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Extracellular Water to Total Body Water Ratio in Septic Shock Patients Receiving Protocol-Driven Resuscitation Bundle Therapy

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Abstract
(1) Bio-electrical impedance analysis (BIA) is a rapid, simple, and noninvasive tool for evaluating the metabolic status and for assessing volume status in critically ill patients. Little is known, however, the prognostic value of body composition analysis in septic shock patients. This study assessed the association between parameters by body composition analysis and mortality in patients with septic shock in the emergency department (ED). (2) Data were prospectively collected on adult patients with septic shock who underwent protocol-driven resuscitation bundle therapy between December 2019 and January 2021. The primary outcome was 30-day mortality. (3) The study included 261 patients, the average ratio of extracellular water (ECW) to total body water (TBW) was significantly higher in non-survivors than in survivors (0.414 vs. 0.401, p < 0.001). Multivariate analysis showed that ECW/TBW >= 0.41 (odds ratio (OR), 4.62; 95% confidence interval (CI), 2.31-9.26, p < 0.001), altered mental status (OR, 2.88; 95% CI, 1.28-6.46, p = 0.010), and lactate level (OR, 1.24; 95% CI, 1.12-1.37, p < 0.001) were significantly associated with 30-day mortality in patients with septic shock. (4) ECW/TBW >= 0.41 may be associated with 30-day mortality in patients with septic shock receiving protocol-driven resuscitation bundle therapy in the ED.
Author(s)
김상민김원영김윤정신요셉유승목채보라홍석인
Issued Date
2021
Type
Article
Keyword
bio-electrical impedance analysisBody compositionbody fluid compositionCancerECWECW/TBWHypotensionLaboratoriesMortalityPatientsSepsisseptic shockTBW
DOI
10.3390/jcm10132917
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8300
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_bbd404f073ba4a5189480d2a336c6674&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Extracellular%20Water%20to%20Total%20Body%20Water%20Ratio%20in%20Septic%20Shock%20Patients%20Receiving%20Protocol-Driven%20Resuscitation%20Bundle%20Therapy&amp;offset=0&amp;pcAvailability=true
Publisher
JOURNAL OF CLINICAL MEDICINE
Location
미국
Language
영어
ISSN
2077-0383
Citation Volume
10
Citation Number
13
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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