Table 3.
Summary of the studies investigating the effects on the outcome of strategies using an assessment of preload responsiveness of critically ill patients
First author (year of publication) |
Number of patients | Number of centres | Primary end-point | Effect of fluid administration* | Effect on mortality* | Other tested effects* | |||
---|---|---|---|---|---|---|---|---|---|
Chen [96] | 82 | 1 | Volume of fluids administered by days 3 and 5 and cumulative fluid balance by days 3 and 5 | Fluid balance at Day-3 |
1 952 [48–5003] mL vs 3 124 [767–10103] mL, p = 0.20 |
In-hospital | 56% vs. 49%, p = 0.51 | Ventilator-free days |
5.5 [0–12.25] days vs 5.5 [0–16.75] days, p =0 .05 |
Need for renal replacement therapy |
41.5% vs 39.0%, p = 0.82 |
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Vasopressor-free days |
5.5 [0–10] days vs 5 [0–16] days, p = 0.84 |
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Richard [97] | 60 | 1 | Duration of cardiovascular failure | Daily volume of fluids for volume expansion |
383 (211 to 604) mL/day vs 917 (639 to 1,511) mL/day, p = 0.01 |
28-day | 23% vs. 47%, p = 0.10 | Time to shock resolution |
2.0 (1.2 to 3.1) days vs 2.3 (1.4 to 5.6) days, p = 0.29 |
Red cell transfusions |
103 (0 to 183) mL vs 178 (82 to 304) mL, p = 0.04 |
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Ventilator-free days |
14 [0–24] days vs 8 [0–21] days, p = 0.35 |
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Douglas [95] | 150 | 13 | Positive fluid balance at 72 h or ICU discharge | Fluid balance at 72 h or ICU discharge |
0.65 ± 2.85 L vs 2.02 ± 3.44 L, p = 0.02 |
30-day | 20% vs. 21%, p = 0.42 | Need for rate of renal replacement therapy |
5.1% vs 17.5%, p = 0.04 |
Need mechanical ventilation | 17.7% ± 34.1%, p = 0.04 |
Results in the intervention arm are presented first, and results in the control arm second. P values <0.05 are indicated in bold.
ICU intensive care unit