Venous excess ultrasound score and acute kidney injury in patients with acute coronary syndrome
Authors' conclusion
In patients hospitalized with ACS, VExUS is associated with the occurrence of AKI.
Study context
- Population
- Patients with acute coronary syndrome (ACS) (STEMI and NSTE-ACS), Venous Excess Ultrasound Score (VExUS) performed during first 24 h of hospital stay
- Participants
- 77 patients
- Exposure
- VExUS ≥1 vs VExUS 0
- VExUS ≥1n = 31
- Outcome
- Occurrence of acute kidney injury (AKI) (KDIGO criteria)
Main finding
As reported in the abstract
AKI
VExUS ≥1 vs VExUS 0Odds ratio (95% CI)P value
Unadjusted
6.75(2.21–23.7)
P = 0.001Multivariable analysis
6.15(1.26–29.94)
P = 0.02Observational data: associations, not effects.
Further findings
VExUS ≥1 by infarct location
- VExUS ≥1 more frequent in inferior vs anterior MI/NSTEMI
- 48.3 vs. 25.8 and 22.5%, P = 0.031
Original publication
Venous excess ultrasound score and acute kidney injury in patients with acute coronary syndrome. Eur Heart J Acute Cardiovasc Care. Published 8 May 2023. doi:10. 1093/ ehjacc/ zuad048
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