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81
Estimation of body fluid status by fluid balance and body weight in critically ill adult patients: A systematic review
In: Research outputs 2014 to 2021 (2019)
Abstract: Background: The charting of daily fluid balances and measurement of body weight changes are two noninvasive methods commonly used in the intensive care unit for estimating body fluid status. The determination of body fluid status plays an important role in the management of critically ill patients where aggressive fluid resuscitation is often required. This can adversely affect patient outcomes if changes in fluid distribution are not detected early in patients who are susceptible to fluid overload. Aim: To synthesize the best available evidence on the accuracy of daily fluid balance charting compared with the measurement of body weight for the estimation of body fluid status in critically ill adult patients. Methods: The review considered studies that investigated the accuracy of charting daily fluid balances or changes in body weight measurements or used both noninvasive methods in the estimation of body fluid status. The search sought to identify published, English language studies from 1980 until February 2018. Databases searched included MEDLINE, CINAHL, EMBASE, TRIP, Scopus, TROVE, ProQuest Dissertations, Australian and New Zealand Trials Registry, and Cochrane Central Register of Clinical Trials. Three reviewers independently assessed retrieved studies that matched inclusion criteria using standardized critical appraisal instruments. Results: The review included 13 cohort studies. Effectiveness of daily fluid balance charting was affected by inaccuracies observed in seven studies. Inability to obtain consecutive daily body weight measurements reduced the accuracy of monitoring changes in five studies. Seven studies found measurement of daily fluid balance inconsistent with changes in body weight. Linking Evidence to Action: The accuracy of charting fluid balance is suspect. Measurement of body weight is hard to accomplish. A combination of the two commonly used methods is more likely to be effective in estimating body fluid status than reliance on one single approach.
Keyword: accuracy; adult; body fluid; body weight; body weight change; Cinahl; clinical trial (topic); Cochrane Library; cohort analysis; controlled study; critical care; critically ill patient; Embase; English (language); female; fluid balance; human; intensive care; male; Medline; New Zealand; non invasive procedure; Nursing; review; Scopus; systematic review
URL: https://doi.org/10.1111/wvn.12394
https://ro.ecu.edu.au/ecuworkspost2013/7341
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82
Analysis of academic procrastination in professional students of a tertiary training programme
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83
Factors that influence the efficacy of professional development in digital technologies for New Zealand primary school teachers
Westcott, Toni. - 2019
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84
A close look at Chinese immigrants in New Zealand : my language, my identity
Gu, Jiajun (Leslie). - 2019
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85
Varied starting points and pathways : a duoethnographic exploration of 'diverse' students' uneven capacities to aspire to doctoral education
Burford, J.; Mitchell, Cat. - : Høgskolen i Oslo og Akershus, 2019
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86
Student perspectives of secondary to tertiary transitions : influences on the decision making process
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87
Varied starting points and pathways : a duoethnographic exploration of 'diverse' students' uneven capacities to aspire to doctoral education
Burford, J.; Mitchell, Cat. - : Høgskolen i Oslo og Akershus, 2019
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88
Analysis of academic procrastination in professional students of a tertiary training programme
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89
Dwindling attendance of classes by students
Sinclair, Anne Marie. - : Southern Institute of Technology (SIT), 2019
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90
Varied starting points and pathways : a duoethnographic exploration of 'diverse' students' uneven capacities to aspire to doctoral education
Burford, J.; Mitchell, Cat. - : Høgskolen i Oslo og Akershus, 2019
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91
Student perspectives of secondary to tertiary transitions : influences on the decision making process
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92
Analysis of academic procrastination in professional students of a tertiary training programme
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93
Factors that influence the efficacy of professional development in digital technologies for New Zealand primary school teachers
Westcott, Toni. - 2019
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94
Student perspectives of secondary to tertiary transitions : influences on the decision making process
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95
E-picture books : the perspectives of New Zealand parents and early childhood teachers on young children’s use of e-picture books as an emergent literacy tool
Helmling, Lisa. - 2019
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96
A close look at Chinese immigrants in New Zealand : my language, my identity
Gu, Jiajun (Leslie). - 2019
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97
What metaphors tell us about the market: reconciling linguistics, cognition and pragmatics in order to understand the impact of metaphor use on society
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98
Culturally inclusive pedagogies
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99
What metaphors tell us about the market: reconciling linguistics, cognition and pragmatics in order to understand the impact of metaphor use on society
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100
Culturally inclusive pedagogies
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