Hemodynamics, fluids & transfusion

Echocardiographic assessment of pulmonary capillary wedge pressure by E/e' ratio: A systematic review and meta-analysis

J Crit CarePublished Systematic review and meta-analysis

Authors' conclusion

E/e' appears to have a modest correlation with PCWP and an acceptable accuracy for elevated PCWP.

Study context

Population
Adults in studies investigating agreement between E/e' and pulmonary capillary wedge pressure (PCWP), published 2010 to July 2022 (retrospective studies excluded)
Participants
1,964 adults · 28 studies
Comparison
E/e' ratio vs invasive PCWP
Outcome
Correlation between E/e' and PCWP

Pooled result

As reported in the abstract

Weighted average correlation (r), pooled analysis: modest correlation between E/e' and PCWP

0.43

95% CI 0.37–0.48

Further pooled results

Correlation by ejection fraction (subgroup: reduced vs preserved EF)

No significant differences between reduced and preserved ejection fraction groups

Diagnostic accuracy of E/e' for elevated PCWP (PCWP >15 mmHg)

AUC of ROC curves for PCWP >15 mmHg, range
0.6-0.91
  • 13 studies

Original publication

Echocardiographic assessment of pulmonary capillary wedge pressure by E/e' ratio: A systematic review and meta-analysis. J Crit Care. Published 1 March 2023. doi:10.1016/j.jcrc.2023.154281

Composed by AI from the published abstract and checked against it. How Briefs are made →

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