Sepsis & infection

Prevalence and prognosis of hyperdynamic left ventricular systolic function in septic patients: a systematic review and meta-analysis

Ann Intensive CarePublished Systematic review and meta-analysis

Pooled result · Prevalence of hyperdynamic LV systolic function; short-term mortalityResult — go to the resultOdds ratio 2.37 95% CI 1.47–3.80

Authors' conclusion

The prevalence of hyperdynamic LV systolic function is not negligible in septic patients. Such a finding is associated with significantly higher short-term mortality as compared to normal LV systolic function.

Study context

Population
Adult septic patients4 studies
Comparison
Hyperdynamic vs normal left ventricular (LV) systolic function
Outcome
Prevalence of hyperdynamic LV systolic function and associated short-term mortality vs normal LV systolic function

Pooled result

As reported in the abstract

Prevalence of hyperdynamic LV systolic function; short-term mortality

Odds ratio

2.37

95% CI 1.47–3.80

P < 0.01

By group

Hyperdynamic

18.2%

pooled prevalence · 95% CI 12.5–25.8

Hyperdynamic vs Normal
OR 2.37 (95% CI 1.47–3.80); P < 0.01

Further pooled results

OutcomeMean difference (beats/min) (95% CI)P value
Heart rateI2 = 51%6.14 (3.59–8.69)P < 0.0001
OutcomeMean difference (cm) (95% CI)P value
E/e' ratioP = 0.43
LVEDDI2 = 73%- 0.21 (- 0.33, - 0.09)P < 0.001

E/e' ratio

No difference in E/e' between normal and hyperdynamic LV systolic function

Original publication

Prevalence and prognosis of hyperdynamic left ventricular systolic function in septic patients: a systematic review and meta-analysis. Ann Intensive Care. Published 3 February 2024. doi:10.1186/s13613-024-01255-9

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