Prevalence of systemic venous congestion assessed by Venous Excess Ultrasound Grading System (VExUS) and association with acute kidney injury in a general ICU cohort: a prospective multicentric study
Authors' conclusion
In general ICU cohort the prevalence of moderate to severe venous congestion was low. Early assessment of systemic venous congestion using VExUS scores was not associated with the development of AKI or with 28-day mortality.
Study context
- Population
- Adult general ICU patients within 24 h of ICU admission
- Participants
- 145 patients
- Exposure
- Admission VExUS ≥ 2 vs lower VExUS scores for AKI and 28-day mortality
- Outcome
- Prevalence of venous congestion by VExUS
- Follow-up
- Within 24 h of ICU admission
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Prevalence of VExUS score 2 and 3
Observational data: associations, not effects.
Further findings
AKI during first ICU week, by admission VExUS
| OR (95% CI) | P value | ||
|---|---|---|---|
| Admission VExUS ≥ 2 | 0.499 (0.21–1.17) | P = 0.109 | |
| 0.20.5125Odds ratio (log scale) |
28-day mortality, by admission VExUS
| OR (95% CI) | P value | ||
|---|---|---|---|
| Admission VExUS ≥ 2 | 0.75 (0.2–2.8) | P = 0.669 | |
| 0.20.5125Odds ratio (log scale) |
- AKI during first ICU week, by admission VExUS — No significant association between admission VExUS scores and AKI
- p = 0.136
- 28-day mortality, by admission VExUS — No significant association between admission VExUS scores and 28-day mortality
- p = 0.594
AKI and 28-day mortality, VExUS at day 1 and day 2
- Results similar to admission
Original publication
Prevalence of systemic venous congestion assessed by Venous Excess Ultrasound Grading System (VExUS) and association with acute kidney injury in a general ICU cohort: a prospective multicentric study. Crit Care. Published 8 June 2023. doi:10.
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