ACCURACY OF MULTI-ORGAN POINT-OF-CARE ULTRASOUND FOR ACUTE KIDNEY INJURY ETIOLOGIES

ASLANER M. A., YAŞAR E., KILIÇASLAN İ., CERİT M. N., Emren S. V., YÜKSEK B., ...Daha Fazla

ULTRASOUND IN MEDICINE AND BIOLOGY, cilt.48, sa.10, ss.2009-2018, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 48 Sayı: 10
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1016/j.ultrasmedbio.2022.05.025
  • Dergi Adı: ULTRASOUND IN MEDICINE AND BIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, Biotechnology Research Abstracts, CINAHL, Compendex, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.2009-2018
  • Anahtar Kelimeler: Acute kidney injury, Point-of-care ultrasound, Emergency department, INFERIOR VENA-CAVA, VOLUME STATUS, ULTRASONOGRAPHY, DIAMETER
  • Gazi Üniversitesi Adresli: Evet

Özet

This study investigated the diagnostic performance of point-of-care ultrasound (POCUS) for acute kidney injury (AKI) etiological subgroups in emergency department (ED) patients. Multi-organ POCUS including kidney, bladder, inferior vena cava (IVC), lung and cardiac examinations were used to identify five AKI sub-groups: hypovolemia, reduced cardiac output, systemic vasodilatation and renal vasomodulation, renal and post -renal. One hundred sixty-five AKI patients were included in the study. The most diagnostic parameter in the post-renal group was the presence of any hydronephrosis, with a sensitivity of 93.3% (95% confidence interval [CI]: 68.1?99.8) and specificity of 85.9% (95% CI: 79.3?91.1). For the reduced cardiac output group, the most diagnostic parameter was IVC maximum diameter > 17 mm with a sensitivity of 100% (95% CI: 83.2?100) and specificity of 70.2% (95% CI: 61.6?77.7). For the hypovolemia group, the most diagnostic parameter was IVC maximum diameter <= 17.9 mm with a sensitivity of 81.2% (95% CI: 71.2?88.8) and specificity of 56.5% (95% CI: 44?68.4). For the systemic vasodilatation and renal vasomodulation group, the most diagnostic parameter was diffuse ascites with a sensitivity of 56.3% (95% CI: 29.9?80.2) and specificity of 89.9% (95% CI: 83.8?94.2). None of the parameters were significant for the renal group. We concluded that multi-organ POCUS is of diagnostic value for AKI subgroups. (E-mail:maliasaner@hotmail.com)(c) 2022 World Federation for Ultrasound in Medicine & Biology. All rights reserved.