Effects of respiratory variation index of the inferior vena cava internal diameter on acute kidney injury caused by septic shock
CHENG Tao
ZHANG Xiao - xia
PENG Peng
YUSUFUJIANG
YANG Jian-zhong
AIKEBAIER
LI Wen-chao
XIAO Bei-bei
QIAO Ming-ming
Abstract：hour after fluid resuscitation. The hemodynamic data, APACHE Ⅱ score, serum creatinine, lactate concentration were performed respectively at the beginning and 24 hour after fluid resuscitation. The incidence and mortality of AKI, the outcome of these patients in EICU and at Day 28 post - diagnosis were recorded. Results There were 25 cases (78. 1% ) in low ΔIVC group attacked with AKI, while 16 cases (53. 3% ) in high ΔIVC group were attacked with AKI, the incidence of AKI in low ΔIVC group was significantly higher than that in the high ΔIVC group. A total of 23 patients (37. 1% ) died in EICU, include 16 cases (50. 0% ) in low ΔIVC group and 7 cases (23. 3% ) in high ΔIVC group and 18 cases(56. 3% ) died at Day 28 post - diagnosis in low ΔIVC group while 11 cases(36. 7% ) in highΔIVC group. The emergency intensive care unit mortality in low ΔIVC group was significantly higher than that in the high ΔIVC group, but 28 - day mortality there was no statistical difference. Conclusions A low ΔIVC group may increase and mortality of AKI after septic shock, therefore low ΔIVC should be avoided in clinical treatment.
Keywords：The inner diameter of the inferior vena cavaRespiratory variation indexSeptic shockAcute kidney injury(AKI)HemodynamicsFluid resuscitation
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 30-34 )