期刊
JOURNAL OF CRITICAL CARE
卷 48, 期 -, 页码 307-310出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jcrc.2018.09.025
关键词
Sepsis; Septic shock; Heart ventricles; Echocardiography; Prognosis; Intensive care unit
资金
- NHLBI/NIH [R01 HL125520]
- US Cystic Fibrosis Foundation [LIOU13A0, LIOU14Y4, LIOU14Y0, LIOU14P0, CC132-16AD]
- Claudia Ruth Goodrich Stevens Endowment Fund
- Ben B. And Iris M. Margolis Family Foundation of Utah
Purpose: The ratio of right ventricular end-diastolic diameter (EDD) to left ventricular EDD (RV/LV) is a measure predictive of right ventricular failure. We hypothesized that an increase in RV/LV would be associated with poor prognosis in severe sepsis and septic shock. Materials and methods: This is a retrospective chart review of patients with severe sepsis and septic shock admitted to a medical intensive care unit (ICU) at a single tertiary care hospital. Patients were identified by ICD-9 codes: 995.92 for severe sepsis and 785.52 for septic shock; and had to have an echocardiogram within 48 h of ICU admission. Increased RV/LV was defined as RV/LV 0.9. Left and right-sided chamber dimensions were measured according to American Society of Echocardiography guidelines. Results: We included 146 consecutive ICU patients admitted with septic shock (72) or severe sepsis (74). There was no significant difference in ICU mortality in patients with RV/LV >= 0.9 versus RV/LV < 0.9 (p = 49). Conclusions: An increased RV/LV does not predict mortality in severe sepsis or septic shock. (C) 2018 Elsevier Inc. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据