Hemodynamics, fluids & transfusion
Echocardiographic hemodynamic assessment in decompensated cirrhosis: comparison between Intensivists and Gastroenterologists
Authors' conclusion
Reliability of hemodynamic assessment by gastroenterologists was good, while agreement was unsatisfactory, advocating for further training. Transthoracic echocardiography can differentiate hypovolemia from hyperkinetic states.
Study context
- Population
- Patients admitted to a gastroenterology unit for decompensated cirrhosis
- Participants
- 53 patients
- Exposure
- Gastroenterologists vs Intensivists
- Outcome
- Inter-rater agreement and reliability for visual LVEF, subaortic VTI and E wave velocity
Methodological detailsinter-rater agreement, teaching hospital, March 2018 to March 2020
- Inter-rater agreement
- Teaching hospital
- March 2018 to March 2020
Main finding
As reported in the abstract
Inter-rater agreement and reliability
- Limits of agreement, subaortic VTI
- - 6.6 to 7.2 cm
- Limits of agreement, E wave velocity
- - 0.6 to 0.37 m.s-1
- Clinically significant differences, subaortic VTI
- 22%
- Clinically significant differences, E wave velocity
- 24.5%
- Reliability (ICC), subaortic VTI, good; 95% CI 0.58; 0.9
- 0.79
- Reliability (ICC), E wave velocity, moderate; 95% CI 0.19; 0.74
- 0.53
Observational data: associations, not effects.
Secondary outcomes
28-day mortality by hemodynamic profile
Original publication
Echocardiographic hemodynamic assessment in decompensated cirrhosis: comparison between Intensivists and Gastroenterologists. J Clin Monit Comput. Published 25 February 2023. doi:10.
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