Described practices for assessing fluid resuscitation in acute hospital care: a qualitative study

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Described practices for assessing fluid resuscitation in acute hospital care : a qualitative study. / Lloyd , Edward; Ignatowicz, Agnieszka; Sapey, Elizabeth; Lasserson, Dan; Seccombe, Adam.

In: Acute Medicine, Vol. 18, No. 4, 06.01.2020, p. 205-264.

Research output: Contribution to journalArticlepeer-review

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@article{bb27f36a9b4d4cc294b5c76c494e09ad,
title = "Described practices for assessing fluid resuscitation in acute hospital care: a qualitative study",
abstract = "Fluid resuscitation is a widely-used treatment in acute and emergency medicine, however, the process used to perform a fluid assessment has never been studied. This qualitative study explored how acute physicians describe their approach to assessing for fluid resuscitation. 18 clinicians of varying grades consented to a semi-structured interview. Transcripts were coded and analysed using thematic analysis. Participants described three subtypes of assessment; screening assessment, emergency assessment and formal assessment. Whether a patient was {\textquoteleft}sick{\textquoteright} was key to determining which assessment they would receive. Marked heterogeneity was noted in the assessment processes, particularly regarding the use of history-taking. Further research is required to determine how the information gathered in these assessments is used to decide when fluid resuscitation is indicated.",
keywords = "fluid assessment, fluid resuscitation, acute medicine, thematic analysis, qualitative",
author = "Edward Lloyd and Agnieszka Ignatowicz and Elizabeth Sapey and Dan Lasserson and Adam Seccombe",
year = "2020",
month = jan,
day = "6",
language = "English",
volume = "18",
pages = "205--264",
journal = "Acute Medicine",
issn = "1747-4884",
publisher = "Rila Publications Ltd",
number = "4",

}

RIS

TY - JOUR

T1 - Described practices for assessing fluid resuscitation in acute hospital care

T2 - a qualitative study

AU - Lloyd , Edward

AU - Ignatowicz, Agnieszka

AU - Sapey, Elizabeth

AU - Lasserson, Dan

AU - Seccombe, Adam

PY - 2020/1/6

Y1 - 2020/1/6

N2 - Fluid resuscitation is a widely-used treatment in acute and emergency medicine, however, the process used to perform a fluid assessment has never been studied. This qualitative study explored how acute physicians describe their approach to assessing for fluid resuscitation. 18 clinicians of varying grades consented to a semi-structured interview. Transcripts were coded and analysed using thematic analysis. Participants described three subtypes of assessment; screening assessment, emergency assessment and formal assessment. Whether a patient was ‘sick’ was key to determining which assessment they would receive. Marked heterogeneity was noted in the assessment processes, particularly regarding the use of history-taking. Further research is required to determine how the information gathered in these assessments is used to decide when fluid resuscitation is indicated.

AB - Fluid resuscitation is a widely-used treatment in acute and emergency medicine, however, the process used to perform a fluid assessment has never been studied. This qualitative study explored how acute physicians describe their approach to assessing for fluid resuscitation. 18 clinicians of varying grades consented to a semi-structured interview. Transcripts were coded and analysed using thematic analysis. Participants described three subtypes of assessment; screening assessment, emergency assessment and formal assessment. Whether a patient was ‘sick’ was key to determining which assessment they would receive. Marked heterogeneity was noted in the assessment processes, particularly regarding the use of history-taking. Further research is required to determine how the information gathered in these assessments is used to decide when fluid resuscitation is indicated.

KW - fluid assessment

KW - fluid resuscitation

KW - acute medicine

KW - thematic analysis

KW - qualitative

UR - https://www.ncbi.nlm.nih.gov/pubmed/31912053

M3 - Article

VL - 18

SP - 205

EP - 264

JO - Acute Medicine

JF - Acute Medicine

SN - 1747-4884

IS - 4

ER -