Respiratory failure & ventilation

Portal hypertension-like pattern in coronavirus disease 2019 acute respiratory distress syndrome

J Crit CarePublished Observational study

Authors' conclusion

In COVID-19 ARDS patients there are abdominal and lung vascular modifications that depict a portal hypertension-like pattern.

Study context

Population
COVID-19 patients with acute respiratory distress syndrome (ARDS) or mild pneumonia; thoracoabdominal circulation evaluated by Doppler-ultrasound and CT
Participants
31 / 60 / 10 / 10
Exposure
COVID-19 ARDS vs Mild pneumonia
  • COVID-19 ARDSn = 31
  • Mild pneumonian = 60reference
  • Non-COVID ARDSn = 10
  • PHn = 10
Outcome
Visceral and thoracic circulation
Methodological detailsmonocentric
  • Monocentric

Main finding

As reported in the abstract

Splanchnic circulatory parameters correlated with main respiratory indexes
p < 0.001
Splanchnic circulatory parameters correlated with pulmonary artery diameter
p = 0.02

Observational data: associations, not effects.

Further findings

Correlation with abdominal imaging measures
P = 0.04
Correlation with chest imaging measures
P = 0.03
More severe COVID-19 associated with worse liver dysfunction and enhanced inflammatory activation

Original publication

Portal hypertension-like pattern in coronavirus disease 2019 acute respiratory distress syndrome. J Crit Care. Published 11 March 2024. doi:10.1016/j.jcrc.2024.154759

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