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

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Laffin, LJ; Patel, AV; Saha, N; Barbat, J; Hall, JK; Cain, M; Parikh, K; Shah, J; Spencer, KT

Published Date

  • July 2018

Published In

Volume / Issue

  • 34 / 7

Start / End Page

  • 1075 - 1079

PubMed ID

  • 29450742

Pubmed Central ID

  • 29450742

Electronic International Standard Serial Number (EISSN)

  • 1875-8312

International Standard Serial Number (ISSN)

  • 1569-5794

Digital Object Identifier (DOI)

  • 10.1007/s10554-018-1317-1

Language

  • eng