Heart failure & cardiomyopathiesCohort study
Venous Excess Ultrasound Score and Acute Kidney Injury in Patients With Acute Heart Failure
- Prospective study
Authors' conclusion
In AHF patients, the VExUS score is associated with AKI occurrence. Further studies are needed to clarify the role of VExUS assessment in HF.
Study context
- Population
- Patients with acute heart failure (AHF) (acute de novo and decompensated chronic heart failure)patients included
- Participants
- 109 patients
- Exposure
- Severe congestion vs Venous Excess Ultrasound Score (VExUS) 0-1
- VExUS >1n = 41
- Outcome
- Acute kidney injury (AKI), defined by Kidney Disease: Improving Global Outcomes criteria
- Follow-up
- During hospital stay
Main finding
As reported in the abstract
VExUS >1Estimate (95% CI)P value
AKI, defined by Kidney Disease: Improving Global Outcomes criteria
HR 2.65(1.39–5.07)
P = 0.003adjusted logistic regression; strongest predictor of AKI during hospital stay
OR 4.60(1.47–16.0)
Observational data: associations, not effects.
Secondary outcomes
Frequency of VExUS >1
- VExUS >1 was more frequent in chronic HF and in patients with right ventricular involvement
Original publication
Venous Excess Ultrasound Score and Acute Kidney Injury in Patients With Acute Heart Failure. JACC Adv. doi:10.1016/j.jacadv.2026.102752
Summarised from the published abstract; every number is checked against it