ICU sedation, delirium & recovery

Focused liquid ultrasonography in dropsy protocol for quantitative assessment of subcutaneous edema

Crit CarePublished Diagnostic accuracy study

Performance · Subcutaneous edema detected (per measurement)Result — go to the resultχ2 9.477

Authors' conclusion

In detecting the onset and severity of edema, ultrasound was found to outperform the pitting test. Subcutaneous edema showed a gravity-dependent distribution pattern, and its severity was associated with mortality.

Study context

Population
General ICU patients in China1,440 measurements
Participants
145 patients
Comparison
Focused liquid ultrasonography in dropsy (FLUID) protocol vs pitting test
Outcome
Occurrence and distribution of subcutaneous edema, its risk factors, and impact on ICU mortality

Performance

Subcutaneous edema detected (per measurement)

χ2

9.477

P = 0.002

Events by group

As reported in the abstract

Patients with subcutaneous edema
40 (27.6%)

Further findings

Edema severity scores

FLUID protocol scored severity significantly higher than pitting test in whole body and abdominal wall, thighs, chest wall, hands

Distribution

Gravity-dependent distribution, particularly in abdominal wall

Risk factors for subcutaneous edema

APACHE II, NT-proBNP, serum creatinine and sepsis were independent risk factors

ICU mortality

Ultrasonic subcutaneous edema score related to ICU mortality

Original publication

Focused liquid ultrasonography in dropsy protocol for quantitative assessment of subcutaneous edema. Crit Care. Published 18 March 2023. doi:10.1186/s13054-023-04403-y

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.