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Focused cardiac ultrasound as a predictor of readmission in acute decompensated heart failure.

Publication ,  Journal Article
Laffin, LJ; Patel, AV; Saha, N; Barbat, J; Hall, JK; Cain, M; Parikh, K; Shah, J; Spencer, KT
Published in: Int J Cardiovasc Imaging
July 2018

Acute decompensated heart failure (ADHF) is a common reason for admission to the hospital, and readmission is frequent. Multiple factors contribute to rehospitalizations, but inadequate assessment of volume status leading to persistent congestion is an important factor. We sought to determine if focused cardiac ultrasound (FCU) of the inferior vena cava (IVC), as a surrogate of volume status, would predict readmission of ADHF patients after index hospitalization. Patients admitted with a primary diagnosis of ADHF were prospectively enrolled. All patients underwent FCU of the IVC on admission and then daily. 82 patients were enrolled. Patients demonstrated improvement in heart failure physical examination findings and symptoms during the hospitalization. There was a reduction in the size of the IVC and a significant increase in patients with small collapsible vena cava. Logistic regression analysis of physical examination, patient symptoms, and IVC parameters at discharge demonstrated IVC collapsibility and patient reported dyspnea improvement as the only significant variables to predict readmission or emergency department visit. FCU assessment of IVC size and collapsibility may be useful in patients with ADHF to predict risk of being readmitted within 30 days of hospital discharge.

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Published In

Int J Cardiovasc Imaging

DOI

EISSN

1875-8312

Publication Date

July 2018

Volume

34

Issue

7

Start / End Page

1075 / 1079

Location

United States

Related Subject Headings

  • Vena Cava, Inferior
  • Predictive Value of Tests
  • Patient Readmission
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • Heart Failure
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Laffin, L. J., Patel, A. V., Saha, N., Barbat, J., Hall, J. K., Cain, M., … Spencer, K. T. (2018). Focused cardiac ultrasound as a predictor of readmission in acute decompensated heart failure. Int J Cardiovasc Imaging, 34(7), 1075–1079. https://doi.org/10.1007/s10554-018-1317-1
Laffin, Luke J., Amit V. Patel, Narayan Saha, Julian Barbat, James K. Hall, Matthew Cain, Kishan Parikh, Jay Shah, and Kirk T. Spencer. “Focused cardiac ultrasound as a predictor of readmission in acute decompensated heart failure.Int J Cardiovasc Imaging 34, no. 7 (July 2018): 1075–79. https://doi.org/10.1007/s10554-018-1317-1.
Laffin LJ, Patel AV, Saha N, Barbat J, Hall JK, Cain M, et al. Focused cardiac ultrasound as a predictor of readmission in acute decompensated heart failure. Int J Cardiovasc Imaging. 2018 Jul;34(7):1075–9.
Laffin, Luke J., et al. “Focused cardiac ultrasound as a predictor of readmission in acute decompensated heart failure.Int J Cardiovasc Imaging, vol. 34, no. 7, July 2018, pp. 1075–79. Pubmed, doi:10.1007/s10554-018-1317-1.
Laffin LJ, Patel AV, Saha N, Barbat J, Hall JK, Cain M, Parikh K, Shah J, Spencer KT. Focused cardiac ultrasound as a predictor of readmission in acute decompensated heart failure. Int J Cardiovasc Imaging. 2018 Jul;34(7):1075–1079.

Published In

Int J Cardiovasc Imaging

DOI

EISSN

1875-8312

Publication Date

July 2018

Volume

34

Issue

7

Start / End Page

1075 / 1079

Location

United States

Related Subject Headings

  • Vena Cava, Inferior
  • Predictive Value of Tests
  • Patient Readmission
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • Heart Failure
  • Female