Divergence Between Net Fluid and Weight-Based Evaluation in Calculating Cumulative Fluid Balance

Critical Care Explorations 2026 Open access

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Authors: Finley J. Shinnick, Denise Hasson, Ulka Kothari, Ami A. Shah, James D. Odum, Chloe Grace Braun, Celeste Dixon, Julie C. Fitzgerald, Susan D. Martin, Nina L. J. Terry, Adam C. Dziorny, on behalf of the Evidence-Driven Evaluation and Management of fluid Accumulation (EDEMA) Collaborative
DOI: 10.1097/cce.0000000000001411
Cited by: 1
References: 25

Abstract

ABSTRACT Objective Although efforts have been made to standardize fluid balance calculations in the intensive care unit (ICU), there is a limited understanding of how different calculation methods relate to one another across an ICU admission. We quantified the agreement between the cumulative fluid balance calculated from fluid intake and output (CFBf) and from serial weights (CFBw) in critically ill children during the first week of ICU admission. Design Retrospective, multicenter, federated observational study. Setting Four pediatric medical-surgical ICUs (PICU) and two pediatric cardiac ICUs (PCICU) from four tertiary care centers. Patients Analysis included 8,895 pediatric patients (

Fields of Study & Subjects

Sepsis Diagnosis and Treatment Hemodynamic Monitoring and Therapy Acute Kidney Injury Research

Publication details

Journal / source
Critical Care Explorations
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
8
Issue
6
Pages
e1411–e1411
Publication date
1 June 2026
Language
EN