{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T18:10:23Z","timestamp":1783793423459,"version":"3.55.0"},"reference-count":31,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.surg.2025.109525","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T13:59:12Z","timestamp":1750859952000},"page":"109525","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["Association between cumulative fluid balance to estimated colloid oncotic pressure ratio and postoperative outcome in surgical patients requiring intensive management"],"prefix":"10.1016","volume":"185","author":[{"family":"Arushi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulagna","family":"Bhattacharjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puneet","family":"Khanna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Chumber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lokesh","family":"Kashyap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2328-9201","authenticated-orcid":false,"given":"Souvik","family":"Maitra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2025.109525_bib1","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/01.sla.0000094387.50865.23","article-title":"Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial","volume":"238","author":"Brandstrup","year":"2003","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109525_bib2","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s40560-016-0154-3","article-title":"Fluid therapy in the perioperative setting\u2014a clinical review","volume":"4","author":"Voldby","year":"2016","journal-title":"J Intensive Care"},{"key":"10.1016\/j.surg.2025.109525_bib3","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/00000542-200507000-00008","article-title":"Effect of intraoperative fluid management on outcome after intraabdominal surgery","volume":"103","author":"Nisanevich","year":"2005","journal-title":"Anesthesiology"},{"key":"10.1016\/j.surg.2025.109525_bib4","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1213\/ANE.0b013e318240d6eb","article-title":"Perioperative fluid management strategies in major surgery: a stratified meta-analysis","volume":"114","author":"Corcoran","year":"2012","journal-title":"Anesth Analg"},{"key":"10.1016\/j.surg.2025.109525_bib5","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1007\/s00540-019-02630-8","article-title":"Association of perioperative weight-based fluid balance with 30-day mortality and acute kidney injury among patients in the surgical intensive care unit","volume":"33","author":"Oh","year":"2019","journal-title":"J Anesth"},{"key":"10.1016\/j.surg.2025.109525_bib6","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1097\/SLA.0000000000002220","article-title":"Effects of intraoperative fluid management on postoperative outcomes: a hospital registry study","volume":"267","author":"Shin","year":"2018","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109525_bib7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0224563","article-title":"Cumulative fluid balance predicts mortality and increases time on mechanical ventilation in ARDS patients: an observational cohort study","volume":"14","author":"van Mourik","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.surg.2025.109525_bib8","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/2110-5820-1-2","article-title":"Perioperative fluid and volume management: physiological basis, tools and strategies","volume":"1","author":"Strunden","year":"2011","journal-title":"Ann Intensive Care"},{"key":"10.1016\/j.surg.2025.109525_bib9","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/00003246-197505000-00007","article-title":"Reduction in colloid osmotic pressure associated with fatal progression of cardiopulmonary failure","volume":"3","author":"Morissette","year":"1975","journal-title":"Crit Care Med"},{"key":"10.1016\/j.surg.2025.109525_bib10","first-page":"344","article-title":"Pulmonary edema associated with reduction in plasma oncotic pressure","volume":"151","author":"Puri","year":"1980","journal-title":"Surg Gynecol Obstet"},{"key":"10.1016\/j.surg.2025.109525_bib11","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/0952-8180(90)90077-G","article-title":"Effect of intraoperative fluid administration and colloid osmotic pressure on the formation of intestinal edema during gastrointestinal surgery","volume":"2","author":"Prien","year":"1990","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.surg.2025.109525_bib12","first-page":"1","article-title":"KDIGO Clinical Practice Guideline for acute kidney injury","volume":"2","year":"2012","journal-title":"Kidney Int Suppl"},{"key":"10.1016\/j.surg.2025.109525_bib13","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109525_bib14","first-page":"364","article-title":"Mathematical model for determination of colloid osmotic pressure: the role of albumin-globulin ratio","volume":"11","author":"Nematbakhsh","year":"2006","journal-title":"J Res Med Sci"},{"key":"10.1016\/j.surg.2025.109525_bib15","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/1754-9493-8-31","article-title":"Applicability of the Clavien-Dindo classification to emergency surgical procedures: a retrospective cohort study on 444 consecutive patients","volume":"8","author":"Mentula","year":"2014","journal-title":"Patient Saf Surg"},{"key":"10.1016\/j.surg.2025.109525_bib16","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.1097\/CCM.0000000000001835","article-title":"Cumulative fluid balance and mortality in septic patients with or without acute kidney injury and chronic kidney disease","volume":"44","author":"Neyra","year":"2016","journal-title":"Crit Care Med"},{"key":"10.1016\/j.surg.2025.109525_bib17","article-title":"A positive fluid balance in the first week was associated with increased long-term mortality in critically ill patients: a retrospective cohort study","volume":"9","author":"Wang","year":"2022","journal-title":"Front Med (Lausanne)"},{"issue":"Pt 3","key":"10.1016\/j.surg.2025.109525_bib18","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1113\/jphysiol.2003.058255","article-title":"Oncotic pressures opposing filtration across non-fenestrated rat microvessels","volume":"557","author":"Adamson","year":"2004","journal-title":"J Physiol"},{"key":"10.1016\/j.surg.2025.109525_bib19","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1038\/ki.2013.287","article-title":"Interstitial fluid homeostasis and pressure: news from the black box","volume":"84","author":"Titze","year":"2013","journal-title":"Kidney Int"},{"key":"10.1016\/j.surg.2025.109525_bib20","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1186\/s13054-019-2534-2","article-title":"Intravenous fluid resuscitation is associated with septic endothelial glycocalyx degradation","volume":"23","author":"Hippensteel","year":"2019","journal-title":"Crit Care"},{"key":"10.1016\/j.surg.2025.109525_bib21","doi-asserted-by":"crossref","DOI":"10.1016\/j.mvr.2023.104543","article-title":"Major open abdominal surgery is associated with increased levels of endothelial damage and interleukin-6","volume":"148","author":"Gregersen","year":"2023","journal-title":"Microvasc Res"},{"key":"10.1016\/j.surg.2025.109525_bib22","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1111\/aas.12558","article-title":"Colloid osmotic pressure and extravasation of plasma proteins following infusion of Ringer's acetate and hydroxyethyl starch 130\/0.4","volume":"59","author":"Zdolsek","year":"2015","journal-title":"Acta Anaesthesiol Scand"},{"key":"10.1016\/j.surg.2025.109525_bib23","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1111\/j.0894-0959.2004.17603.x","article-title":"Serum albumin: relationship to inflammation and nutrition","volume":"17","author":"Don","year":"2004","journal-title":"Semin Dial"},{"issue":"suppl 2","key":"10.1016\/j.surg.2025.109525_bib24","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1186\/cc966","article-title":"Fluid balance and colloid osmotic pressure in acute respiratory failure: emerging clinical evidence","volume":"4","author":"Martin","year":"2000","journal-title":"Crit Care"},{"key":"10.1016\/j.surg.2025.109525_bib25","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1051\/ject\/201749249","article-title":"Colloid oncotic pressure, monitoring its effects in cardiac surgery","volume":"49","author":"Chores","year":"2017","journal-title":"J Extra Corpor Technol"},{"key":"10.1016\/j.surg.2025.109525_bib26","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.cardiores.2006.11.021","article-title":"The endothelial glycocalyx affords compatibility of Starling's principle and high cardiac interstitial albumin levels","volume":"73","author":"Jacob","year":"2007","journal-title":"Cardiovasc Res"},{"key":"10.1016\/j.surg.2025.109525_bib27","article-title":"Colloids versus crystalloids for fluid resuscitation in critically ill people","volume":"8","author":"Lewis","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.surg.2025.109525_bib28","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1056\/NEJMoa1305727","article-title":"Albumin replacement in patients with severe sepsis or septic shock","volume":"370","author":"Caironi","year":"2014","journal-title":"N Engl J Med"},{"key":"10.1016\/j.surg.2025.109525_bib29","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1007\/s00134-023-07174-w","article-title":"Correction: Feasibility of conservative fluid administration and deresuscitation compared with usual care in critical illness: the Role of Active Deresuscitation Correction: After Resuscitation-2 (RADAR-2) randomised clinical trial","volume":"49","author":"Silversides","year":"2023","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.surg.2025.109525_bib30","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1056\/NEJMoa2202707","article-title":"Restriction of intravenous fluid in ICU patients with septic shock","volume":"386","author":"Meyhoff","year":"2022","journal-title":"N Engl J Med"},{"key":"10.1016\/j.surg.2025.109525_bib31","doi-asserted-by":"crossref","first-page":"F828","DOI":"10.1152\/ajprenal.00393.2003","article-title":"Determinants of plasma water sodium concentration as reflected in the Edelman equation: role of osmotic and Gibbs-Donnan equilibrium","volume":"286","author":"Nguyen","year":"2004","journal-title":"Am J Physiol Renal Physiol"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606025003770?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606025003770?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:22:38Z","timestamp":1778746958000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606025003770"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":31,"alternative-id":["S0039606025003770"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2025.109525","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association between cumulative fluid balance to estimated colloid oncotic pressure ratio and postoperative outcome in surgical patients requiring intensive management","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2025.109525","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109525"}}