The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research
Purpose Many echocardiographic indices (or methods) for assessing right ventricular (RV) function are available, but each has its strengths and limitations. In some cases, there might be discordance between the indices. We conducted a systematic review to audit the echocardiographic RV assessments i...
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| Veröffentlicht in: | Intensive care medicine 2018-06, Vol.44 (6), p.868-883 |
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| creator | Huang, Stephen J. Nalos, Marek Smith, Louise Rajamani, Arvind McLean, Anthony S. |
| description | Purpose
Many echocardiographic indices (or methods) for assessing right ventricular (RV) function are available, but each has its strengths and limitations. In some cases, there might be discordance between the indices. We conducted a systematic review to audit the echocardiographic RV assessments in critical care research to see if a consistent pattern existed. We specifically looked into the kind and number of RV indices used, and how RV dysfunction was defined in each study.
Methods
Studies conducted in critical care settings and reported echocardiographic RV function indices from 1997 to 2017 were searched systematically from three databases. Non-adult studies, case reports, reviews and secondary studies were excluded. These studies’ characteristics and RV indices reported were summarized.
Results
Out of 495 non-duplicated publications found, 81 studies were included in our systematic review. There has been an increasing trend of studying RV function by echocardiography since 2001, and most were conducted in ICU. Thirty-one studies use a single index, mostly TAPSE, to define RV dysfunction; 33 used composite indices and the combinations varied between studies. Seventeen studies did not define RV dysfunction. For those using composite indices, many did not explain their choices.
Conclusions
TAPSE seemed to be the most popular index in the last 2–3 years. Many studies used combinations of indices but, apart from cor pulmonale, we could not find a consistent pattern of RV assessment and definition of RV dysfunction amongst these studies. |
| doi_str_mv | 10.1007/s00134-018-5211-z |
| format | Article |
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Many echocardiographic indices (or methods) for assessing right ventricular (RV) function are available, but each has its strengths and limitations. In some cases, there might be discordance between the indices. We conducted a systematic review to audit the echocardiographic RV assessments in critical care research to see if a consistent pattern existed. We specifically looked into the kind and number of RV indices used, and how RV dysfunction was defined in each study.
Methods
Studies conducted in critical care settings and reported echocardiographic RV function indices from 1997 to 2017 were searched systematically from three databases. Non-adult studies, case reports, reviews and secondary studies were excluded. These studies’ characteristics and RV indices reported were summarized.
Results
Out of 495 non-duplicated publications found, 81 studies were included in our systematic review. There has been an increasing trend of studying RV function by echocardiography since 2001, and most were conducted in ICU. Thirty-one studies use a single index, mostly TAPSE, to define RV dysfunction; 33 used composite indices and the combinations varied between studies. Seventeen studies did not define RV dysfunction. For those using composite indices, many did not explain their choices.
Conclusions
TAPSE seemed to be the most popular index in the last 2–3 years. Many studies used combinations of indices but, apart from cor pulmonale, we could not find a consistent pattern of RV assessment and definition of RV dysfunction amongst these studies.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s00134-018-5211-z</identifier><identifier>PMID: 29789861</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acute respiratory distress syndrome ; Anesthesiology ; Care and treatment ; Case reports ; Critical Care ; Critical Care Medicine ; Critically ill ; Diagnosis ; Discordance ; Echocardiography ; Emergency Medicine ; Heart ; Heart rate ; Humans ; Intensive ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Methods ; Pain Medicine ; Pediatrics ; Pneumology/Respiratory System ; Prospective Studies ; Pulmonary embolism ; Reproducibility of Results ; Retrospective Studies ; Stroke Volume ; Systematic Review ; Ultrasonic imaging ; Ventricle ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Function, Right</subject><ispartof>Intensive care medicine, 2018-06, Vol.44 (6), p.868-883</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Intensive Care Medicine is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-8c45cb6c22fa9eb880cef0fc6a585d506e0e86d8684a3eef023d1c364c71a9793</citedby><cites>FETCH-LOGICAL-c477t-8c45cb6c22fa9eb880cef0fc6a585d506e0e86d8684a3eef023d1c364c71a9793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00134-018-5211-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00134-018-5211-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29789861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Stephen J.</creatorcontrib><creatorcontrib>Nalos, Marek</creatorcontrib><creatorcontrib>Smith, Louise</creatorcontrib><creatorcontrib>Rajamani, Arvind</creatorcontrib><creatorcontrib>McLean, Anthony S.</creatorcontrib><title>The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><addtitle>Intensive Care Med</addtitle><description>Purpose
Many echocardiographic indices (or methods) for assessing right ventricular (RV) function are available, but each has its strengths and limitations. In some cases, there might be discordance between the indices. We conducted a systematic review to audit the echocardiographic RV assessments in critical care research to see if a consistent pattern existed. We specifically looked into the kind and number of RV indices used, and how RV dysfunction was defined in each study.
Methods
Studies conducted in critical care settings and reported echocardiographic RV function indices from 1997 to 2017 were searched systematically from three databases. Non-adult studies, case reports, reviews and secondary studies were excluded. These studies’ characteristics and RV indices reported were summarized.
Results
Out of 495 non-duplicated publications found, 81 studies were included in our systematic review. There has been an increasing trend of studying RV function by echocardiography since 2001, and most were conducted in ICU. Thirty-one studies use a single index, mostly TAPSE, to define RV dysfunction; 33 used composite indices and the combinations varied between studies. Seventeen studies did not define RV dysfunction. For those using composite indices, many did not explain their choices.
Conclusions
TAPSE seemed to be the most popular index in the last 2–3 years. Many studies used combinations of indices but, apart from cor pulmonale, we could not find a consistent pattern of RV assessment and definition of RV dysfunction amongst these studies.</description><subject>Acute respiratory distress syndrome</subject><subject>Anesthesiology</subject><subject>Care and treatment</subject><subject>Case reports</subject><subject>Critical Care</subject><subject>Critical Care Medicine</subject><subject>Critically ill</subject><subject>Diagnosis</subject><subject>Discordance</subject><subject>Echocardiography</subject><subject>Emergency Medicine</subject><subject>Heart</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Intensive</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Pain Medicine</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Prospective Studies</subject><subject>Pulmonary embolism</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Stroke Volume</subject><subject>Systematic Review</subject><subject>Ultrasonic imaging</subject><subject>Ventricle</subject><subject>Ventricular Dysfunction, Right - diagnostic imaging</subject><subject>Ventricular Function, Right</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kk2LFDEQhoMo7rj6A7xIwIuXXvPVSfq4LH7Bgpf1HDLV1T1ZepIx6RZ28cebZlYXZSSHIqnnfakULyGvObvgjJn3hTEuVcO4bVrBeXP_hGy4kqLhQtqnZMOkEo3SSpyRF6XcVtrolj8nZ6IztrOab8jPmx3SpSBNA0XYJfC5D2nM_rALQEPsA2CplfY4hBjiSH3sqS8FS1lvOYy7mf7AOOcAy-QzLXdlTlMVD0uEOaS4qiGHOYCfaPVHmrGgz7B7SZ4Nfir46qGek28fP9xcfW6uv376cnV53YAyZm4sqBa2GoQYfIdbaxngwAbQvrVt3zKNDK3urbbKS6wtIXsOUisw3Hemk-fk3dH3kNP3Bcvs9qEATpOPmJbiBFOS606ItqJv_0Fv05JjnW6lhDItl_KRGv2ELsQhzdnDauoujVDCCC5NpZoT1IgRs59SrAutz3_xFyf4enrcBzgp4EcB5FRKxsEdctj7fOc4c2tC3DEhribErQlx91Xz5uGDy3aP_R_F70hUQByBUltxxPy4gf-7_gLc1sZ-</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Huang, Stephen J.</creator><creator>Nalos, Marek</creator><creator>Smith, Louise</creator><creator>Rajamani, Arvind</creator><creator>McLean, Anthony S.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180601</creationdate><title>The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research</title><author>Huang, Stephen J. ; Nalos, Marek ; Smith, Louise ; Rajamani, Arvind ; McLean, Anthony S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-8c45cb6c22fa9eb880cef0fc6a585d506e0e86d8684a3eef023d1c364c71a9793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acute respiratory distress syndrome</topic><topic>Anesthesiology</topic><topic>Care and treatment</topic><topic>Case reports</topic><topic>Critical Care</topic><topic>Critical Care Medicine</topic><topic>Critically ill</topic><topic>Diagnosis</topic><topic>Discordance</topic><topic>Echocardiography</topic><topic>Emergency Medicine</topic><topic>Heart</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Intensive</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Pain Medicine</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Prospective Studies</topic><topic>Pulmonary embolism</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Stroke Volume</topic><topic>Systematic Review</topic><topic>Ultrasonic imaging</topic><topic>Ventricle</topic><topic>Ventricular Dysfunction, Right - diagnostic imaging</topic><topic>Ventricular Function, Right</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Stephen J.</creatorcontrib><creatorcontrib>Nalos, Marek</creatorcontrib><creatorcontrib>Smith, Louise</creatorcontrib><creatorcontrib>Rajamani, Arvind</creatorcontrib><creatorcontrib>McLean, Anthony S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Stephen J.</au><au>Nalos, Marek</au><au>Smith, Louise</au><au>Rajamani, Arvind</au><au>McLean, Anthony S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research</atitle><jtitle>Intensive care medicine</jtitle><stitle>Intensive Care Med</stitle><addtitle>Intensive Care Med</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>44</volume><issue>6</issue><spage>868</spage><epage>883</epage><pages>868-883</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><abstract>Purpose
Many echocardiographic indices (or methods) for assessing right ventricular (RV) function are available, but each has its strengths and limitations. In some cases, there might be discordance between the indices. We conducted a systematic review to audit the echocardiographic RV assessments in critical care research to see if a consistent pattern existed. We specifically looked into the kind and number of RV indices used, and how RV dysfunction was defined in each study.
Methods
Studies conducted in critical care settings and reported echocardiographic RV function indices from 1997 to 2017 were searched systematically from three databases. Non-adult studies, case reports, reviews and secondary studies were excluded. These studies’ characteristics and RV indices reported were summarized.
Results
Out of 495 non-duplicated publications found, 81 studies were included in our systematic review. There has been an increasing trend of studying RV function by echocardiography since 2001, and most were conducted in ICU. Thirty-one studies use a single index, mostly TAPSE, to define RV dysfunction; 33 used composite indices and the combinations varied between studies. Seventeen studies did not define RV dysfunction. For those using composite indices, many did not explain their choices.
Conclusions
TAPSE seemed to be the most popular index in the last 2–3 years. Many studies used combinations of indices but, apart from cor pulmonale, we could not find a consistent pattern of RV assessment and definition of RV dysfunction amongst these studies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29789861</pmid><doi>10.1007/s00134-018-5211-z</doi><tpages>16</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0342-4642 |
| ispartof | Intensive care medicine, 2018-06, Vol.44 (6), p.868-883 |
| issn | 0342-4642 1432-1238 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Acute respiratory distress syndrome Anesthesiology Care and treatment Case reports Critical Care Critical Care Medicine Critically ill Diagnosis Discordance Echocardiography Emergency Medicine Heart Heart rate Humans Intensive Medical diagnosis Medicine Medicine & Public Health Methods Pain Medicine Pediatrics Pneumology/Respiratory System Prospective Studies Pulmonary embolism Reproducibility of Results Retrospective Studies Stroke Volume Systematic Review Ultrasonic imaging Ventricle Ventricular Dysfunction, Right - diagnostic imaging Ventricular Function, Right |
| title | The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research |
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