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. 2022 May 28;12:46. doi: 10.1186/s13613-022-01022-8

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

Vasopressor-free days

5.5 [0–10] days

vs

5 [0–16] days, p = 0.84

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

Ventilator-free days

14 [0–24] days

vs

8 [0–21] days, p = 0.35

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