Chinese Medical Sciences Journal ›› 2021, Vol. 36 ›› Issue (4): 257-264.doi: 10.24920/003874
• Original Articles • Next Articles
Hongmin Zhang1, Lina Zhang2, Lixia Liu3, Ying Zhu4, Wanhong Yin5, Wei He6, Xiuling Shang7, Yangong Chao8, Liwen Lv9, Xiaoting Wang1, *, Dawei Liu1, Chinese Critical Ultrasound Study Group
Received:
2021-01-08
Published:
2021-12-31
Online:
2021-10-09
Contact:
Xiaoting Wang
Hongmin Zhang, Lina Zhang, Lixia Liu, Ying Zhu, Wanhong Yin, Wei He, Xiuling Shang, Yangong Chao, Liwen Lv, Xiaoting Wang, Dawei Liu, Chinese Critical Ultrasound Study Group . Effect of Focused Cardiac Ultrasound in Combination with Lung Ultrasound on Critically Ill Patients: A Multicenter Observational Study in China[J].Chinese Medical Sciences Journal, 2021, 36(4): 257-264.
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Table 1
Comparisons of features of the two groups of patients"
Items | Early phase (n=502) | Later phase (n=490) | t or Z or χ2 | P |
---|---|---|---|---|
Male [n (%)] | 287 (57.2) | 301 (61.4) | 1.862 | 0.172 |
Age (yr, mean±SD) | 61±18 | 59±17 | 1.849 | 0.064 |
APACHEⅡ | 15 (11, 21) | 17 (11, 23) | -0.924 | 0.270 |
SOFA [score, median (interquartile range)] | 6 (4, 8) | 6 (4, 8) | -0.662 | 0.508 |
Diagnosis [n (%)] | ||||
High risk surgery | 183 (36.5) | 187 (37.8) | 0.310 | 0.578 |
Respiratory failure | 130 (25.9) | 152 (31.0) | 3.200 | 0.074 |
Shock | 84 (16.7) | 66 (13.5) | 2.058 | 0.151 |
Shock+Respiratory failure | 39 (7.8) | 29 (5.9) | 1.330 | 0.249 |
Others* | 118 (23.5) | 114 (23.3) | 0.008 | 0.929 |
HR [bpm, median (interquartile range)] | 92 (77, 114) | 98 (79, 110) | -0.012 | 0.991 |
MAP [mmHg, median (interquartile range)] | 88 (77, 102) | 88 (80, 98) | -0.273 | 0.785 |
NE infusion [n, (%)] | 103 (20.5) | 115 (23.5) | 0.725 | 0.124 |
MV [n, (%)] | 264 (52.6) | 279 (56.9) | 1.893 | 0.169 |
Table 2
Comparisons of results of ultrasound examination [n (%)]"
Items | Early phase (n=502) | Later phase (n=490) | Z or χ2 | P |
---|---|---|---|---|
Duration of examination [min, median (interquartile range)] | 15 (11, 30) | 15 (12, 30) | -1.495 | 0.135 |
FCU | ||||
Structure abnormality* | 92 (18.3) | 94 (19.2) | 0.120 | 0.730 |
Left ventricular systolic function | ||||
Normal | 364 (72.5) | 343 (70.0) | 0.763 | 0.382 |
Moderately abnormal | 120 (23.9) | 132 (26.9) | 1.205 | 0.272 |
Severely abnormal | 18 (3.6) | 15 (3.1) | 0.212 | 0.645 |
IVC | ||||
Dilated and fixed | 173 (34.5) | 129 (26.3) | 7.751 | 0.005 |
Moderate | 240 (47.8) | 276 (56.3) | 7.208 | 0.007 |
Small and collapsed | 89 (17.7) | 85 (17.3) | 0.025 | 0.874 |
RV dysfunction | 7 (1.4) | 9 (1.8) | 0.306 | 0.580 |
LU | ||||
A profile | 212 (42.2) | 181(36.9) | 2.903 | 0.088 |
A’ or B’+lung point | 8 (1.6) | 11(2.2) | 0.560 | 0.454 |
B profile | 35 (7.0) | 29 (5.9) | 0.456 | 0.499 |
Other profiles* | 247 (49.2) | 269 (54.9) | 3.222 | 0.073 |
Table 3
Comparison of treatment change between the two groups [n (%)]"
Items | Early phase (n=502) | Later phase (n=490) | χ2 | P |
---|---|---|---|---|
Patients with treatment change | 245 (48.8) | 240 (49.0) | 0.003 | 0.956 |
One treatment change | 153 (30.5) | 149 (30.4) | 0.001 | 0.991 |
More than one treatment change | 92 (18.3) | 91 (18.6) | 0.010 | 0.921 |
Volume expansion | 47 (9.4) | 44 (9.0) | 0.044 | 0.835 |
Negative fluid balance | 166 (33.1) | 139 (28.4) | 2.573 | 0.109 |
Inotrope | 28 (5.6) | 39 (8.0) | 2.233 | 0.135 |
Norepinephrine adjustment | 37 (7.4) | 22 (4.5) | 3.679 | 0.055 |
Drainage of pericardial effusion | 3 (0.6) | 0 | 2.937 | 0.087 |
Ventilator adjustment | 93 (18.5) | 104 (21.2) | 1.135 | 0.287 |
Drainage of pleural cavity | 23 (4.6) | 24 (4.9) | 0.055 | 0.815 |
In need of other type of ultrasound examination | 91 (18.1) | 97 (19.8) | 0.449 | 0.503 |
In need of CT | 88 (17.5) | 98 (20.0) | 0.993 | 0.319 |
In need of CCO monitoring | 39 (7.8) | 26 (5.3) | 2.456 | 0.117 |
Table 4
Results of logistic regression analysis for factors associated with treatment change"
Risk factors | OR | 95%CI | P |
---|---|---|---|
Age | 0.987 | 0.969-1.005 | 0.157 |
APAHCEⅡ | 0.997 | 0.991-1.003 | 0.379 |
SOFA | 1.034 | 0.946-1.130 | 0.465 |
Respiratory failure | 2.357 | 1.284-4.326 | 0.006 |
Shock | 1.733 | 0.896-3.353 | 0.103 |
Timing of examination | 0.725 | 0.407-1.291 | 0.275 |
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