The purpose of this study is to determine if routinely recording fluid balance in sick neonates admitted to the pediatric ward is reliable and useful. The investigators' hypothesis is that it is not useful and reliable.
Fluid balance charts are commonly used, in the Netherlands, to assess patient fluid volume status. Some disadvantages of recording fluid intake and output are that it is time-consuming and complex. If it would give reliable and accurate information about the fluid volume status there would be a good reason for all this effort. In the few researches that have investigated this subject a low correlation has been found between the fluid balance and the weight changes of an adult patient. Own experience gives reasons to doubt about the reliability of the fluid balance in children, not rarely there is a discrepancy between the fluid balance and the weight measurement. We are interested in the relevance of recording fluid balance in neonates.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
170
physician had no insight in the fluid balance chart during the first 3 days of admission of the patient when the balance is recorded
Princess Amalia Children's Clinic
Zwolle, Overijssel, Netherlands
Duration of Admission at the Ward in Days
Duration of hospital stay in days or duration of admission at the pediatric ward in days
Time frame: 1-8 months
Use of Diuretics
prescription of diuretic therapy
Time frame: during days of admission
Complications
notifications of complications
Time frame: duration of admission
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