2020, Number 3
Rev CONAMED 2020; 25 (3)
Fluid overload in hospitalized patients at a second-level institution in Mexico
Sánchez TDF, Tlacuílo MÁ, Arias GA
Language: Spanish
References: 11
Page: 107-114
PDF size: 145.18 Kb.
ABSTRACT
Introduction: Fluid overload is defined as a positive accumulated balance of liquids, which represents a mechanism of acute decompensation associated with the worsening of symptoms, late hospitalization or even death. The objective is to determine the influence of fluid overload on the evolution of hospitalized patients, as well as to know the service that has the highest prevalence of water overload. Material and methods: A cross-sectional, comparative and retrospective study was developed. The sample was 387 hospitalized patients, cross-sectional comparisons between groups for quantitative variables were performed by analysis of variance. Tukey’s contrast test and Pearson’s correlation analysis were applied. Results: A global prevalence of patients with fluid overload (› 10%) of 7.75% (n = 30) was found. In the nursing sheets, the registry of 250 patients coincided, that is, 66.6% of the cases, in the remaining (33.4%) differences were found in the quantification of the water balance. Finding that there is no significant statistical relationship between the overload index › 10% and the days of hospital stay in any service (r ≤ 0.01; p = 0.94) Conclusions: It was emphasized that the nursing staff and health team involved In the management of electrolytic fluids of the hospitalized patient it is of great importance for their discharge, since it is essential to avoid complications derived from fluid overload where organic failures predominate, in addition to providing good hospital management during their stay and reducing costs in the health care.REFERENCES
Kelm DJ, Perrin JT, Cartin-Ceba R, Gajic O, Schenck L, Kennedy CC. Fluid overload in patients with severe sepsis and septic shock treated with early goal-directed therapy is associated with increased acute need for fluid-related medical interventions and hospital death. Shock. 2015; 43 (1): 68-73. doi: 10.1097/SHK.0000000000000268.