Evidence map›Paper›PMID 42132113›Full record

ArticleNursing in critical care2026

Inconsistency in Fluid Balance Calculations in UK Paediatric Intensive Care Units: A Short Research Report.

Lyvonne N Tume, Lindsay Kenworthy, Angela Aramburo

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lyvonne N TumeEdge Hill University, Ormskirk, UK.ORCID https://orcid.org/0000-0002-2547-8209
Lindsay KenworthyPICU, Alder Hey Children's NHS FT, Liverpool, UK.
Angela AramburoRoyal Brompton Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In critically ill children, an accurate fluid balance record is important, especially in small children. Before a multicentre trial begins, we wanted to ascertain what fluids nurses included in their intake across UK Paediatric Intensive Care Units (PICUs). A cross-sectional electronic survey was sent to all UK Paediatric Intensive Care Units (PICUs) nurse educators. Thirty responses representing 23 PICUs revealed substantial variation, with many units excluding flushes after intravenous or enteral drugs and very few recording flushes given after blood sampling or blood gas analysis. In many PICUs, fluid balance charts predominantly captured intravenous infusions and drugs only. These omissions risk unrecognised 'fluid creep' and highlight a clear target for nurse education before conservative fluid management trials.

Indexed as

Critical Care NursingFluid TherapyIntensive Care Units, PediatricProcess Assessment, Health CareChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleSurveys and QuestionnairesUnited KingdomWater-Electrolyte Balancechildcritical carefluid balance chartfluid calculationsneonate

Identifiers

PMID42132113
PMCPMC13173599

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.