title: [Pilot study of intravenous fluid therapy management in adult patients at a tertiary care hospital].
abstract: The purpose of intravenous fluid therapy (IFT) is to maintain or restore internal equilibrium by administering fluids and/or different electrolyte components. Its correct use and the prevention of complications arising from their misuse depend on the knowledge of the medical team on this subject. We analyzed this issue in different clinical areas of a tertiary hospital.
  
  
  METHODS
  We performed a descriptive cross-sectional pilot study via a questionnaire given to physicians specializing in internal medicine (IM) and digestive system surgery (SDS) who perform clinical practice in hospital units with unit dose drug dispensing system. We designed an anonymous questionnaire with 25 questions relative to knowledge of theory and practices, as well as the opinion of physicians regarding IFT. We evaluated the association between nominal qualitative variables with the Chi-square or Fisher's exact test. The behavior of the quantitative variables was assessed using the t-student test. The analysis of the data was generated using SAS/STAT, Version 9.
  
  
  RESULTS
  28 questionnaires were collected from 13 surgeons and 15 digestive interns. Over 40% of specialists considered further education in IFT a necessity , especially regarding its prescription (SDS: 61.54%, IM: 71.43%). No statistically significant differences were found between the specialties in terms of perceived frequency of complications associated with IFT or in the frequency indication with the exception of hypovolemic shock, which is considered to be more prevalent in gastrointestinal surgery (p = 0.046). 90% of professionals prefer an individualized prescription. Statistically significant differences in terms of scores in the area of knowledge, with IM physicians achieving the highest scores (p = 0.014). There were also differences in attitude but they are not significant (p = 0.162). Knowledge of intravenous fluid increases with years of clinical experience (Spearman correlation coefficient = 0.386, p = 0.047).
  
  
  CONCLUSIONS
  The professionals who prescribe IFT perceive the need to design IFT training programs, together with the production of guides and consensus protocols.
authors.affiliation: Servicio de Farmacia y Unidad de Nutrición Clínica, Hospital Universitario 12 de Octubre, Madrid, España.
authors.forename: A Ma
authors.initials: AM
authors.lastname: Cordero Cruz
authors.forename: J M
authors.initials: JM
authors.lastname: Moreno Villares
authors.forename: P
authors.initials: P
authors.lastname: Gomis Muñoz
authors.forename: Ma Á
authors.initials: MÁ
authors.lastname: Valero Zanuy
authors.forename: M Á
authors.initials: MÁ
authors.lastname: Calleja Hernández
mesh_terms: D000328:Adult; D019090:Case Management; D003430:Cross-Sectional Studies; D013505:Digestive System Surgical Procedures; D005440:Fluid Therapy / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006761:Hospitals; D006801:Humans; D007262:Infusions, Intravenous; D010820:Physicians; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D063128:Tertiary Health Care