A5012543021- Hemodynamic Monitoring and Therapy
- Cardiac Arrest and Resuscitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Renal function and acid-base balance
- Acute Kidney Injury Research
- Sepsis Diagnosis and Treatment
- Alcoholism and Thiamine Deficiency
- Disaster Response and Management
- Electrolyte and hormonal disorders
- Quality and Safety in Healthcare
- Pharmacy and Medical Practices
- Artificial Intelligence in Healthcare
- Renal Diseases and Glomerulopathies
- Vitamin C and Antioxidants Research
- Poisoning and overdose treatments
- Renal and Vascular Pathologies
- Blockchain Technology Applications and Security
- Biochemical Acid Research Studies
- Blood Pressure and Hypertension Studies
- Trauma and Emergency Care Studies
- Autopsy Techniques and Outcomes
University of Alabama at Birmingham
2022-2025
Children's of Alabama
2024-2025
University of Alabama
2024
Fluid overload (FO), a state of pathologic positive cumulative fluid balance (CFB), is common in Pediatric Intensive Care Units (PICU) and associated with morbidity mortality. Because different PICUs may have unique needs, barriers, limitations to accurately report (FB) reduce FO, understanding the drivers FB needed. We hypothesize CFB >5% >10% within initial days PICU admission, but that reasons for high %CFB will vary across sites, as barriers accurate recording opportunities improve...
ABSTRACT Introduction Fluid overload (FO) due to excessive fluid administration in critically ill children is associated with worse pediatric intensive care unit (PICU) outcomes. Damage intravenous (IVF) production plants Hurricane Helene resulted a national IVF shortage, leading many hospitals implement conservation guidelines. We hypothesized that these guidelines would lead reduction use and decrease % cumulative balance (CFB). Methods Four-site cohort study of utilizing federated data...
Background: Artificial Intelligence (AI) through machine learning (ML) models appears to provide accurate and precise acute kidney injury (AKI) risk classification in some clinical settings, but their performance implementation real-world settings has not been established. Methods: PubMed, EMBASE, Web of Science, Scopus were searched until August 2023. Articles reporting on externally validated for prediction AKI onset, severity, post-AKI complications hospitalized adult pediatric patients...
Introduction Fluid accumulation, presently defined as a pathologic state of overhydration/volume overload associated with clinical impact, is common and worse outcomes. At times, deresuscitation, the active removal fluid via diuretics or ultrafiltration, necessary. There no consensus regarding deresuscitation in children admitted to pediatric intensive care unit. Little known perceptions practices among intensivists nephrologists provision deresuscitation. Methods Cross-sectional electronic...
1Division of Pediatric Critical Care, Department Pediatrics, University Alabama at Birmingham, 2Division Nephrology, Medicine, Correspondence: Dr. Javier A. Neyra, email: [email protected] See related article, "Averaged versus Persistent Reduction in Urine Output to Define Oliguria Critically Ill Patients: An Observational Study," on pages 1089–1097.
Abstract Background Fluid balance gap (FBgap—prescribed vs. achieved) is associated with hospital mortality. Downtime an important quality indicator for the delivery of continuous renal replacement therapy (CRRT). We examined association CRRT downtime FBgap and clinical outcomes including Methods This a retrospective cohort study critically ill adults receiving utilizing both electronic health records (EHR) machine data. was calculated as achieved minus prescribed fluid balance. Downtime, or...
1University of Alabama, Birmingham 2Baylor College Medicine Texas Children's Hospital 3Children's Birmingham, AL