Bioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients
Fluid management is a crucial issue in intensive-care medicine. This study evaluated the feasibility and reproducibility of bioimpedance spectroscopy to measure body-water composition in critically ill patients, and compared fluid balance and daily changes in total body water (TBW) measured by bioim...
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| Veröffentlicht in: | Journal of clinical monitoring and computing 2016-04, Vol.30 (2), p.227-233 |
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| creator | Dewitte, Antoine Carles, Pauline Joannès-Boyau, Olivier Fleureau, Catherine Roze, Hadrien Combe, Christian Ouattara, Alexandre |
| description | Fluid management is a crucial issue in intensive-care medicine. This study evaluated the feasibility and reproducibility of bioimpedance spectroscopy to measure body-water composition in critically ill patients, and compared fluid balance and daily changes in total body water (TBW) measured by bioimpedance. This observational study included 25 patients under mechanical ventilation. Fluid balance and bioimpedance measurements were recorded on 3 consecutive days. Whole-body bioimpedance spectroscopy was performed with exact or ideal body weights entered into the device, and with or without ICU monitoring. Reproducibility of bioimpedance spectroscopy was very good in all conditions despite ICU monitoring and mechanical ventilation. Bioimpedance measurements using an ideal body weight varied significantly, making the weighing procedure necessary. Comparison of fluid balance and daily changes in body weight provided the best correlation (ρ = 0.74;
P
10 (ρ = 0.36;
P
= 0.05) and with extracorporeal circulation (ρ = 0.50;
P
= 0.005). Regardless of the technique used to estimate volume status, important limits of agreement were observed. Non-invasive determination of body-water composition using bioimpedance spectroscopy is feasible in critically ill patients but requires knowledge of the patient’s weight. The best method to assess volume status after fluid resuscitation and the value gained from information about body composition provided by bioimpedance techniques needs further evaluation. |
| doi_str_mv | 10.1007/s10877-015-9706-7 |
| format | Article |
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P
< 0.0001). Daily changes in TBW were correlated with fluid balance (Spearman coefficient ρ = 0.31;
P
= 0.003) and this correlation was improved after exclusion of patients with a SOFA score >10 (ρ = 0.36;
P
= 0.05) and with extracorporeal circulation (ρ = 0.50;
P
= 0.005). Regardless of the technique used to estimate volume status, important limits of agreement were observed. Non-invasive determination of body-water composition using bioimpedance spectroscopy is feasible in critically ill patients but requires knowledge of the patient’s weight. The best method to assess volume status after fluid resuscitation and the value gained from information about body composition provided by bioimpedance techniques needs further evaluation.</description><identifier>ISSN: 1387-1307</identifier><identifier>EISSN: 1573-2614</identifier><identifier>DOI: 10.1007/s10877-015-9706-7</identifier><identifier>PMID: 26018457</identifier><identifier>CODEN: JCMCFG</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Anesthesiology ; Balancing ; Body Water - metabolism ; Body weight ; Cardiology and cardiovascular system ; Computational fluid dynamics ; Critical Care - methods ; Critical Care Medicine ; Critical Illness ; Diagnosis, Computer-Assisted - methods ; Dielectric Spectroscopy - methods ; Feasibility Studies ; Fluid flow ; Fluids ; Health Sciences ; Human health and pathology ; Humans ; Intensive ; Life Sciences ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Monitoring ; Original Research ; Patients ; Plethysmography, Impedance - methods ; Reproducibility of Results ; Sensitivity and Specificity ; Spectroscopy ; Statistics for Life Sciences ; Water - analysis ; Water-Electrolyte Balance ; Water-Electrolyte Imbalance - diagnosis ; Water-Electrolyte Imbalance - physiopathology</subject><ispartof>Journal of clinical monitoring and computing, 2016-04, Vol.30 (2), p.227-233</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>Springer Science+Business Media Dordrecht 2016</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-273c5dd34e1a2261db1e11b2615d23ca4057562032b66db31330f8e239cc5a673</citedby><cites>FETCH-LOGICAL-c512t-273c5dd34e1a2261db1e11b2615d23ca4057562032b66db31330f8e239cc5a673</cites><orcidid>0000-0002-0360-573X ; 0000-0002-7346-7539 ; 0000-0003-4320-898X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10877-015-9706-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10877-015-9706-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26018457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-02469671$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Dewitte, Antoine</creatorcontrib><creatorcontrib>Carles, Pauline</creatorcontrib><creatorcontrib>Joannès-Boyau, Olivier</creatorcontrib><creatorcontrib>Fleureau, Catherine</creatorcontrib><creatorcontrib>Roze, Hadrien</creatorcontrib><creatorcontrib>Combe, Christian</creatorcontrib><creatorcontrib>Ouattara, Alexandre</creatorcontrib><title>Bioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients</title><title>Journal of clinical monitoring and computing</title><addtitle>J Clin Monit Comput</addtitle><addtitle>J Clin Monit Comput</addtitle><description>Fluid management is a crucial issue in intensive-care medicine. This study evaluated the feasibility and reproducibility of bioimpedance spectroscopy to measure body-water composition in critically ill patients, and compared fluid balance and daily changes in total body water (TBW) measured by bioimpedance. This observational study included 25 patients under mechanical ventilation. Fluid balance and bioimpedance measurements were recorded on 3 consecutive days. Whole-body bioimpedance spectroscopy was performed with exact or ideal body weights entered into the device, and with or without ICU monitoring. Reproducibility of bioimpedance spectroscopy was very good in all conditions despite ICU monitoring and mechanical ventilation. Bioimpedance measurements using an ideal body weight varied significantly, making the weighing procedure necessary. Comparison of fluid balance and daily changes in body weight provided the best correlation (ρ = 0.74;
P
< 0.0001). Daily changes in TBW were correlated with fluid balance (Spearman coefficient ρ = 0.31;
P
= 0.003) and this correlation was improved after exclusion of patients with a SOFA score >10 (ρ = 0.36;
P
= 0.05) and with extracorporeal circulation (ρ = 0.50;
P
= 0.005). Regardless of the technique used to estimate volume status, important limits of agreement were observed. Non-invasive determination of body-water composition using bioimpedance spectroscopy is feasible in critically ill patients but requires knowledge of the patient’s weight. The best method to assess volume status after fluid resuscitation and the value gained from information about body composition provided by bioimpedance techniques needs further evaluation.</description><subject>Aged</subject><subject>Anesthesiology</subject><subject>Balancing</subject><subject>Body Water - metabolism</subject><subject>Body weight</subject><subject>Cardiology and cardiovascular system</subject><subject>Computational fluid dynamics</subject><subject>Critical Care - methods</subject><subject>Critical Care Medicine</subject><subject>Critical Illness</subject><subject>Diagnosis, Computer-Assisted - methods</subject><subject>Dielectric Spectroscopy - methods</subject><subject>Feasibility Studies</subject><subject>Fluid flow</subject><subject>Fluids</subject><subject>Health Sciences</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Intensive</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Monitoring</subject><subject>Original Research</subject><subject>Patients</subject><subject>Plethysmography, Impedance - methods</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Spectroscopy</subject><subject>Statistics for Life Sciences</subject><subject>Water - analysis</subject><subject>Water-Electrolyte Balance</subject><subject>Water-Electrolyte Imbalance - diagnosis</subject><subject>Water-Electrolyte Imbalance - physiopathology</subject><issn>1387-1307</issn><issn>1573-2614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUtv1TAQhS0EakvhB7CpLLFhQeiMn8myVECRrsQGFqwsx_EFV86jdoJ0_z1O01aoUsXKI_ubmXN8CHmD8AEB9HlGqLWuAGXVaFCVfkZOUGpeMYXieal5rSvkoI_Jy5yvAaCpOR6RY6YAayH1Cfn5MYw-ejen4GykoZ98ZwfnaZ7WyzG7cTrQeaQ-z6G3s6f7uISOtjbeYmGgLoV5bY4HGmKkk52DH-b8irzY25j967vzlPz4_On75VW1-_bl6-XFrnIS2VwxzZ3sOi48WlZ0dy16xLZUsmPcWQFSS8WAs1apruXIOexrz3jjnLRK81Pyfpv720YzpSIyHcxog7m62JkwZJ96A0yoRmn8gwV_t-FTGm-W4sr0ITsfix0_LtlgDSAaoUH8H9VaoBJSQkHfPkKvxyUNxfdKcV43slkp3ChXPjYnv3_Qi2DWRM2WqCmJmjVRs9o7u5u8tL3vHjruIywA24BcnoZfPv2z-smpfwGmR6mi</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Dewitte, Antoine</creator><creator>Carles, Pauline</creator><creator>Joannès-Boyau, Olivier</creator><creator>Fleureau, Catherine</creator><creator>Roze, Hadrien</creator><creator>Combe, Christian</creator><creator>Ouattara, Alexandre</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7SC</scope><scope>7SP</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-0360-573X</orcidid><orcidid>https://orcid.org/0000-0002-7346-7539</orcidid><orcidid>https://orcid.org/0000-0003-4320-898X</orcidid></search><sort><creationdate>20160401</creationdate><title>Bioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients</title><author>Dewitte, Antoine ; Carles, Pauline ; Joannès-Boyau, Olivier ; Fleureau, Catherine ; Roze, Hadrien ; Combe, Christian ; Ouattara, Alexandre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-273c5dd34e1a2261db1e11b2615d23ca4057562032b66db31330f8e239cc5a673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Anesthesiology</topic><topic>Balancing</topic><topic>Body Water - 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diagnosis</topic><topic>Water-Electrolyte Imbalance - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dewitte, Antoine</creatorcontrib><creatorcontrib>Carles, Pauline</creatorcontrib><creatorcontrib>Joannès-Boyau, Olivier</creatorcontrib><creatorcontrib>Fleureau, Catherine</creatorcontrib><creatorcontrib>Roze, Hadrien</creatorcontrib><creatorcontrib>Combe, Christian</creatorcontrib><creatorcontrib>Ouattara, Alexandre</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest advanced technologies & aerospace journals</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Journal of clinical monitoring and computing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dewitte, Antoine</au><au>Carles, Pauline</au><au>Joannès-Boyau, Olivier</au><au>Fleureau, Catherine</au><au>Roze, Hadrien</au><au>Combe, Christian</au><au>Ouattara, Alexandre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients</atitle><jtitle>Journal of clinical monitoring and computing</jtitle><stitle>J Clin Monit Comput</stitle><addtitle>J Clin Monit Comput</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>30</volume><issue>2</issue><spage>227</spage><epage>233</epage><pages>227-233</pages><issn>1387-1307</issn><eissn>1573-2614</eissn><coden>JCMCFG</coden><abstract>Fluid management is a crucial issue in intensive-care medicine. This study evaluated the feasibility and reproducibility of bioimpedance spectroscopy to measure body-water composition in critically ill patients, and compared fluid balance and daily changes in total body water (TBW) measured by bioimpedance. This observational study included 25 patients under mechanical ventilation. Fluid balance and bioimpedance measurements were recorded on 3 consecutive days. Whole-body bioimpedance spectroscopy was performed with exact or ideal body weights entered into the device, and with or without ICU monitoring. Reproducibility of bioimpedance spectroscopy was very good in all conditions despite ICU monitoring and mechanical ventilation. Bioimpedance measurements using an ideal body weight varied significantly, making the weighing procedure necessary. Comparison of fluid balance and daily changes in body weight provided the best correlation (ρ = 0.74;
P
< 0.0001). Daily changes in TBW were correlated with fluid balance (Spearman coefficient ρ = 0.31;
P
= 0.003) and this correlation was improved after exclusion of patients with a SOFA score >10 (ρ = 0.36;
P
= 0.05) and with extracorporeal circulation (ρ = 0.50;
P
= 0.005). Regardless of the technique used to estimate volume status, important limits of agreement were observed. Non-invasive determination of body-water composition using bioimpedance spectroscopy is feasible in critically ill patients but requires knowledge of the patient’s weight. The best method to assess volume status after fluid resuscitation and the value gained from information about body composition provided by bioimpedance techniques needs further evaluation.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>26018457</pmid><doi>10.1007/s10877-015-9706-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0360-573X</orcidid><orcidid>https://orcid.org/0000-0002-7346-7539</orcidid><orcidid>https://orcid.org/0000-0003-4320-898X</orcidid></addata></record> |
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| ispartof | Journal of clinical monitoring and computing, 2016-04, Vol.30 (2), p.227-233 |
| issn | 1387-1307 1573-2614 |
| language | eng |
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| source | MEDLINE; SpringerLink |
| subjects | Aged Anesthesiology Balancing Body Water - metabolism Body weight Cardiology and cardiovascular system Computational fluid dynamics Critical Care - methods Critical Care Medicine Critical Illness Diagnosis, Computer-Assisted - methods Dielectric Spectroscopy - methods Feasibility Studies Fluid flow Fluids Health Sciences Human health and pathology Humans Intensive Life Sciences Male Medicine Medicine & Public Health Middle Aged Monitoring Original Research Patients Plethysmography, Impedance - methods Reproducibility of Results Sensitivity and Specificity Spectroscopy Statistics for Life Sciences Water - analysis Water-Electrolyte Balance Water-Electrolyte Imbalance - diagnosis Water-Electrolyte Imbalance - physiopathology |
| title | Bioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients |
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