Organ support & nutrition

Fluid balance control in critically ill patients: results from as-treated analyses of POINCARE-2 randomized trial

Crit CarePublished Secondary analysis of the POINCARE-2 randomised trial

Authors' conclusion

Actual exposure to POINCARE-2 conservative strategy was not associated with reduced mortality in critically ill patients.

Study context

Population
Adults ≥ 18 years on mechanical ventilation with expected ICU LOS > 24 h
Participants
1,361 adults
Comparison
Exposed vs Not exposed
Primary endpoint
All-cause mortality
Follow-up
60-day
Methodological detailsas-treated analysis, stepped wedge, multiple imputation, instrumental variable analysis, Strategy: daily weighing over 14 days, then fluid restriction, diuretics and/or ultrafiltration
  • As-treated analysis
  • Stepped wedge
  • Multiple imputation
  • Instrumental variable analysis
  • Strategy: daily weighing over 14 days, then fluid restriction, diuretics and/or ultrafiltration

Primary result

As reported in the abstract

60-day all-cause mortality · 60 days
Exposure to the POINCARE-2 strategyOdds ratio (95% CI)
ALR (logistic regression adjusted for confounders)
1.2(0.85–1.55)
IVLR (logistic regression adjusted for an instrumental variable)
1.0(0.76–1.33)

Further findings

Exposure score ≥ 75 by randomised group

Original publication

Fluid balance control in critically ill patients: results from as-treated analyses of POINCARE-2 randomized trial. Crit Care. Published 6 November 2023. doi:10.1186/s13054-023-04701-5

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.