Respiratory failure & ventilation
Predicting mortality in severe Covid-19 Pneumonia: the role of right ventricular dysfunction
Authors' conclusion
An increase in the RV basal diameter and the presence of ACP measured by TTE are independent predictors of in-hospital mortality in patients with C-ARDS.
Study context
- Population
- ICU patients with ARDS due to COVID-19 pneumonia (C-ARDS) on mechanical ventilation assessed by transthoracic echocardiography, Sanatorio de Los Arcos, Buenos Aires, Argentina, March 2020–January 2022
- Participants
- 114 patients
- Outcome
- In-hospital mortality (RV echocardiographic variables as independent predictors)
Methodological detailsobservational, single-centre
- Observational
- Single-centre
Main finding
As reported in the abstract
Independent predictors of in-hospital mortality (multivariate logistic regression)
Odds ratio (95% CI)
RV basal diameter
3.16(1.36–7.32)
Presence of ACP
3.64(1.05–12.65)
Observational data: associations, not effects.
Further findings
Prevalence of right ventricle (RV) abnormalities on echocardiography
- RV dilation (RV basal diameter >41 mm)
- 12.3%
- No RV dilation
- 87.7%
- Acute cor pulmonale (RV dilation with paradoxical septal motion)
- 6.1%
- RV systolic dysfunction (qualitative evaluation)
- 7%
Original publication
Predicting mortality in severe Covid-19 Pneumonia: the role of right ventricular dysfunction. J Clin Monit Comput. Published 18 October 2023. doi:10. 1007/ s10877-023-01092-4
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