{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:57:20Z","timestamp":1789131440063,"version":"build-2803163510"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007434","name":"Suzuken Memorial Foundation","doi-asserted-by":"publisher","award":["24-003"],"award-info":[{"award-number":["24-003"]}],"id":[{"id":"10.13039\/100007434","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicalnutritionjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Nutrition"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.clnu.2025.06.004","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T02:40:44Z","timestamp":1749177644000},"page":"81-89","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["Prognostic impact of segmental extracellular water to total body water ratio in cardiovascular surgery patients"],"prefix":"10.1016","volume":"51","author":[{"given":"Kenichi","family":"Shibata","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuji","family":"Adachi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masataka","family":"Kameshima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisako","family":"Kito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chikako","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taisei","family":"Sano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mizuki","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Ida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruna","family":"Jinno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Kitamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clnu.2025.06.004_bib1","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1016\/j.clnu.2024.02.007","article-title":"The severity of early fluid overload assessed by bioelectrical vector impedance as an independent risk factor for longer patient care after cardiac surgery","volume":"43","author":"Sanson","year":"2024","journal-title":"Clin Nutr"},{"issue":"5","key":"10.1016\/j.clnu.2025.06.004_bib2","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1016\/j.clnu.2004.06.004","article-title":"Composition of the ESPEN Working Group. Bioelectrical impedance analysis--part I: review of principles and methods","volume":"23","author":"Kyle","year":"2004","journal-title":"Clin Nutr."},{"key":"10.1016\/j.clnu.2025.06.004_bib3","doi-asserted-by":"crossref","first-page":"2385","DOI":"10.1053\/j.jvca.2020.09.119","article-title":"Fluid status after cardiac surgery assessed by bioelectrical impedance vector analysis and the effects of extracorporeal circulation","volume":"35","author":"Costa","year":"2021","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"4","key":"10.1016\/j.clnu.2025.06.004_bib4","first-page":"344","article-title":"Bioelectric impedance analysis for body composition measurement and other potential clinical applications in critical illness","volume":"27","author":"Moonen","year":"2021","journal-title":"Curr Opin Crit Care"},{"key":"10.1016\/j.clnu.2025.06.004_bib5","doi-asserted-by":"crossref","first-page":"2164","DOI":"10.1016\/j.clnu.2024.07.040","article-title":"Effect of rigorous fluid management using monitoring of ECW ratio by bioelectrical impedance analysis in critically ill postoperative patients: a prospective, single-blind, randomized controlled study","volume":"43","author":"Chung","year":"2024","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnu.2025.06.004_bib6","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1007\/s12603-015-0658-x","article-title":"The associations of malnutrition and aging with fluid volume imbalance between Intra- and extracellular water in patients with chronic kidney disease","volume":"19","author":"Ohashi","year":"2015","journal-title":"J Nutr Health Aging"},{"key":"10.1016\/j.clnu.2025.06.004_bib7","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1093\/ajcn\/85.1.80","article-title":"A whole-body model to distinguish excess fluid from the hydration of major body tissues","volume":"85","author":"Chamney","year":"2007","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.clnu.2025.06.004_bib8","doi-asserted-by":"crossref","first-page":"2543","DOI":"10.1016\/j.tjnut.2023.07.010","article-title":"Comparison of bioelectrical impedance indices for skeletal muscle mass and intracellular water measurements of physically active young men and athletes","volume":"153","author":"Sagayama","year":"2023","journal-title":"J Nutr"},{"key":"10.1016\/j.clnu.2025.06.004_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.archger.2023.104931","article-title":"Association of appendicular extracellular-to-intracellular water ratio with age, muscle strength, and physical activity in 8,018 community-dwelling middle-aged and older adults","volume":"108","author":"Iwasaka","year":"2023","journal-title":"Arch Gerontol Geriatr"},{"key":"10.1016\/j.clnu.2025.06.004_bib10","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1080\/17461391.2014.880192","article-title":"Resistance training promotes increase in intracellular hydration in men and women","volume":"14","author":"Ribeiro","year":"2014","journal-title":"Eur J Sport Sci"},{"issue":"3","key":"10.1016\/j.clnu.2025.06.004_bib11","doi-asserted-by":"crossref","first-page":"190","DOI":"10.21037\/atm-20-5194","article-title":"Bioelectrical impedance analysis for predicting postoperative complications and survival after liver resection for hepatocellular carcinoma","volume":"9","author":"Lee","year":"2021","journal-title":"Ann Transl Med"},{"key":"10.1016\/j.clnu.2025.06.004_bib12","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1159\/000329732","article-title":"Is extracellular volume expansion of peritoneal dialysis patients associated with greater urine output?","volume":"32","author":"Davenport","year":"2011","journal-title":"Blood Purif"},{"key":"10.1016\/j.clnu.2025.06.004_bib13","doi-asserted-by":"crossref","first-page":"338","DOI":"10.5301\/ijao.5000080","article-title":"Extracellular volume expansion in peritoneal dialysis patients","volume":"35","author":"Fan","year":"2012","journal-title":"Int J Artif Organs"},{"key":"10.1016\/j.clnu.2025.06.004_bib14","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1159\/000337338","article-title":"Comparison of volume status in asymptomatic haemodialysis and peritoneal dialysis outpatients","volume":"2","author":"Papakrivopoulou","year":"2012","journal-title":"Nephron Extra"},{"key":"10.1016\/j.clnu.2025.06.004_bib15","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-91819-7","article-title":"Usefulness of bioelectrical impedance analysis and ECW ratio as a guidance for fluid management in critically ill patients after operation","volume":"11","author":"Chung","year":"2021","journal-title":"Sci Rep"},{"key":"10.1016\/j.clnu.2025.06.004_bib16","article-title":"Increased total body extracellular-to-intracellular water ratio in community-dwelling elderly women is associated with decreased handgrip strength and gait speed","volume":"86","author":"Hioka","year":"2021","journal-title":"Nutrition (Burbank, Los Angel Cty, Calif)"},{"issue":"2","key":"10.1016\/j.clnu.2025.06.004_bib17","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0087466","article-title":"Body water distribution and risk of cardiovascular morbidity and mortality in a healthy population: a prospective cohort study","volume":"9","author":"Knudsen","year":"2014","journal-title":"PLoS One"},{"key":"10.1016\/j.clnu.2025.06.004_bib18","article-title":"The clinical application value of the extracellular-water-to-total-body-water ratio obtained by bioelectrical impedance analysis in people with advanced cancer","volume":"96","author":"Zheng","year":"2022","journal-title":"Nutrition (Burbank, Los Angel Cty, Calif)"},{"issue":"1","key":"10.1016\/j.clnu.2025.06.004_bib19","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1253\/circj.CJ-22-0234","article-title":"Japanese circulation Society\/the Japanese Association of Cardiac Rehabilitation joint Working Group. JCS\/JACR 2021 Guideline on Rehabilitation in patients with cardiovascular disease","volume":"87","author":"Makita","year":"2022","journal-title":"Circ J"},{"issue":"4","key":"10.1016\/j.clnu.2025.06.004_bib20","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1152\/jappl.1995.79.4.1316","article-title":"Multifrequency bioelectrical impedance estimates the distribution of body water","volume":"79","author":"Cha","year":"1995","journal-title":"J Appl Physiol"},{"issue":"2","key":"10.1016\/j.clnu.2025.06.004_bib21","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1038\/sj.ejcn.1602049","article-title":"Body water distribution in severe obesity and its assessment from eight-polar bioelectrical impedance analysis","volume":"59","author":"Sartorio","year":"2005","journal-title":"Eur J Clin Nutr"},{"key":"10.1016\/j.clnu.2025.06.004_bib22","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.clnesp.2023.01.026","article-title":"Validity of total body water measured by multi-frequency bioelectrical impedance devices in a multi-ethnic sample","volume":"54","author":"Blue","year":"2023","journal-title":"Clin Nutr ESPEN"},{"issue":"2","key":"10.1016\/j.clnu.2025.06.004_bib23","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1093\/ajcn\/87.2.332","article-title":"Ability of new octapolar bioimpedance spectroscopy analyzers to predict 4-component-model percentage body fat in Hispanic, Black, and white adults","volume":"87","author":"Gibson","year":"2008","journal-title":"Am J Clin Nutr"},{"issue":"1","key":"10.1016\/j.clnu.2025.06.004_bib24","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1038\/s41387-022-00223-1","article-title":"Validation of a multi-frequency bioelectrical impedance analysis device for the assessment of body composition in older adults with type 2 diabetes","volume":"12","author":"Buch","year":"2022","journal-title":"Nutr Diabetes"},{"key":"10.1016\/j.clnu.2025.06.004_bib25","doi-asserted-by":"crossref","first-page":"3931","DOI":"10.21873\/anticanres.14384","article-title":"The association between extracellular water-to-total body water ratio and therapeutic durability for advanced lung cancer","volume":"40","author":"Noda","year":"2020","journal-title":"Anticancer Res"},{"key":"10.1016\/j.clnu.2025.06.004_bib26","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.3390\/nu10081072","article-title":"Extracellular water to total body water ratio in viral liver diseases: a study using bioimpedance analysis","volume":"10","author":"Nishikawa","year":"2018","journal-title":"Nutrients"},{"key":"10.1016\/j.clnu.2025.06.004_bib27","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jamda.2019.12.012","article-title":"Asian working group for sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment","volume":"21","author":"Chen","year":"2020","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.clnu.2025.06.004_bib28","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1197\/j.jht.2005.04.002","article-title":"Reliability and validity of the DynEx dynamometer","volume":"18","author":"Shechtman","year":"2005","journal-title":"J Hand Ther"},{"key":"10.1016\/j.clnu.2025.06.004_bib29","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1093\/ajcn\/82.4.777","article-title":"Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients","volume":"82","author":"Bouillanne","year":"2005","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.clnu.2025.06.004_bib30","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1053\/j.ajkd.2008.12.034","article-title":"Revised equations for estimated GFR from serum creatinine in Japan","volume":"53","author":"Matsuo","year":"2009","journal-title":"Am J Kidney Dis"},{"key":"10.1016\/j.clnu.2025.06.004_bib31","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1016\/0895-4356(95)00048-8","article-title":"Importance of events per independent variable in proportional hazards regression analysis. II. Accuracy and precision of regression estimates","volume":"48","author":"Peduzzi","year":"1995","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.clnu.2025.06.004_bib32","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.xjon.2023.06.003","article-title":"Association between outpatient cardiac rehabilitation and all-cause mortality after cardiovascular surgery: a propensity score-matched analysis","volume":"15","author":"Shibata","year":"2023","journal-title":"JTCVS Open"},{"issue":"2","key":"10.1016\/j.clnu.2025.06.004_bib33","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/sim.2929","article-title":"Evaluating the added predictive ability of a new marker: from area under the ROC curve to reclassification and beyond","volume":"27","author":"Pencina","year":"2008","journal-title":"Stat Med"},{"key":"10.1016\/j.clnu.2025.06.004_bib34","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1038\/bmt.2012.244","article-title":"Investigation of the freely available easy-to-use software \u2018EZR\u2019 for medical statistics","volume":"48","author":"Kanda","year":"2013","journal-title":"Bone Marrow Transplant"},{"issue":"5","key":"10.1016\/j.clnu.2025.06.004_bib35","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.clnu.2023.03.006","article-title":"Normal values for body composition in adults are better represented by continuous reference ranges dependent on age and BMI","volume":"42","author":"Enderle","year":"2023","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnu.2025.06.004_bib36","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.2215\/CJN.09001209","article-title":"N-terminal proBNP - Marker of cardiac dysfunction, fluid overload, or malnutrition in hemodialysis patients?","volume":"5","author":"Booth","year":"2010","journal-title":"Clin J Am Soc Nephrol"},{"issue":"4","key":"10.1016\/j.clnu.2025.06.004_bib37","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1007\/s41999-022-00652-2","article-title":"Extracellular water-to-total body water ratio is an essential confounding factor in bioelectrical impedance analysis for sarcopenia diagnosis in women","volume":"13","author":"Hioka","year":"2022","journal-title":"Eur Geriatr Med"},{"key":"10.1016\/j.clnu.2025.06.004_bib38","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1186\/s13019-021-01541-8","article-title":"Frailty and pre-frailty in cardiac surgery: a systematic review and meta-analysis of 66,448 patients","volume":"16","author":"Lee","year":"2021","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.clnu.2025.06.004_bib39","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.clnesp.2024.01.007","article-title":"Influence of aging on extracellular water-to-total body water ratio in community-dwelling females","volume":"60","author":"Hioka","year":"2024","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.clnu.2025.06.004_bib40","article-title":"Association between changes in bioelectrical impedance analysis (BIA) parameter and the clinical outcomes in patients with acute heart failure","volume":"38","author":"Lee","year":"2023","journal-title":"J Kor Med Sci"}],"container-title":["Clinical Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S026156142500158X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S026156142500158X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T22:27:21Z","timestamp":1753396041000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S026156142500158X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":40,"alternative-id":["S026156142500158X"],"URL":"https:\/\/doi.org\/10.1016\/j.clnu.2025.06.004","relation":{},"ISSN":["0261-5614"],"issn-type":[{"value":"0261-5614","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prognostic impact of segmental extracellular water to total body water ratio in cardiovascular surgery patients","name":"articletitle","label":"Article Title"},{"value":"Clinical Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clnu.2025.06.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}