Acute cardiac care & resuscitation
Prognostic Implication of a Novel Right Ventricular Injury Score in Septic Patients
Authors' conclusion
The RVI score was independently related to 30 day mortality and had the potential to grade the severity of RV dysfunction in septic patients.
Study context
- Population
- Septic patients admitted to the ICU51 died at 30 days
- Participants
- 327 patients
- Exposure
- RV injury (RVI) score 1, 2 or 3 vs RVI score 0
- Outcome
- Mortality
- Follow-up
- 30 days
Main finding
As reported in the abstract
30-day mortality by RVI score
Each group vs RVI score 0Hazard ratio (95% CI)P value
RVI score 1
2.94(1.20–7.20)
P = 0.018RVI score 2
3.20(1.28–7.98)
P = 0.013RVI score 3
7.17(2.65–19.38)
P < 0.001Observational data: associations, not effects.
Further findings
30-day mortality by individual right ventricular (RV) indices
| HR (95% CI) | P value | ||
|---|---|---|---|
| RV dilationMultivariate Cox regression | 2.19 (1.19–4.01) | P = 0.011 | |
| RVSDMultivariate Cox regression | 2.25 (1.23–4.13) | P = 0.009 | |
| RV-PA decouplingMultivariate Cox regression | 2.08 (1.19–3.65) | P = 0.011 | |
| 0.20.5125Hazard ratio (log scale) |
Prevalence of RV abnormalities
- RV dilation
- 18.0%
- RVSD
- 35.8%
- RV-PA decoupling
- 21.4%
- Appreciable overlap
Original publication
Prognostic Implication of a Novel Right Ventricular Injury Score in Septic Patients. ESC Heart Fail. Published 22 January 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →