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Online Publishing Date:
29 / 06 / 2022

 


Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients

Monira Taha Ismail, Nermin Samir Anis, Mohamed Fawzy Abdel Aal, Mohamed Amin Ali.


Abstract
Introduction: Hypovolemia is the commonest cause of shock and death in traumatic patients, resulting in multiple organ failures due to inadequate circulating volume and subsequent inadequate oxygen perfusion to organs and tissues.
Fluid disturbance and resuscitation can be assessed and monitored by clinical observation by an invasive or non-invasive method. One of the non-invasive methods is urine osmolality, an easy and non-complicated method.
Objective: Enhance the management of traumatic hypovolemic shock in the emergency department through rapid evaluation of quantity and quality of hydration by a single physiological non-invasive method: urine osmolality.
Methods: This diagnostic cross-sectional comparative study was conducted in the emergency department and randomly 40 patients with hypovolemic shock after severe major trauma during the preceding 8 hours according to the inclusion and exclusion criteria. Assessment is done according to the primary survey for multiple trauma patients (ABCDE) approaches.
Results: The urine osmolality was significantly decreased during follow-up, from 1009±103.2 mOsm/kg H2O at admission to 759.8±69.1 mOsm/kg H2O at 8 hours (p<0.0001), with about -25% change percent. The CVP was significantly increased during follow-up, from 5.0±1.9 cmH2O at admission to 8.7±2.6 cmH2O at 8 hours (p<0.0001), with a 74% change percent. There was a significant intermediate correlation between urine osmolality and CVP in the studied population (r=0.36, p=0.025).
Conclusion: Urine osmolality had good diagnostic values (86.0%) compared to CVP in monitoring resuscitation of traumatic hypovolemic patients.

Key words: Hypovolemia, Polytrauma, Urine Osmolality


 
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How to Cite this Article
Pubmed Style

Ismail MT, Anis NS, Aal MFA, Ali MA. Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients. Int J Surg Med. 2022; 8(2): 51-58. doi:10.5455/ijsm.136-1647194080

Web Style

Ismail MT, Anis NS, Aal MFA, Ali MA. Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients. https://www.ejos.org/?mno=101629 [Access: February 20, 2024]. doi:10.5455/ijsm.136-1647194080

AMA (American Medical Association) Style

Ismail MT, Anis NS, Aal MFA, Ali MA. Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients. Int J Surg Med. 2022; 8(2): 51-58. doi:10.5455/ijsm.136-1647194080


Vancouver/ICMJE Style

Ismail MT, Anis NS, Aal MFA, Ali MA. Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients. Int J Surg Med. (2022), [cited February 20, 2024]; 8(2): 51-58. doi:10.5455/ijsm.136-1647194080


Harvard Style

Ismail, M. T., Anis, . N. S., Aal, . M. F. A. & Ali, . M. A. (2022) Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients. Int J Surg Med, 8 (2), 51-58. doi:10.5455/ijsm.136-1647194080


Turabian Style

Ismail, Monira Taha, Nermin Samir Anis, Mohamed Fawzy Abdel Aal, and Mohamed Amin Ali. 2022. Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients. International Journal of Surgery and Medicine, 8 (2), 51-58. doi:10.5455/ijsm.136-1647194080


Chicago Style

Ismail, Monira Taha, Nermin Samir Anis, Mohamed Fawzy Abdel Aal, and Mohamed Amin Ali. "Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients." International Journal of Surgery and Medicine 8 (2022), 51-58. doi:10.5455/ijsm.136-1647194080


MLA (The Modern Language Association) Style

Ismail, Monira Taha, Nermin Samir Anis, Mohamed Fawzy Abdel Aal, and Mohamed Amin Ali. "Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients." International Journal of Surgery and Medicine 8.2 (2022), 51-58. Print. doi:10.5455/ijsm.136-1647194080


APA (American Psychological Association) Style

Ismail, M. T., Anis, . N. S., Aal, . M. F. A. & Ali, . M. A. (2022) Value of Urine Osmolality as a Monitoring Tool in Comparison with Central Venous Pressure in Resuscitation of Traumatic Hypovolemic Patients. International Journal of Surgery and Medicine, 8 (2), 51-58. doi:10.5455/ijsm.136-1647194080


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