التفاصيل البيبلوغرافية
| العنوان: |
Hemodynamic evaluation in preterm infants using ultrasonic cardiac output monitor (USCOM). |
| المؤلفون: |
Doni, Daniela, Faraguna, Martha Caterina, Zannin, Emanuela, Rinaldi, Alessandro, Cafolla, Claudia, Iozzi, Lucia, Cavalleri, Valeria, Rigotti, Camilla, Sinelli, Mariateresa, Fedeli, Tiziana, Ventura, Maria Luisa |
| المصدر: |
European Journal of Pediatrics; May2024, Vol. 183 Issue 5, p2183-2192, 10p |
| مصطلحات موضوعية: |
CARDIAC output, PREMATURE infants, HEMODYNAMICS, VASCULAR resistance, CHILD patients |
| مصطلحات جغرافية: |
MONZA (Italy) |
| مستخلص: |
We aimed to establish reference ranges for USCOM parameters in preterm infants, determine factors that affect cardiac output, and evaluate the measurement repeatability. This retro-prospective study was performed at Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy. We included infants below 32 weeks of gestational age (GA) and/or 1500 g of birth weight (BW). We excluded infants with congenital heart diseases or hemodynamic instability. Measurements were performed at 3 ± 1, 7 ± 2, and 14 ± 2 postnatal days. We analyzed 204 measurements from 92 patients (median GA = 30.57 weeks, BW = 1360 g). The mean (SD) cardiac output (CO) was 278 (55) ml/min/kg, cardiac index (CI) was 3.1 (0.5) L/min/m2, and systemic vascular resistance (SVRI) was 1292 (294) d*s*cm−5/m2. CO presented a negative correlation with postmenstrual age (PMA), while SVRI presented a positive correlation with PMA. The repeatability coefficient was 31 ml/kg/min (12%). Conclusion: This is the first study describing reference values for USCOM parameters in hemodynamically stable preterm infants and factors affecting their variability. Further studies to investigate the usefulness of USCOM for the longitudinal assessment of patients at risk for cardiovascular instability or monitoring the response to therapies are warranted. What is Known: • The ultrasonic cardiac output monitoring (USCOM) has been widely used on adult and pediatric patients and reference ranges for cardiac output (CO) by USCOM have been established in term infants. What is New: • We established reference values for USCOM parameters in very preterm and very-low-birth-weight infants; the reference ranges for CO by USCOM in the study population were 198-405 ml/kg/min. • CO normalized by body weight presented a significant negative correlation with postmenstrual age (PMA); systemic vascular resistance index presented a significant positive correlation with PMA. [ABSTRACT FROM AUTHOR] |
|
Copyright of European Journal of Pediatrics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
