Predictive value of transabdominal intestinal sonography in critically ill patients: a prospective observational study
| العنوان: | Predictive value of transabdominal intestinal sonography in critically ill patients: a prospective observational study |
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| المؤلفون: | Chun Cao, Wenkui Yu, Minhua Cheng, Yan Chen, Weiqin Li, Ting Su, Tao Gao, Fengchan Xi |
| المصدر: | Critical Care Critical Care, Vol 23, Iss 1, Pp 1-14 (2019) |
| بيانات النشر: | BioMed Central, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, GUTS protocol, China, Urinary system, Critical Illness, Point-of-Care Systems, Gastrointestinal Injury, Abdominal Injuries, Critical Care and Intensive Care Medicine, Gastroenterology, law.invention, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, law, Predictive Value of Tests, Internal medicine, Ultrasound, medicine, Abdominal pressure, Humans, Prospective Studies, APACHE, Aged, Ultrasonography, POCUS, business.industry, Critically ill, Research, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Acute gastrointestinal injury, 030208 emergency & critical care medicine, Abdominal hypertension, lcsh:RC86-88.9, Length of Stay, Middle Aged, Predictive value, Intensive care unit, Gastrointestinal Tract, Hospitalization, Intensive Care Units, ROC Curve, Observational study, Female, business |
| الوصف: | Background This study examined the feasibility of transabdominal intestinal ultrasonography in evaluating acute gastrointestinal injury (AGI). Methods A total of 116 patients were included. Intestinal ultrasonography was conducted daily within 1 week after admission to the intensive care unit. Ultrasonography indicators including intestinal diameter, changes in the intestinal folds, thickness of the intestinal wall, stratification of the intestinal wall, and intestinal peristalsis (movement of the intestinal contents) were observed to determine the acute gastrointestinal injury ultrasonography (AGIUS) score. The gastrointestinal and urinary tract sonography ultrasound (GUTS) protocol score was also calculated. During the first week of the study, the gastrointestinal failure (GIF) score was determined daily. The correlations between transabdominal intestinal scores (AGIUS and GUTS) and the GIF score were analyzed to clarify the feasibility of evaluating AGI through observation of the intestine. The utility of intestinal ultrasonography indicators in predicting feeding intolerance was investigated to improve the ability of clinicians to manage AGI. Results A total of 751 ultrasonic examinations were performed with 511 images (68%) considered to be of “good quality.” AGIUS and GUTS scores differed significantly between AGI patients (GIF score 0–2) and non-AGI patients (GIF score 3–4) (p r = 0.54, p r = 0.66, p 10/min) have increased risk for feeding intolerance (16/83 vs. 25/33, p Conclusions The transabdominal intestinal ultrasonography represents an effective means for assessing gastrointestinal injury in critically ill patients. Intestinal ultrasonography indicators, especially the degree of intestinal peristalsis, may be used to predict feeding intolerance. Trial registration ClinicalTrial.gov, NCT03589248. Registered 04 July 2018—retrospectively registered. |
| اللغة: | English |
| تدمد: | 1466-609X 1364-8535 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1f9dd3b364d7a82fc50ea0e9cd9e9750Test http://europepmc.org/articles/PMC6880579Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1f9dd3b364d7a82fc50ea0e9cd9e9750 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1466609X 13648535 |
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