Fluid resuscitation based on pulse contour cardiac output monitoring is associated with improved prognosis in adult severe burn patients: a retrospective cohort study
| العنوان: | Fluid resuscitation based on pulse contour cardiac output monitoring is associated with improved prognosis in adult severe burn patients: a retrospective cohort study |
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| المؤلفون: | Guozhong Lv, M L Yang, Lintao Ding, Guoping Chu, Jia Cheng, Yugang Zhu |
| المصدر: | Annals of Palliative Medicine. 10:10904-10912 |
| بيانات النشر: | AME Publishing Company, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Advanced and Specialized Nursing, ARDS, Resuscitation, Cardiac output, Pulse (signal processing), business.industry, Incidence (epidemiology), Retrospective cohort study, Prognosis, medicine.disease, Logistic regression, Anesthesiology and Pain Medicine, Anesthesia, medicine, Fluid Therapy, Humans, Cardiac Output, Risk factor, Burns, business, Aged, Retrospective Studies |
| الوصف: | BACKGROUND A monitoring method is needed to further guide fluid resuscitation in severe burn injury. This study was performed to investigate the effects of pulse contour cardiac output (PCCO) monitoring on the prognosis of adult severe burns patients. METHODS We conducted a retrospective study enrolling patients from January 2015 to December 2020, who were divided into a control group receiving conventional monitoring and a study group receiving PCCO monitoring. The primary outcomes were 28-day mortality and total mortality, and the secondary outcomes included burn-related complications and the length of hospital stay and ICU stay. Multivariable logistic regression analysis and linear regression analysis were performed to determine the risk factors of burns-related complications and length of hospital stay in enrolled patients. RESULTS A total of 109 patients in the control group and 82 patients in the study group were enrolled. While the area of full thickness burn was much higher in the control group than in the study group (P=0.021), no significant difference was found in other characteristics between the two groups. During fluid resuscitation, the fluid volume ratio of the study group was significantly different from that of the control group, and both in the first 24 hours and the second 24 hours, the resuscitation fluid volume ratio and colloid volume ratio was significantly higher in the control group than in the study group (all P |
| تدمد: | 2224-5839 2224-5820 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5995a1bc1eb2d253634641a3e7f896e6 https://doi.org/10.21037/apm-21-2587 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....5995a1bc1eb2d253634641a3e7f896e6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22245839 22245820 |
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