Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients

Abstract Background Assessment of the central venous pressure (CVP) is an essential hemodynamic parameter for monitoring the dialyzing patients. Our objective of the present study is to investigate the accuracy of CVP measurement by internal jugular vein US in comparison to the direct measurement by...

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Autores principales:	Ahmed Abd Alrahman Baz, Amro Abdulrahim Ibrahim, Hussein Saeed El-Fishawy, Abo El-Magd Mohamed Al-Bohy
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Hemodialysis Central venous pressure Measurement Ultrasound Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/4ba5d64e37ee4681a98c3267631da758
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spelling	oai:doaj.org-article:4ba5d64e37ee4681a98c3267631da7582021-11-21T12:26:45ZDiagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients10.1186/s43055-021-00661-42090-4762https://doaj.org/article/4ba5d64e37ee4681a98c3267631da7582021-11-01T00:00:00Zhttps://doi.org/10.1186/s43055-021-00661-4https://doaj.org/toc/2090-4762Abstract Background Assessment of the central venous pressure (CVP) is an essential hemodynamic parameter for monitoring the dialyzing patients. Our objective of the present study is to investigate the accuracy of CVP measurement by internal jugular vein US in comparison to the direct measurement by the central venous catheters for hemodialysis patients. We included 106 patients; where their CVP was assessed in two different non invasive US methods (CVPni) separately and in combination and the obtained measurements were correlated to the invasive measurements (CVPi) by catheters. Results By method 1, there is a highly significant positive correlation between CVPni and CVPi (ρ < 0.001) and a Pearson correlation coefficient (r = 0.913 n = 93), and by method 2, there is also a highly significant positive correlation between the CVPni and CVPi in both groups (r = 0.832, 95%, n = 106, p < 0.001), 1.935 was the cut-off point for prediction of CVP ≥ 10cmH20. For differentiation between patients with CVP < 10cmH20 and ≥ 10cmH20, the accuracy measures (sensitivity, specificity, PPV, NPV, and overall accuracy) were 100%, 79.31%, 74.47%, 100%, and 87.10% by method 1, and were 91.11%, 85.48%, 82.00%, 92.98%, and 87.85% by method 2, while the combination of both methods had gained 88.57%, 89.66%, 83.78%, 92.86%, and 89.25%, respectively. Conclusion The US offered a reliable and non-invasive tool for monitoring CVP. The present study has a novelty of combining more than one US method and this had reported higher accuracy measures and outperformed the use of a single method.Ahmed Abd Alrahman BazAmro Abdulrahim IbrahimHussein Saeed El-FishawyAbo El-Magd Mohamed Al-BohySpringerOpenarticleHemodialysisCentral venous pressureMeasurementUltrasoundMedical physics. Medical radiology. Nuclear medicineR895-920ENThe Egyptian Journal of Radiology and Nuclear Medicine, Vol 52, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hemodialysis Central venous pressure Measurement Ultrasound Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Hemodialysis Central venous pressure Measurement Ultrasound Medical physics. Medical radiology. Nuclear medicine R895-920 Ahmed Abd Alrahman Baz Amro Abdulrahim Ibrahim Hussein Saeed El-Fishawy Abo El-Magd Mohamed Al-Bohy Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients
description	Abstract Background Assessment of the central venous pressure (CVP) is an essential hemodynamic parameter for monitoring the dialyzing patients. Our objective of the present study is to investigate the accuracy of CVP measurement by internal jugular vein US in comparison to the direct measurement by the central venous catheters for hemodialysis patients. We included 106 patients; where their CVP was assessed in two different non invasive US methods (CVPni) separately and in combination and the obtained measurements were correlated to the invasive measurements (CVPi) by catheters. Results By method 1, there is a highly significant positive correlation between CVPni and CVPi (ρ < 0.001) and a Pearson correlation coefficient (r = 0.913 n = 93), and by method 2, there is also a highly significant positive correlation between the CVPni and CVPi in both groups (r = 0.832, 95%, n = 106, p < 0.001), 1.935 was the cut-off point for prediction of CVP ≥ 10cmH20. For differentiation between patients with CVP < 10cmH20 and ≥ 10cmH20, the accuracy measures (sensitivity, specificity, PPV, NPV, and overall accuracy) were 100%, 79.31%, 74.47%, 100%, and 87.10% by method 1, and were 91.11%, 85.48%, 82.00%, 92.98%, and 87.85% by method 2, while the combination of both methods had gained 88.57%, 89.66%, 83.78%, 92.86%, and 89.25%, respectively. Conclusion The US offered a reliable and non-invasive tool for monitoring CVP. The present study has a novelty of combining more than one US method and this had reported higher accuracy measures and outperformed the use of a single method.
format	article
author	Ahmed Abd Alrahman Baz Amro Abdulrahim Ibrahim Hussein Saeed El-Fishawy Abo El-Magd Mohamed Al-Bohy
author_facet	Ahmed Abd Alrahman Baz Amro Abdulrahim Ibrahim Hussein Saeed El-Fishawy Abo El-Magd Mohamed Al-Bohy
author_sort	Ahmed Abd Alrahman Baz
title	Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients
title_short	Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients
title_full	Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients
title_fullStr	Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients
title_full_unstemmed	Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients
title_sort	diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/4ba5d64e37ee4681a98c3267631da758
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Diagnostic accuracy of internal jugular vein ultrasound in quantification of the central venous pressure for hemodialysis patients

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