ICU sedation, delirium & recovery
Focused liquid ultrasonography in dropsy protocol for quantitative assessment of subcutaneous edema
Performance · Subcutaneous edema detected (per measurement)Result — go to the resultχ2 9.477Authors' 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 →