Evidence map›Paper›PMID 35292924›Full record

ArticleJournal of ultrasound2022

Portable ultrasound assessment of jugular venous pressure is an accurate method for estimating volaemic status in patients with cardiac disease.

Sam Jenkins, Patrick Knowles, Norman Briffa

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of ultrasound, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03815188 (Use of the SonoSite Probe for Measuring Jugular Venous Pressure), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% 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.

NCT03815188 completednot on this map

Use of the SonoSite Probe for Measuring Jugular Venous Pressure

TypeobservationalSponsorSheffield Teaching Hospitals NHS Foundation TrustRan2019 to 2019Enrolled124ConditionsAortic Valve Surgery
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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

3 authors at 2 institutions in 1 country.

Sam JenkinsDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield Medical School, Sheffield, S10 2RX, UK. samelliotjenkins@gmail.com.ORCID http://orcid.org/0000-0003-1941-2892
Patrick KnowlesSheffield Teaching Hospitals NHSFT, Sheffield, UK.
Norman BriffaDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield Medical School, Sheffield, S10 2RX, UK.
Sheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to determine whether ultrasound-measured jugular venous pressure (U-JVP) could accurately estimate central venous pressure (CVP).

methodsThis prospective, diagnostic, single-centre study was performed at the Cardiac Intensive Care Unit of the Northern General Hospital, Sheffield, UK. Post-cardiac surgery patients were recruited from January to May 2019. The investigators were blinded to the central venous pressure when measuring the jugular venous pressure. U-JVP and direct CVP were measured simultaneously. Measurements were taken whilst the patient was ventilated and then repeated when the patient was extubated, providing non-ventilated readings.

resultsOne-hundred and fourteen consecutive participants with a male predominance of 71% and mean age of 65 ± 12 years were included in the analysis. Bland-Altman plots revealed that U-JVP marginally overestimated CVP by 0.91 mmHg (95% limits of agreement were -2.936 to 4.754) in ventilated patients and by 0.11 mmHg (95% limits of agreement between -2.481 and 2.695) in non-ventilated patients. Reasonable sensitivity and specificity of ultrasound-measured jugular venous pressure was achieved for low and high central venous pressure in both ventilated and non-ventilated patients.

conclusionU-JVP accurately estimates cardiac filling pressure and fluid status in patients after cardiac surgery, irrespective of their ventilatory status. Jugular venous pressure measurement by insonation is a reliable technique that can be taught to medical students and other health professionals to non-invasively estimate central venous pressure and may be useful for assessment of volaemic status in patients with heart failure.

trial registrationClinicalTrials.gov public (identifier NCT03815188).

Indexed as

Heart DiseasesJugular VeinsAgedCentral Venous PressureFemaleHumansMaleMiddle AgedProspective StudiesUltrasonographyCentral venous pressureDiagnostic accuracyHeart failureJugular venous pressureUltrasound

Identifiers

PMID35292924
PMCPMC9705668
OpenAlexW4221086819

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.