Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational study
Objective To investigate the diagnostic performances of renal resistive index (RRI) and semiquantitative power Doppler ultrasound (PDU) scores in predicting acute kidney injury (AKI) stage 3 in critically ill patients. Methods This prospective observational study included 148 patients (80 with reduc...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-01-01
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| Series: | Renal Failure |
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| Online Access: | http://dx.doi.org/10.1080/0886022X.2020.1737544 |
| _version_ | 1818427081169567744 |
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| author | Hai Jun Zhi Yong Li Bo Wang Xiao Ya Cui Meng Zhang Zhen Jie Hu |
| author_facet | Hai Jun Zhi Yong Li Bo Wang Xiao Ya Cui Meng Zhang Zhen Jie Hu |
| author_sort | Hai Jun Zhi |
| collection | DOAJ |
| description | Objective To investigate the diagnostic performances of renal resistive index (RRI) and semiquantitative power Doppler ultrasound (PDU) scores in predicting acute kidney injury (AKI) stage 3 in critically ill patients. Methods This prospective observational study included 148 patients (80 with reduced cardiac index [CI], 68 with maintained CI). RRI and semiquantitative PDU scores were measured within 6 h after intensive care unit admission. AKI was defined according to Kidney Disease Improving Global Outcomes criteria. Results A negative correlation between RRI and PDU score (r = −0.517, p < 0.001) and a positive correlation between PDU score and CI (r = 0.193, p = 0.019) were found, whereas RRI was not correlated with CI (r = 0.131, p = 0.121). The predictive value of RRI for AKI stage 3 was similar between CI-reduced (area under the curve [AUC] 0.761, 95% confidence interval 0.650–0.851, p < 0.001) and CI-maintained (AUC 0.786, 95% confidence interval 0.665–0.878, p < 0.001) patients. Conversely, PDU score could effectively predict AKI stage 3 in CI-reduced patients (AUC 0.872, 95% confidence interval 0.778–0.936, p < 0.001) but not in CI-maintained patients (AUC 0.669, 95% confidence interval 0.544–0.778, p = 0.071). The predictive value of PDU score for AKI stage 3 was statistically different between CI-reduced and CI-maintained patients (p = 0.021). Conclusions PDU scores could effectively predict AKI stage 3 in CI-reduced patients but not in CI-maintained patients. RRI is a poor predictor of AKI stage 3 in patients with reduced or maintained CI. |
| first_indexed | 2024-12-14T14:40:03Z |
| format | Article |
| id | doaj.art-08650acc8de4439a92e9e5bde04d96b2 |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2024-12-14T14:40:03Z |
| publishDate | 2020-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-08650acc8de4439a92e9e5bde04d96b22022-12-21T22:57:26ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492020-01-0142126326910.1080/0886022X.2020.17375441737544Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational studyHai Jun Zhi0Yong Li1Bo Wang2Xiao Ya Cui3Meng Zhang4Zhen Jie Hu5Department of Critical Care Medicine, Fourth Hospital of Hebei Medical UniversityEmergency Department, Cangzhou Central HospitalEmergency Department, Cangzhou Central HospitalEmergency Department, Cangzhou Central HospitalEmergency Department, Cangzhou Central HospitalDepartment of Critical Care Medicine, Fourth Hospital of Hebei Medical UniversityObjective To investigate the diagnostic performances of renal resistive index (RRI) and semiquantitative power Doppler ultrasound (PDU) scores in predicting acute kidney injury (AKI) stage 3 in critically ill patients. Methods This prospective observational study included 148 patients (80 with reduced cardiac index [CI], 68 with maintained CI). RRI and semiquantitative PDU scores were measured within 6 h after intensive care unit admission. AKI was defined according to Kidney Disease Improving Global Outcomes criteria. Results A negative correlation between RRI and PDU score (r = −0.517, p < 0.001) and a positive correlation between PDU score and CI (r = 0.193, p = 0.019) were found, whereas RRI was not correlated with CI (r = 0.131, p = 0.121). The predictive value of RRI for AKI stage 3 was similar between CI-reduced (area under the curve [AUC] 0.761, 95% confidence interval 0.650–0.851, p < 0.001) and CI-maintained (AUC 0.786, 95% confidence interval 0.665–0.878, p < 0.001) patients. Conversely, PDU score could effectively predict AKI stage 3 in CI-reduced patients (AUC 0.872, 95% confidence interval 0.778–0.936, p < 0.001) but not in CI-maintained patients (AUC 0.669, 95% confidence interval 0.544–0.778, p = 0.071). The predictive value of PDU score for AKI stage 3 was statistically different between CI-reduced and CI-maintained patients (p = 0.021). Conclusions PDU scores could effectively predict AKI stage 3 in CI-reduced patients but not in CI-maintained patients. RRI is a poor predictor of AKI stage 3 in patients with reduced or maintained CI.http://dx.doi.org/10.1080/0886022X.2020.1737544acute kidney injuryrenal resistive indexsemiquantitative power doppler ultrasound scorecardiac index |
| spellingShingle | Hai Jun Zhi Yong Li Bo Wang Xiao Ya Cui Meng Zhang Zhen Jie Hu Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational study Renal Failure acute kidney injury renal resistive index semiquantitative power doppler ultrasound score cardiac index |
| title | Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational study |
| title_full | Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational study |
| title_fullStr | Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational study |
| title_full_unstemmed | Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational study |
| title_short | Renal echography for predicting acute kidney injury in critically ill patients: a prospective observational study |
| title_sort | renal echography for predicting acute kidney injury in critically ill patients a prospective observational study |
| topic | acute kidney injury renal resistive index semiquantitative power doppler ultrasound score cardiac index |
| url | http://dx.doi.org/10.1080/0886022X.2020.1737544 |
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