David Soeliongan Waworuntu , Hans Natanael , Erling David Kaunang , Stefanus Gunawan , Jose Meky Mandei , Fima Lanra Fredrik Gerald Langi , Fahrul Nurkolis
{"title":"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","authors":"David Soeliongan Waworuntu , Hans Natanael , Erling David Kaunang , Stefanus Gunawan , Jose Meky Mandei , Fima Lanra Fredrik Gerald Langi , Fahrul Nurkolis","doi":"10.1016/j.ppedcard.2023.101658","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Shock<span><span><span> is a circulatory failure, and its clinical manifestations result in decreased cardiac output. </span>Hemodynamic monitoring is important in shock patients to determine further management. Demand for noninvasive examination methods, such as ultrasound cardiac output monitoring (USCOM) and </span>echocardiography, is increasing because of their practicality and lower risks.</span></p></div><div><h3>Objectives</h3><p>The aim of this study is to compare cardiac output determined using USCOM and echocardiography in pediatric patients with shock.</p></div><div><h3>Methods</h3><p><span>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 </span><em>p</em> < 0.05.</p></div><div><h3>Results</h3><p>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 (<em>R</em><sup>2</sup>) of 0.832 (83.2 %), indicating a near-perfect linear correlation.</p></div><div><h3>Conclusion</h3><p>This study's results show that USCOM is as effective as echocardiography in assessing cardiac output in children with shock.</p></div>","PeriodicalId":46028,"journal":{"name":"PROGRESS IN PEDIATRIC CARDIOLOGY","volume":null,"pages":null},"PeriodicalIF":0.6000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of the effectiveness of USCOM and echocardiography in assessing cardiac output on pediatric patients with shock\",\"authors\":\"David Soeliongan Waworuntu , Hans Natanael , Erling David Kaunang , Stefanus Gunawan , Jose Meky Mandei , Fima Lanra Fredrik Gerald Langi , Fahrul Nurkolis\",\"doi\":\"10.1016/j.ppedcard.2023.101658\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Shock<span><span><span> is a circulatory failure, and its clinical manifestations result in decreased cardiac output. </span>Hemodynamic monitoring is important in shock patients to determine further management. Demand for noninvasive examination methods, such as ultrasound cardiac output monitoring (USCOM) and </span>echocardiography, is increasing because of their practicality and lower risks.</span></p></div><div><h3>Objectives</h3><p>The aim of this study is to compare cardiac output determined using USCOM and echocardiography in pediatric patients with shock.</p></div><div><h3>Methods</h3><p><span>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 </span><em>p</em> < 0.05.</p></div><div><h3>Results</h3><p>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 (<em>R</em><sup>2</sup>) of 0.832 (83.2 %), indicating a near-perfect linear correlation.</p></div><div><h3>Conclusion</h3><p>This study's results show that USCOM is as effective as echocardiography in assessing cardiac output in children with shock.</p></div>\",\"PeriodicalId\":46028,\"journal\":{\"name\":\"PROGRESS IN PEDIATRIC CARDIOLOGY\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"PROGRESS IN PEDIATRIC CARDIOLOGY\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1058981323000462\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"PROGRESS IN PEDIATRIC CARDIOLOGY","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1058981323000462","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
Comparison of the effectiveness of USCOM and echocardiography in assessing cardiac output on pediatric patients with shock
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.
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.
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