Evidence map›Paper›PMID 40329198›Full record

Observational studyBMC pediatrics2025

Clinical value of calibrated abdominal compression plus transthoracic echocardiography to predict fluid responsiveness in critically ill infants: a diagnostic accuracy study.

Julien Gotchac, Anouk Navion, Yaniss Belaroussi, Roman Klifa, Pascal Amedro, Julie Guichoux, Olivier Brissaud

Registry-linked trialAbstract readObservational StudyValidation Study
In one paragraph

Observational study in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05919719 (Fluid Responsiveness Evaluation by a Non-invasive Method in CHildren - The FRENCH Study), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05919719 completednot on this map

Fluid Responsiveness Evaluation by a Non-invasive Method in CHildren - The FRENCH Study

TypeobservationalSponsorUniversity Hospital, BordeauxRan2022 to 2023Enrolled21ConditionsCirculatory Failure (Shock)ArmsNon interventional study (study of diagnostic accuracy with an extra echocardiographic assessment).
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Julien GotchacDepartment of Pediatric and Congenital Cardiology, M3C National Reference Center, Bordeaux University Hospital, Bordeaux, France. julien.gotchac@chu-bordeaux.fr.ORCID 0000-0001-7744-7028
Anouk NavionPediatric Intensive Care Unit, Children's Hospital, Bordeaux University Hospital, Bordeaux, France.
Yaniss BelaroussiDepartment of Thoracic Surgery, Haut-Leveque Hospital, Bordeaux University Hospital, Pessac, France.
Roman KlifaPediatric Intensive Care Unit, Children's Hospital, Bordeaux University Hospital, Bordeaux, France.
Pascal AmedroDepartment of Pediatric and Congenital Cardiology, M3C National Reference Center, Bordeaux University Hospital, Bordeaux, France.
Julie GuichouxPediatric Intensive Care Unit, Children's Hospital, Bordeaux University Hospital, Bordeaux, France.
Olivier BrissaudPediatric Intensive Care Unit, Children's Hospital, Bordeaux University Hospital, Bordeaux, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredicting fluid responsiveness is challenging in infants. It is however crucial to avoid unnecessary volume expansion, which can lead to fluid overload. We tested the hypothesis that the stroke volume changes induced by a calibrated abdominal compression (ΔSV-AC) could predict fluid responsiveness in infants without cardiac disease.

methodsThis prospective single center study of diagnostic test accuracy was conducted in a general pediatric intensive care unit (PICU). Children under the age of two with acute circulatory failure and requiring a 10 mL.kg

resultsTwenty-seven cases of volume expansion were analyzed, in 21 patients. Seventeen VE cases were administrated to spontaneously breathing children. Fluid responsiveness was observed in 12 cases. The AUROC of ΔSV-AC was 0.93 (95% confidence interval (95%CI) 0.82-1). The best threshold value for ΔSV-AC was 9.5%. At this threshold value, sensitivity was 92% (95%CI 62-100), specificity was 87% (95%CI 60-98), positive and negative predictive values were 85% (95%CI 60-95) and 93% (95%CI 66-99) respectively.

conclusionsEchocardiographic assessment of stroke volume changes induced by a calibrated abdominal compression is a promising method to predict fluid responsiveness in infants without cardiac disease hospitalized in PICU.

trial registrationClinicalTrials.gov registration number NCT05919719, June 22, 2023, retrospectively registered, https://clinicaltrials.gov/study/NCT05919719 .

Indexed as

EchocardiographyFluid TherapyShockStroke VolumeAbdomenCritical IllnessFemaleHumansInfantInfant, NewbornIntensive Care Units, PediatricMalePredictive Value of TestsPressureProspective StudiesROC CurveCirculatory failureEchocardiographyFluid responsivenessGoal-directed fluid managementVolume Expansion

Identifiers

PMID40329198
PMCPMC12057139

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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.