Fluids administration to seriously ill patients and its relationship with mortality

Authors

Keywords:

fluid therapy, serious state of the patient, water electrolyte balance, mortality.

Abstract

Introduction: Fluids administration constitutes one of the treatment pillars in patients admitted to Intensive Care Unit in which the inadequate reanimation and overload of volume worsen the prognosis. 

Objective: To characterize the state of fluid administration to patients admitted to the Intensive Cares Units of Dr. Antonio Luaces Iraola Teaching General Hospital in Ciego de Ávila and its relationship with mortality. 

Methods: An analytic and prospective descriptive study of 147 patients admitted to the Intensive Cares Units of Dr. Antonio Luaces Iraola Teaching General Hospital was carried out in Ciego de Ávila during the first semester of 2020, for which 598 tests of fluids, some hemodynamic variables and the balance of liquids were evaluated in the first 72 hours of admission.  

Results: The average age was 48.3 years, there was a prevalence of women (55.8 %), the punctuation of APACHE II at admission was 14.2 points and 22.4 % of those affected died. To administer fluids the clinical approach prevailed (57.2 %); while the central venous pressure, heart frequency, the mean arterial pressure and diuresis were similar in alive and dead patients. The accumulated balance of fluids was significantly higher in the group of dead patients (1984.70 mL vs 260 mL).  

Conclusions: The changes in the vital parameters after administering fluids were not useful to evaluate the response to the volume. The accumulated balance of fluids was related to mortality in a significant way.    

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References

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Published

2022-05-30

How to Cite

1.
Moyano alfonso I, Frenández Hernández JA. Fluids administration to seriously ill patients and its relationship with mortality. MEDISAN [Internet]. 2022 May 30 [cited 2025 Jun. 2];26(3):e3708. Available from: https://medisan.sld.cu/index.php/san/article/view/3708

Issue

Vol. 26 No. 3 (2022): MAYO-JUNIO

Section

Original Articles

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