Medical University Nanjing 210029, Jiangsu, China.
Zhongman ZhangDepartment of Emergency, The First Affiliated Hospital of Nanjing Medical University Nanjing 210029, Jiangsu, China.
Xielun LiDepartment of Emergency, The First Affiliated Hospital of Nanjing Medical University Nanjing 210029, Jiangsu, China.
Wei LiDepartment of Emergency, The First Affiliated Hospital of Nanjing Medical University Nanjing 210029, Jiangsu, China.
Yongxia GaoDepartment of Emergency, The First Affiliated Hospital of Nanjing Medical University Nanjing 210029, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate correlation between early net fluid balance and the clinical outcomes of patients receiving extracorporeal cardiopulmonary resuscitation (ECPR).

methodsAdult patients on ECPR admitted to the Department of Emergency in the First Affiliated Hospital of Nanjing Medical University from May 2015 to December 2020 were included. Net fluid balance for consecutive 4 days after ECPR was recorded. The primary outcome was survival to intensive care unit (ICU) discharge. We used multivariable logistic regression to assess the association between fluid status and clinical outcomes.

resultsA total of 72 patients were enrolled and divided into two groups: the survivor group and the non-survivor group. The overall rate of survival to ICU discharge was 44.4%. Daily fluid balance (DFB) in the survivor group was lower than that in the non-survivor group at day 4 (-11.47 (-19.74, 8.7) vs. -5.08 (-12.94, 13.9) mL/kg, P=0.046), as was cumulative fluid balance (CFB) over the first 4 days (-36.03 (-51.45, 19.03) vs. -7.22 (-32.79, 21.02) mL/kg, P=0.009). Both continuous renal replacement therapy (CRRT) and CFB from days 1-4 were significantly correlated with survival to ICU discharge (OR=14.617, 95% CI: 1.344, 48.847, P=0.028; OR=1.261, 95% CI: 1.091, 1.375, P=0.003, respectively). CFB from days 1-4 was determined to have a roughly linear association with the log odds of survival to ICU discharge.

conclusionEarly negative fluid balance maybe associated with survival to ICU discharge in patients receiving ECPR.

Indexed as

cardiac arrestcritical careextracorporeal cardiopulmonary resuscitationFluid balance

Identifiers

PMID38074831
PMCPMC10703662

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.