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January 1, 2011Critical Care Research and PracticeOpen Access

72-hour positive fluid balance linked to higher mortality and prolonged ventilation in pediatric ALI.

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Why the study?

The association between positive fluid balance and clinical outcomes in pediatric patients with acute lung injury was unclear.

Population

320 pediatric patients with acute lung injury

Comparison

Positive fluid balance vs lower or negative fluid balance

Design

Post-hoc analysis of previously collected data

Follow-up

First 72 hours after ALI in the PICU

Key result

Positive fluid balance during the first 72 hours was associated with a significant increase in mortality and prolonged mechanical ventilation in pediatric patients with acute lung injury.

Authors

HFHeidi R. FloriGCGwynne ChurchKLKathleen D. Liu

Discussion

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Overview

May support fluid-restrictive approaches in pediatric ALI; extends adult data but remains hypothesis-generating.

Study Design

Type

Cohort (n=320)

PICO

P
Population
320 pediatric patients with acute lung injury analyzed for cumulative fluid balance over the first 72 hours in the pediatric intensive care unit.
E
Exposure / Comparator
Positive fluid balance
O
Primary Outcome
Mortality

Cite This Study

Flori et al. (2011) conducted a cohort in Acute lung injury (ALI) (n=320). Positive fluid balance was evaluated on Mortality. Positive fluid balance during the first 72 hours was associated with a significant increase in mortality and prolonged mechanical ventilation in pediatric patients with acute lung injury.

synapsesocial.com/papers/6aaca18e30dfd3dafaca0bb7https://doi.org/10.1155/2011/854142
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Also Consider

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  4. 4Positive fluid balance and poor outcomes after initial intensive care unit admission in sepsis resuscitation: a retrospective study2024
  5. 5A positive fluid balance is an independent prognostic factor in patients with sepsis2015 · 506 citations