Comparison of the effectiveness of USCOM and echocardiography in assessing cardiac output on pediatric patients with shock

IF 0.6 Q4 PEDIATRICS

PROGRESS IN PEDIATRIC CARDIOLOGY Pub Date : 2023-09-01 DOI:10.1016/j.ppedcard.2023.101658

David Soeliongan Waworuntu , Hans Natanael , Erling David Kaunang , Stefanus Gunawan , Jose Meky Mandei , Fima Lanra Fredrik Gerald Langi , Fahrul Nurkolis

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引用次数: 0

Abstract

Background

Shock is a circulatory failure, and its clinical manifestations result in decreased cardiac output. Hemodynamic monitoring is important in shock patients to determine further management. Demand for noninvasive examination methods, such as ultrasound cardiac output monitoring (USCOM) and echocardiography, is increasing because of their practicality and lower risks.

Objectives

The aim of this study is to compare cardiac output determined using USCOM and echocardiography in pediatric patients with shock.

Methods

This prospective observational study used a cross-sectional data collection approach. It collected data on 48 pediatric shock patients in the Pediatric Intensive Care Unit at Kandou General Hospital (Manado, Indonesia) between March and June 2022. The instruments used were USCOM and echocardiography. The regression analysis results are presented as odds ratios (ORs) with 95 % confidence intervals and p < 0.05.

Results

The mean cardiac output of pediatric patients with shock was 2.50 (standard deviation [SD] = 2.28) with USCOM and 2.45 (SD = 0.77) with echocardiography. Echocardiographic and USCOM cardiac output values were significantly correlated, with a coefficient of determination (R²) of 0.832 (83.2 %), indicating a near-perfect linear correlation.

Conclusion

This study's results show that USCOM is as effective as echocardiography in assessing cardiac output in children with shock.

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USCOM和超声心动图评估小儿休克患者心输出量的有效性比较

背景休克是一种循环衰竭，其临床表现导致心输出量减少。血流动力学监测对休克患者的进一步治疗具有重要意义。由于超声心输出量监测(USCOM)和超声心动图等无创检查方法的实用性和较低的风险，对它们的需求正在增加。目的本研究的目的是比较USCOM和超声心动图测定的小儿休克患者的心输出量。方法本前瞻性观察研究采用横断面数据收集方法。它收集了2022年3月至6月期间Kandou总医院(印度尼西亚Manado)儿科重症监护病房48名儿科休克患者的数据。使用的仪器是USCOM和超声心动图。回归分析结果以比值比(ORs)表示，置信区间为95%，p <0.05.结果儿童休克患者USCOM的平均心输出量为2.50(标准差[SD] = 2.28)，超声心动图的平均心输出量为2.45 (SD = 0.77)。超声心动图与USCOM心输出量值相关性显著，决定系数(R2)为0.832(83.2%)，线性关系接近完美。结论USCOM在评估休克儿童心输出量方面与超声心动图同样有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PROGRESS IN PEDIATRIC CARDIOLOGY PEDIATRICS-

CiteScore

0.90

自引率

11.10%

发文量

审稿时长

75 days

期刊介绍： Progress in Pediatric Cardiology is an international journal of review presenting information and experienced opinion of importance in the understanding and management of cardiovascular diseases in children. Each issue is prepared by one or more Guest Editors and reviews a single subject, allowing for comprehensive presentations of complex, multifaceted or rapidly changing topics of clinical and investigative interest.