Hemodynamics, fluids & transfusion

Agreement Between Methods Assessing Changes in Plasma Volume During Fluid Therapy—A Post Hoc Analysis of a Randomized Trial

Acta Anaesthesiol ScandPublished Post hoc analysis of a randomised trial

Authors' conclusion

The anthropometric formula yields low precision in predicting plasma volumes in postsurgical patients. Changes in hematocrit during fluid therapy cannot replace the reference method to assess changes in plasma volume in the individual patient because of the imprecision.

Study context

Population
Postoperative patients receiving 10 mL/kg of albumin
Participants
64 patients
Comparison
Anthropometric method and calibrated (haematocrit-based) method vs reference method (radiolabeled albumin) for plasma volume
Primary endpoint
Agreement in plasma volume between methods (Bland-Altman mean difference and LOA)
Follow-up
Baseline, 30 and 180 min
Methodological detailsmethod agreement study, Bland-Altman analysis
  • Method agreement study
  • Bland-Altman analysis

Primary result

As reported in the abstract

Plasma volume agreement vs reference method
Each group vs reference methodMean difference, mL/kg (95% CI)
Anthropometric methodat baseline; LOA −18.0 and 17.0 mL/kg
−0.1(−2.1 to 1.8)
Anthropometric methodafter fluid therapy; LOAs −18.0 and 17.0 mL/kg
−0.1(−1.8 to 1.5)
Calibrated methodLOAs −9.4 and 9.2 mL/kg
−0.1(−0.9 to 0.7)

Original publication

Agreement Between Methods Assessing Changes in Plasma Volume During Fluid Therapy—A Post Hoc Analysis of a Randomized Trial. Acta Anaesthesiol Scand. Published 4 June 2026. doi:10.1111/aas.70271

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