Evidence map›Paper›PMID 31610729›Full record

Observational studyJournal of intensive care medicine2020

Performance of a 25% Inferior Vena Cava Collapsibility in Detecting Fluid Responsiveness When Assessed by Novice Versus Expert Physician Sonologists.

Keith A Corl, Nader Azab, Mohammed Nayeemuddin, Alexandra Schick, Thomas Lopardo, Fatima Zeba, Gary Phillips, Grayson Baird, Roland C Merchant, Mitchell M Levy and 2 more

Open access · greenAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Keith A CorlDepartment of Medicine, 12321Alert Medical School of Brown University, Providence, RI, USA.ORCID https://orcid.org/0000-0001-6505-2715
Nader AzabDepartment of Medicine, 12321Alert Medical School of Brown University, Providence, RI, USA.
Mohammed NayeemuddinDepartment of Medicine, 12321Alert Medical School of Brown University, Providence, RI, USA.
Alexandra SchickDepartment of Emergency Medicine, 12321Alpert Medical School of Brown University, Providence, RI, USA.
Thomas Lopardo12321Alpert Medical School of Brown University, the Brown University School of Public Health, Providence, RI, USA.
Fatima ZebaDepartment of Medicine, Kent Hospital, 12321Alpert Medical School of Brown University, Warwick, RI, USA.
Gary PhillipsCenter for Biostatistics, Department of Biomedical Informatics, Ohio State University, Columbus, Ohio, USA.
Grayson BairdLifespan Biostatistics Core, Rhode Island Hospital, Providence, RI, USA.
Roland C Merchant6752Brown University School of Public Health, Providence, RI, USA.
Mitchell M LevyDepartment of Medicine, 12321Alert Medical School of Brown University, Providence, RI, USA.
Michael BlaivasDepartment of Emergency Medicine, St Francis Hospital, 2629University of South Carolina School of Medicine, Columbus, SC, USA.
Adeel AbbasiDepartment of Medicine, 12321Alert Medical School of Brown University, Providence, RI, USA.
Brown University · USBrigham and Women's Hospital · USProvidence College · USSt. Francis Hospital · USThe Ohio State University · US

Funding

NIGMS NIH HHS L30 GM129773
6 · The paper itself

Abstract

objectivesInferior vena cava collapsibility (cIVC) measured by point-of-care ultrasound (POCUS) has been proposed as a noninvasive means of assessing fluid responsiveness. We aimed to prospectively evaluate the performance of a 25% cIVC cutoff value to detect fluid responsiveness among spontaneously breathing intensive care unit (ICU) patients when assessed with POCUS by novice versus expert physician sonologists.

methodsProspective observational study of spontaneously breathing ICU patients. Fluid responsiveness was defined as a

resultsOf the 85 participants, 44 (52%) were fluid responders. A 25% cIVC cutoff value performed better when assessed by expert sonologists than novice physician sonologists (receiver-operator characteristic curve, ROC = 0.82 [0.74-0.88] vs ROC = 0.69 [0.60-0.77]).

conclusionsA 25% cIVC cutoff value measured by POCUS detects fluid responsiveness. However, the experience of the physician sonologist affects test performance and should be considered when interpreting and clinically using cIVC to direct intravenous fluid resuscitation.

Indexed as

Fluid TherapyVena Cava, InferiorAdultAgedClinical CompetenceFemaleHumansMaleMiddle AgedResuscitationUltrasonographyfluid responsivenessinferior vena cavanovice sonologistpoint-of-care ultrasoundspontaneously breathing

Identifiers

PMID31610729
PMCPMC7153972
OpenAlexW2980821545

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.