title: Influence of Fluid Balance on Morbidity and Mortality in Critically Ill Patients With Acute Kidney Injury.
abstract: BACKGROUND
  Fluid management in critically ill patients with acute kidney injury (AKI) is controversial. Our study is aimed to evaluate the association between fluid balance and patient outcome in AKI patients admitted to intensive care unit (ICU).
  
  
  METHODS
  This prospective study was carried out at Lilavati Hospital and Research Centre on 130 critically ill patients with AKI admitted to ICU. Mean daily fluid balance (MDFB) was measured and its correlation with clinical characteristics and outcomes was assessed.
  
  
  RESULTS
  During ICU stay, 48.2% patients had a positive and 52.8% had a negative MDFB. In the patients with positive MDFB, mean ICU stay was longer and ventilation requirement, duration of ventilation, inotrope requirement, and duration of inotrope were greater as compared to the group with negative MDFB. A significantly higher mortality rate were observed in the patients with positive MDFB as compared to negative MDFB (43.5% versus 7.4%).
  
  
  CONCLUSIONS
  Negative fluid balance was independently associated with a significant reduction in mortality, ICU stay, ventilator requirement, and the need for renal replacement among critically ill patients with AKI.
authors: Anup P
authors: AP
authors: Chaudhari
authors: Division of Nephrology, Department of Medicine, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka State, India. dr_pavanm@yahoo.co.in.
authors: Malleshappa
authors: M
authors: Pavan
authors: Hemant J
authors: HJ
authors: Mehta
mesh_terms: D058186:Acute Kidney Injury / Q000188:drug therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016638:Critical Illness; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D007194:India; D007362:Intensive Care Units; D053208:Kaplan-Meier Estimate; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011446:Prospective Studies; D012121:Respiration, Artificial; D014882:Water-Electrolyte Balance; D055815:Young Adult