{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T07:30:05Z","timestamp":1792654205981,"version":"4.5.0"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T00:00:00Z","timestamp":1590105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fluid overload (FO) in critically ill patients is associated with increased adverse events. This study aims to compare different bioelectrical impedance analysis (BIA) parameters that demonstrate FO and their association with 30\u2010day mortality in critical patients admitted to the emergency department (ED).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five components of the BIA were obtained by multifrequency device\u2014total body water (TBW), extracellular water (ECW), intracellular water (ICW), resistance (R), and reactance (Xc)\u2014to calculate parameters (impedance vectors, impedance ratio, and the ratios of ECW to TBW, ECW to ICW, ECW to body surface area, TBW to height<jats:sup>2<\/jats:sup>, ICW to height<jats:sup>2<\/jats:sup>, Xc to height, and R to height) that have been used for the detection of FO. A concordance analysis (\u03ba) was performed comparing every parameter with each other. Furthermore, different regression models (Cox regression) were created associating the FO for each parameter with 30\u2010day mortality, adjusted for age, body mass index, sex, Sequential Organ Failure Assessment score, and serum albumin level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 142 patients were included in the study. Only FO by impedance vector analysis (relative risk [RR] = 6.4; 95% CI, 1.5\u201327.9; <jats:italic>P<\/jats:italic> = .01), impedance ratio (RR = 2.7; 95% CI, 1.1\u20137.1; <jats:italic>P<\/jats:italic> = .04), and R (RR = 2.6; 95% CI, 1.2\u20135.5; <jats:italic>P<\/jats:italic> = .02) increased the probability of 30\u2010day mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Different parameters that determine FO by BIA were associated with the mortality of patients admitted to the ED, but the impedance vector analysis was superior to any other parameter of the BIA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.1848","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T10:18:04Z","timestamp":1590142684000},"page":"414-422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of Bioelectrical Impedance Analysis Parameters for the Detection of Fluid Overload in the Prediction of Mortality in Patients Admitted at the Emergency Department"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3875-0945","authenticated-orcid":false,"given":"Ashuin","family":"Kammar\u2010Garc\u00eda","sequence":"first","affiliation":[{"name":"Emergency Department Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  M\u00e9xico City M\u00e9xico"},{"name":"Secci\u00f3n de Estudios de Posgrado e Investigaci\u00f3n Escuela Superior de Medicina Instituto Polit\u00e9cnico Nacional  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilia","family":"Castillo\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Villanueva\u2010Ju\u00e1rez","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anayeli","family":"P\u00e9rez\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Emergency Department Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9ctor Isaac","family":"Rocha\u2010Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Secci\u00f3n de Estudios de Posgrado e Investigaci\u00f3n Escuela Superior de Medicina Instituto Polit\u00e9cnico Nacional  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Arrieta\u2010Valencia","sequence":"additional","affiliation":[{"name":"Secci\u00f3n de Estudios de Posgrado e Investigaci\u00f3n Escuela Superior de Medicina Instituto Polit\u00e9cnico Nacional  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Remolina\u2010Schlig","sequence":"additional","affiliation":[{"name":"Emergency Department Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9389-9945","authenticated-orcid":false,"given":"Thierry","family":"Hern\u00e1ndez\u2010Gilsoul","sequence":"additional","affiliation":[{"name":"Emergency Department Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  M\u00e9xico City M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1269-6"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-016-3539-6"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.03.025"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.15441\/ceem.14.040"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000050"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc13072"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000356366"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000313727"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2013.08.007"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.00074.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2004.17112.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/HPC.0000000000000105"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-015-0658-x"},{"issue":"6","key":"e_1_2_9_15_1","first-page":"670","article-title":"The phase angle of the electrical impedance is a predictor of long\u2010term survival in dialysis patients","volume":"31","author":"Abad S","year":"2011","journal-title":"Nefrologia"},{"key":"e_1_2_9_16_1","first-page":"79","article-title":"Enrollment fluid status is independently associated with long\u2010term survival of peritoneal dialysis patients","volume":"24","author":"Fein P","year":"2008","journal-title":"Adv Perit Dial"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0133199"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.02.016"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/2048872616641281"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-016-1581-9"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2018-135695"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-016-1292-1"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semnephrol.2011.11.016"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/64.3.436S"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000387"},{"issue":"1","key":"e_1_2_9_26_1","first-page":"67","article-title":"Evaluation of the applicability of bioimpedance in the quantification of body fluid compartments","volume":"9","author":"Palma L","year":"2012","journal-title":"Biomed Biopharm Res"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/61.2.269"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198710223171717"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp603"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01709751"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2011.12.006"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2004.17112.x"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00424-007-0212-8"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvq143"},{"key":"e_1_2_9_35_1","first-page":"104","article-title":"Bioimpedance Vector Analysis (BIVA) for diagnosis and management of acute heart failure","volume":"2","author":"Di Somma S","year":"2014","journal-title":"Curr Emerg Hosp Med Rep"},{"key":"e_1_2_9_36_1","first-page":"15","article-title":"Vectores de impedancia bioel\u00e9ctrica para la composici\u00f3n corporal en poblaci\u00f3n mexicana","volume":"59","author":"Espinosa MA","year":"2007","journal-title":"Rev Invest Clin"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2017.03.013"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2014.00008"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10157-015-1203-2"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-016-1371-3"},{"issue":"6","key":"e_1_2_9_41_1","first-page":"670","article-title":"The phase angle of the electrical impedance is a predictor of long\u2010term survival in dialysis patients","volume":"31","author":"Abad S","year":"2011","journal-title":"Nefrologia"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1159\/000356366"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0000000000000208"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rce.2015.12.004"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjpen.1848","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.1848","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jpen.1848","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.1848","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T10:47:09Z","timestamp":1760870829000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1848"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,22]]},"references-count":43,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1002\/jpen.1848"],"URL":"https:\/\/doi.org\/10.1002\/jpen.1848","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,22]]},"assertion":[{"value":"2019-10-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}