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Predictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis

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dc.contributor.advisorAlvarado Sánchez, Jorge Iván
dc.creatorSalazar Ruíz, Sergio
dc.creatorAlvarado Sánchez, Jorge Iván
dc.creatorCaicedo Ruiz, Juan Daniel
dc.creatorDiaztagle Fernández, Juan José
dc.creatorCárdenas Bolivar, Yenny Rocío
dc.creatorCarreño Hernandez, Fredy Leonardo
dc.creatorMora Salamanca, Andrés Felipe
dc.creatorMontañez Nariño, Andrea Valentina
dc.creatorStozitzky Ríos, María Valentina
dc.creatorSantacruz Herrera, Carlos
dc.creatorOspina Tascón, Gustavo Adolfo
dc.creatorPinsky, Michael R.
dc.creator.degreeEspecialista en Medicina Crítica y Cuidado Intensivo
dc.creator.degreeLevelMaestría
dc.creator.degreetypeFull time
dc.date.accessioned2024-11-12T15:58:05Z
dc.date.available2024-11-12T15:58:05Z
dc.date.created2024-10-31
dc.descriptionLa elastancia arterial dinámica (Eadyn) ha sido investigada por su capacidad para predecir la hipotensión durante la disminución de vasopresores. Nuestro estudio se centró en evaluar el rendimiento de Eadyn en el contexto de pacientes adultos críticamente enfermos ingresados en la unidad de cuidados intensivos, independientemente del diagnóstico.
dc.description.abstractBackground Dynamic arterial elastance (Eadyn) has been investigated for its ability to predict hypotension during the weaning of vasopressors. Our study focused on assessing Eadyn’s performance in the context of critically ill adult patients admitted to the intensive care unit, regardless of diagnosis. Main body Our study was conducted in accordance with the Preferred Reported Items for Systematic Reviews and Meta-Analysis checklist. The protocol was registered in PROSPERO (CRD42023421462) on May 26, 2023. We included prospective observational studies from the MEDLINE and Embase databases through May 2023. Five studies involving 183 patients were included in the quantitative analysis. We extracted data related to patient clinical characteristics, and information about Eadyn measurement methods, results, and norepinephrine dose. Most patients (76%) were diagnosed with septic shock, while the remaining patients required norepinephrine for other reasons. The average pressure responsiveness rate was 36.20%. The synthesized results yielded an area under the curve of 0.85, with a sensitivity of 0.87 (95% CI 0.74–0.93), specificity of 0.76 (95% CI 0.68–0.83), and diagnostic odds ratio of 19.07 (95% CI 8.47–42.92). Subgroup analyses indicated no variations in the Eadyn based on norepinephrine dosage, the Eadyn measurement device, or the Eadyn diagnostic cutoff to predict cessation of vasopressor support. Conclusions Eadyn, evaluated through subgroup analyses, demonstrated good predictive ability for the discontinuation of vasopressor support in critically ill patients.
dc.format.extent8 pp
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1186/s13613-024-01345-8
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/44069
dc.language.isoeng
dc.publisherUniversidad del Rosario
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programEspecialización en Medicina Crítica y Cuidado Intensivo
dc.relation.urihttps://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-024-01345-8
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectElastancia arterial dinámica
dc.subjectRetiro soporte vasopresor
dc.subjectCriticamente enfermo
dc.subjectEaDyn
dc.subjectVasopresor
dc.subjectUCI
dc.subjectCuidado crítico
dc.subjectTerapia de fluidos
dc.subjectPresion de pulso
dc.subjectVolumen sistólico
dc.subjectRevisión sistematica
dc.subject.keywordCritical care
dc.subject.keywordFluid therapy
dc.subject.keywordPulse pressure
dc.subject.keywordStroke volume
dc.subject.keywordBlood flow velocity predictive value of tests
dc.subject.keywordSystematic review
dc.titlePredictive value of dynamic arterial elastance for vasopressor withdrawal: a systematic review and meta-analysis
dc.title.TranslatedTitleValor predictivo de elastancia arterial dinámica para el retiro de soporte vasopresor una revision sistematica y meta análisis
dc.typebachelorThesis
dc.type.documentMeta-análisis
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaArtículo
local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
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