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Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis

The use of ultrasonography to predict spinal-induced hypotension (SIH) has gained significant attention. This diagnostic meta-analysis aimed to investigate the reliability of the inferior vena cava collapsibility index (IVCCI) in predicting SIH in patients undergoing various surgeries. Databases, in...

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Autores principales: Chang, Ying-Jen, Liu, Chien-Cheng, Huang, Yen-Ta, Wu, Jheng-Yan, Hung, Kuo-Chuan, Liu, Ping-Hsin, Lin, Chien-Hung, Lin, Yao-Tsung, Chen, I-Wen, Lan, Kuo-Mao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487093/
https://www.ncbi.nlm.nih.gov/pubmed/37685357
http://dx.doi.org/10.3390/diagnostics13172819
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author Chang, Ying-Jen
Liu, Chien-Cheng
Huang, Yen-Ta
Wu, Jheng-Yan
Hung, Kuo-Chuan
Liu, Ping-Hsin
Lin, Chien-Hung
Lin, Yao-Tsung
Chen, I-Wen
Lan, Kuo-Mao
author_facet Chang, Ying-Jen
Liu, Chien-Cheng
Huang, Yen-Ta
Wu, Jheng-Yan
Hung, Kuo-Chuan
Liu, Ping-Hsin
Lin, Chien-Hung
Lin, Yao-Tsung
Chen, I-Wen
Lan, Kuo-Mao
author_sort Chang, Ying-Jen
collection PubMed
description The use of ultrasonography to predict spinal-induced hypotension (SIH) has gained significant attention. This diagnostic meta-analysis aimed to investigate the reliability of the inferior vena cava collapsibility index (IVCCI) in predicting SIH in patients undergoing various surgeries. Databases, including Embase, Cochrane Library, Medline, and Google Scholar, were screened until 28 July 2023, yielding 12 studies with 1076 patients (age range: 25.6–79 years) undergoing cesarean section (CS) (n = 4) or non-CS surgeries (n = 8). Patients with SIH had a significantly higher IVCCI than those without SIH (mean difference: 11.12%, 95% confidence interval (CI): 7.83–14.41). The pooled incidence rate of SIH was 40.5%. IVCCI demonstrated satisfactory overall diagnostic reliability (sensitivity, 77%; specificity, 82%). The pooled area under the curve (AUC) was 0.85, indicating its high capability to differentiate patients at risk of PSH. The Fagan nomogram plot demonstrated a positive likelihood ratio (PLR) of 4 and a negative likelihood ratio (NLR) of 0.28. The results underscore the robustness and discriminative ability of IVCCI as a predictive tool for SIH. Nevertheless, future investigations should focus on assessing its applicability to high-risk patients and exploring the potential enhancement in patient safety through its incorporation into clinical practice.
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spelling pubmed-104870932023-09-09 Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis Chang, Ying-Jen Liu, Chien-Cheng Huang, Yen-Ta Wu, Jheng-Yan Hung, Kuo-Chuan Liu, Ping-Hsin Lin, Chien-Hung Lin, Yao-Tsung Chen, I-Wen Lan, Kuo-Mao Diagnostics (Basel) Systematic Review The use of ultrasonography to predict spinal-induced hypotension (SIH) has gained significant attention. This diagnostic meta-analysis aimed to investigate the reliability of the inferior vena cava collapsibility index (IVCCI) in predicting SIH in patients undergoing various surgeries. Databases, including Embase, Cochrane Library, Medline, and Google Scholar, were screened until 28 July 2023, yielding 12 studies with 1076 patients (age range: 25.6–79 years) undergoing cesarean section (CS) (n = 4) or non-CS surgeries (n = 8). Patients with SIH had a significantly higher IVCCI than those without SIH (mean difference: 11.12%, 95% confidence interval (CI): 7.83–14.41). The pooled incidence rate of SIH was 40.5%. IVCCI demonstrated satisfactory overall diagnostic reliability (sensitivity, 77%; specificity, 82%). The pooled area under the curve (AUC) was 0.85, indicating its high capability to differentiate patients at risk of PSH. The Fagan nomogram plot demonstrated a positive likelihood ratio (PLR) of 4 and a negative likelihood ratio (NLR) of 0.28. The results underscore the robustness and discriminative ability of IVCCI as a predictive tool for SIH. Nevertheless, future investigations should focus on assessing its applicability to high-risk patients and exploring the potential enhancement in patient safety through its incorporation into clinical practice. MDPI 2023-08-31 /pmc/articles/PMC10487093/ /pubmed/37685357 http://dx.doi.org/10.3390/diagnostics13172819 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Chang, Ying-Jen
Liu, Chien-Cheng
Huang, Yen-Ta
Wu, Jheng-Yan
Hung, Kuo-Chuan
Liu, Ping-Hsin
Lin, Chien-Hung
Lin, Yao-Tsung
Chen, I-Wen
Lan, Kuo-Mao
Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis
title Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis
title_full Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis
title_fullStr Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis
title_full_unstemmed Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis
title_short Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis
title_sort assessing the efficacy of inferior vena cava collapsibility index for predicting hypotension after central neuraxial block: a systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487093/
https://www.ncbi.nlm.nih.gov/pubmed/37685357
http://dx.doi.org/10.3390/diagnostics13172819
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