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Initial inferior vena cava and aorta diameter parameters measured by ultrasonography or computed tomography does not correlate with vital signs, hemorrhage or shock markers in trauma patients

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dc.contributor.authorDENİZBAŞI ALTINOK, ARZU
dc.contributor.authorsCelik, Omer Faruk; Akoglu, Haldun; Celik, Ali; Asadov, Ruslan; Onur, Ozge Ecmel; Denizbasi, Arzu
dc.date.accessioned2022-03-14T09:04:21Z
dc.date.available2022-03-14T09:04:21Z
dc.date.issued2017
dc.description.abstractBACKGROUND: Ultrasonography (US) is noninvasive, readily available, and cheap. The diameter of inferior vena cava (dIVC) and its respiratory variation were proposed as a good surrogate of the hemodynamic state. However, recent studies have shown conflicting results, and the value of IVC-derived parameters in the estimation of fluid status and hemorrhage remains unclear. METHODS: This was an observational study of trauma patients who presented to emergency department. dIVC and aorta diameter (dAorta) were measured at the initial US and CT in all patients. The correlation of these measurements and all parameters derived from those measurements along with the initial vital signs and laboratory values of hemorrhage (hemoglobin, hematocrit) and shock (lactate, base excess) were assessed. US and CT values were also compared for accuracy using Bland-Altman analysis. RESULTS: The final study population was 140, with a mean age of 38 years and 79.3% were male. dIVC and dAorta did not have any clinically significant correlation with any of the vital signs or laboratory values of hemorrhage or shock when measured by US or CT. A good and significant correlation was observed between dIVC and dAorta measured by US and CT. CONCLUSION: The value of an initial and single measurement of IVC and aorta parameters in the evaluation of trauma patients should be questioned. However, the change in the measured parameters may be of value and should be investigated in further studies.
dc.identifier.doi10.5505/tjtes.2017.72365
dc.identifier.issn1306-696X
dc.identifier.pubmed30028494
dc.identifier.urihttps://hdl.handle.net/11424/242387
dc.identifier.wosWOS:000439418700012
dc.language.isoeng
dc.publisherTURKISH ASSOC TRAUMA EMERGENCY SURGERY
dc.relation.ispartofULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAorta
dc.subjectaortacaval index
dc.subjectcaval index
dc.subjectcollapsibility index
dc.subjectdiameter
dc.subjectdistensibility index
dc.subjectinferior vena cava
dc.subjectshock
dc.subjecttrauma
dc.subjectCENTRAL VENOUS-PRESSURE
dc.subjectRIGHT ATRIAL PRESSURE
dc.subjectSONOGRAPHIC MEASUREMENT
dc.subjectHEMODIALYSIS-PATIENTS
dc.subjectNONINVASIVE ESTIMATION
dc.subjectINTRAVASCULAR VOLUME
dc.subjectFLUID STATUS
dc.subjectBLOOD-LOSS
dc.subjectULTRASOUND
dc.subjectINDEX
dc.titleInitial inferior vena cava and aorta diameter parameters measured by ultrasonography or computed tomography does not correlate with vital signs, hemorrhage or shock markers in trauma patients
dc.typearticle
dspace.entity.typePublication
local.avesis.id18533852-1ba0-4a8e-acee-55a818d69cb1
local.import.packageSS16
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.indexed.atTRDIZIN
local.journal.numberofpages8
local.journal.quartileQ4
oaire.citation.endPage358
oaire.citation.issue4
oaire.citation.startPage351
oaire.citation.titleULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
oaire.citation.volume24
relation.isAuthorOfPublication85d7879a-b827-49ad-8b5f-77e6661077c7
relation.isAuthorOfPublication.latestForDiscovery85d7879a-b827-49ad-8b5f-77e6661077c7

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