Study the correlation between Echocardiographic assessment of Pulmonary pressure and Outcome of Acute Respiratory Distress syndrome | ||
| Benha Journal of Applied Sciences | ||
| Article 6, Volume 9, Issue 10, October 2024, Pages 45-52 PDF (460.48 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2024.325304.1513 | ||
| Authors | ||
| Mohamed Elassal1; Tarek Samy2; Basem Mofreh Aglan3; Gehan Said Ibraheem* 4 | ||
| 1professor and Head of Internal Medicine Department Faculty of medicine – Benha University | ||
| 2professor of Chest Disease Faculty of medicine – Benha University | ||
| 3Assistant Professor of Cardiothoracic surgery Faculty of Medicine -Benha University | ||
| 4MBBCh | ||
| Abstract | ||
| Background: Inflammation, noncardiogenic pulmonary edema, and injury to the alveolar epithelium and the endothelial barrier of the pulmonary arteries lead to sudden respiratory failure in a clinical entity known as respiratory distress syndrome (ARDS). Finding out how well PH evaluated by transthoracic echocardiography predicts 30-day in intensive care unit (ICU) patients with respiratory distress syndrome was the primary goal of study. Methods: Hundred individuals diagnosed with respiratory distress syndrome were included in observational research. Group I consisted of patients with ARDS and PH, group II consisted of patients with normal PASP. Each group received an equal number of patients. Results: (r = 0.801, P < 0.001) and LVEF (r = 0.767, P <0.001) were positively correlated with PaO2/FiO2 in a substantial way. The results showed clear negative relationships with TR maximal PG (r = -0.848, P < 0.001), RAP (r = -0.625, P < 0.001), and PASP (r = -0.986, P < 0.001). For the purpose of predicting in ARDS patients with PHT, ROC analysis was performed for . A significant under the curve (AUC) of 0.917 was shown, with a 95% confidence range ranging from 0.843 to 0.991 (P < 0.001). With a sensitivity of 74.3% and a specificity of 100%, respectively, the optimal cutoff was < 1.5. Conclusions: A major predictor of 30-day in patients admitted to the ICU with ARDS is echocardiographic measurement of pulmonary hypertension (PH). | ||
| Keywords | ||
| Paranasal Sinuses; Anatomical Variations; and CT Scans | ||
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