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- W4244124511 abstract "Abstract This study retrospectively analyzed data from the Medical Information Mart for Intensive Care-III critical care database to determine whether visually-assessed right ventricular (RV) dysfunction was associated with clinical outcomes in septic shock patients. Associations between visually-assessed RV dysfunction by echocardiography and in-hospital mortality, lethal arrhythmia, and hemodynamic indicators to determine the prognostic value of RV dysfunction in patients with septic shock were analyzed. Propensity score analysis showed RV dysfunction increased risk of in-hospital death in patients with septic shock (adjusted odds ratio [OR], 2.15; 95% confidence interval [CI], 1.99–2.32; P <0.0010. In multivariate logistic regression analysis, RV dysfunction was associated with in-hospital death (OR, 2.19; 95%CI, 1.91–2.53; P <0.001), lethal arrhythmia (OR, 2.19; 95%CI, 1.34–3.57; P <0.001), and tendency for increased blood lactate levels (OR, 1.31; 95%CI, 1.14–1.50; P <0.001) independent of left ventricular (LV) dysfunction. RV dysfunction patients had lower cardiac output, pulmonary artery pressure index, and RV stroke work index than those without RV dysfunction. In patients with septic shock, visually-assessed RV dysfunction was associated with in-hospital mortality, lethal arrhythmia, and circulatory insufficiency independent of LV dysfunction. Visual assessment of RV dysfunction using echocardiography might predict the short-term prognosis of patients with septic shock by reflecting hemodynamic status." @default.
- W4244124511 created "2022-05-12" @default.
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- W4244124511 date "2021-03-04" @default.
- W4244124511 modified "2023-09-23" @default.
- W4244124511 title "Clinical Impact of Visually Assessed Right Ventricular Dysfunction in Patients With Septic Shock" @default.
- W4244124511 doi "https://doi.org/10.21203/rs.3.rs-258251/v1" @default.
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