The Usefulness of Carotid Artery Doppler Measurement as a Predictor of Early Death in Sepsis Patients Admitted to the Emergency Department
This study aims to verify whether the blood flow velocity and the diameter size, measured through intra-carotid artery Doppler measurements performed on sepsis patients visiting the emergency department, are useful as tools for predicting the risk of early death. As a prospective study, this researc...
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| Veröffentlicht in: | Journal of clinical medicine 2024-11, Vol.13 (22), p.6912 |
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| creator | Kim, Su-Il Jang, Yun-Deok Ji, Jae-Gu Kim, Yong-Seok Kang, In-Hye Kim, Seong-Ju Han, Seong-Min Choi, Min-Seok |
| description | This study aims to verify whether the blood flow velocity and the diameter size, measured through intra-carotid artery Doppler measurements performed on sepsis patients visiting the emergency department, are useful as tools for predicting the risk of early death.
As a prospective study, this research was performed on sepsis patients who visited a local emergency medical center from August 2021 to February 2023. The sepsis patients' carotid artery was measured using Doppler imaging, and they were divided into patients measured for the size of systolic and diastolic mean blood flow velocity and diameter size: those measured for their qSOFA (quick sequential organ failure assessment) score and those measured using the SIRS (systemic inflammatory response syndrome) criteria. By measuring and comparing their mortality prediction accuracies, this study sought to verify the usefulness of blood flow velocity and the diameter size of the intra-carotid artery as tools to predict early death.
This study was conducted on 1026 patients, excluding 45 patients out of the total of 1071 patients. All sepsis patients were measured using systolic and diastolic blood flow velocity and diameter by Doppler imaging of the intra-carotid artery, assessed using qSOFA and evaluated using SIRS criteria. The results of the analysis performed to compare the mortality prediction accuracy were as follows. First, the hazard ratio (95% CI) of the intra-carotid artery was significant (
< 0.05), at 1.020 (1.004-1.036); the hazard ratio (95% CI) of qSOFA was significant (
< 0.05), at 3.871 (2.526-5.931); and the hazard ratio (95% CI) of SIRS showed no significant difference, at 1.002 (0.995-1.009). After 2 h of infusion treatment, the diameter size was 4.72 ± 1.23, showing a significant difference (
< 0.05). After 2 h of fluid treatment, the blood flow velocity was 101 m/s ± 21.12, which showed a significant difference (
< 0.05).
Measuring the mean blood flow velocity in the intra-carotid arteries of sepsis patients who visit the emergency department is useful for predicting the risk of death at an early stage. And this study showed that Doppler measurement of the diameter size of the carotid artery significantly increased after performing fluid treatment after early recognition. |
| doi_str_mv | 10.3390/jcm13226912 |
| format | Article |
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As a prospective study, this research was performed on sepsis patients who visited a local emergency medical center from August 2021 to February 2023. The sepsis patients' carotid artery was measured using Doppler imaging, and they were divided into patients measured for the size of systolic and diastolic mean blood flow velocity and diameter size: those measured for their qSOFA (quick sequential organ failure assessment) score and those measured using the SIRS (systemic inflammatory response syndrome) criteria. By measuring and comparing their mortality prediction accuracies, this study sought to verify the usefulness of blood flow velocity and the diameter size of the intra-carotid artery as tools to predict early death.
This study was conducted on 1026 patients, excluding 45 patients out of the total of 1071 patients. All sepsis patients were measured using systolic and diastolic blood flow velocity and diameter by Doppler imaging of the intra-carotid artery, assessed using qSOFA and evaluated using SIRS criteria. The results of the analysis performed to compare the mortality prediction accuracy were as follows. First, the hazard ratio (95% CI) of the intra-carotid artery was significant (
< 0.05), at 1.020 (1.004-1.036); the hazard ratio (95% CI) of qSOFA was significant (
< 0.05), at 3.871 (2.526-5.931); and the hazard ratio (95% CI) of SIRS showed no significant difference, at 1.002 (0.995-1.009). After 2 h of infusion treatment, the diameter size was 4.72 ± 1.23, showing a significant difference (
< 0.05). After 2 h of fluid treatment, the blood flow velocity was 101 m/s ± 21.12, which showed a significant difference (
< 0.05).
Measuring the mean blood flow velocity in the intra-carotid arteries of sepsis patients who visit the emergency department is useful for predicting the risk of death at an early stage. And this study showed that Doppler measurement of the diameter size of the carotid artery significantly increased after performing fluid treatment after early recognition.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm13226912</identifier><identifier>PMID: 39598057</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Antibiotics ; Bacteria ; Bacterial infections ; Blood flow ; Blood pressure ; Blood tests ; Body temperature ; Care and treatment ; Carotid arteries ; Carotid artery ; Chronic illnesses ; Coronaviruses ; Cytokines ; Diabetes ; Doppler ultrasonography ; Emergency medical care ; Emergency service ; Flow velocity ; Gram-positive bacteria ; Health aspects ; Heart rate ; Hemodynamics ; Hospitals ; Infections ; Measurement ; Medical examination ; Medical records ; Mortality ; Patient outcomes ; Patients ; Prognosis ; Respiratory diseases ; Risk assessment ; Sepsis ; Veins & arteries</subject><ispartof>Journal of clinical medicine, 2024-11, Vol.13 (22), p.6912</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. 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/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c328t-ba0cf13781f807a9a726c163daf78ddd35e54ca058fae87c5147bc177276e83d3</cites><orcidid>0009-0009-7622-2594 ; 0000-0001-6090-1255 ; 0000-0003-1538-8573</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11594309/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11594309/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39598057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Su-Il</creatorcontrib><creatorcontrib>Jang, Yun-Deok</creatorcontrib><creatorcontrib>Ji, Jae-Gu</creatorcontrib><creatorcontrib>Kim, Yong-Seok</creatorcontrib><creatorcontrib>Kang, In-Hye</creatorcontrib><creatorcontrib>Kim, Seong-Ju</creatorcontrib><creatorcontrib>Han, Seong-Min</creatorcontrib><creatorcontrib>Choi, Min-Seok</creatorcontrib><title>The Usefulness of Carotid Artery Doppler Measurement as a Predictor of Early Death in Sepsis Patients Admitted to the Emergency Department</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>This study aims to verify whether the blood flow velocity and the diameter size, measured through intra-carotid artery Doppler measurements performed on sepsis patients visiting the emergency department, are useful as tools for predicting the risk of early death.
As a prospective study, this research was performed on sepsis patients who visited a local emergency medical center from August 2021 to February 2023. The sepsis patients' carotid artery was measured using Doppler imaging, and they were divided into patients measured for the size of systolic and diastolic mean blood flow velocity and diameter size: those measured for their qSOFA (quick sequential organ failure assessment) score and those measured using the SIRS (systemic inflammatory response syndrome) criteria. By measuring and comparing their mortality prediction accuracies, this study sought to verify the usefulness of blood flow velocity and the diameter size of the intra-carotid artery as tools to predict early death.
This study was conducted on 1026 patients, excluding 45 patients out of the total of 1071 patients. All sepsis patients were measured using systolic and diastolic blood flow velocity and diameter by Doppler imaging of the intra-carotid artery, assessed using qSOFA and evaluated using SIRS criteria. The results of the analysis performed to compare the mortality prediction accuracy were as follows. First, the hazard ratio (95% CI) of the intra-carotid artery was significant (
< 0.05), at 1.020 (1.004-1.036); the hazard ratio (95% CI) of qSOFA was significant (
< 0.05), at 3.871 (2.526-5.931); and the hazard ratio (95% CI) of SIRS showed no significant difference, at 1.002 (0.995-1.009). After 2 h of infusion treatment, the diameter size was 4.72 ± 1.23, showing a significant difference (
< 0.05). After 2 h of fluid treatment, the blood flow velocity was 101 m/s ± 21.12, which showed a significant difference (
< 0.05).
Measuring the mean blood flow velocity in the intra-carotid arteries of sepsis patients who visit the emergency department is useful for predicting the risk of death at an early stage. And this study showed that Doppler measurement of the diameter size of the carotid artery significantly increased after performing fluid treatment after early recognition.</description><subject>Antibiotics</subject><subject>Bacteria</subject><subject>Bacterial infections</subject><subject>Blood flow</subject><subject>Blood pressure</subject><subject>Blood tests</subject><subject>Body temperature</subject><subject>Care and treatment</subject><subject>Carotid arteries</subject><subject>Carotid artery</subject><subject>Chronic illnesses</subject><subject>Coronaviruses</subject><subject>Cytokines</subject><subject>Diabetes</subject><subject>Doppler ultrasonography</subject><subject>Emergency medical care</subject><subject>Emergency service</subject><subject>Flow velocity</subject><subject>Gram-positive bacteria</subject><subject>Health aspects</subject><subject>Heart rate</subject><subject>Hemodynamics</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Measurement</subject><subject>Medical examination</subject><subject>Medical records</subject><subject>Mortality</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Respiratory diseases</subject><subject>Risk assessment</subject><subject>Sepsis</subject><subject>Veins & arteries</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptklFrFDEUhQdRbKl98l0CvgiyNZlMJpknWdatChULts_hbnJnN8vMZEwyhf4Ff7WZttatmDzkknznHG64RfGa0TPOG_phb3rGy7JuWPmsOC6plAvKFX9-UB8VpzHuaV5KVSWTL4sj3ohGUSGPi19XOyTXEdupGzBG4luyguCTs2QZEoZb8smPY4eBfEOIU8Aeh0QgEiCXAa0zyYdZtIbQZRYh7YgbyA8co4vkEpLLfCRL27uU0JLkScqJ6x7DFgczS0YIaXZ9VbxooYt4-nCeFNfn66vVl8XF989fV8uLheGlSosNUNMyLhVrFZXQgCxrw2puoZXKWssFisoAFaoFVNIIVsmNYVKWskbFLT8pPt77jtOmR2tydIBOj8H1EG61B6efvgxup7f-RjMmmorTJju8e3AI_ueEMeneRYNdBwP6KWrOOK-EbJTI6Nt_0L2fwpD7u6NoLUTJ_lJb6FC7ofU52MymeqmY4lwJITN19h8qb4u9M37A1uX7J4L39wITfIwB28cmGdXz-OiD8cn0m8N_eWT_DAv_DcurwC4</recordid><startdate>20241116</startdate><enddate>20241116</enddate><creator>Kim, Su-Il</creator><creator>Jang, Yun-Deok</creator><creator>Ji, Jae-Gu</creator><creator>Kim, Yong-Seok</creator><creator>Kang, In-Hye</creator><creator>Kim, Seong-Ju</creator><creator>Han, Seong-Min</creator><creator>Choi, Min-Seok</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0009-7622-2594</orcidid><orcidid>https://orcid.org/0000-0001-6090-1255</orcidid><orcidid>https://orcid.org/0000-0003-1538-8573</orcidid></search><sort><creationdate>20241116</creationdate><title>The Usefulness of Carotid Artery Doppler Measurement as a Predictor of Early Death in Sepsis Patients Admitted to the Emergency Department</title><author>Kim, Su-Il ; Jang, Yun-Deok ; Ji, Jae-Gu ; Kim, Yong-Seok ; Kang, In-Hye ; Kim, Seong-Ju ; Han, Seong-Min ; Choi, Min-Seok</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-ba0cf13781f807a9a726c163daf78ddd35e54ca058fae87c5147bc177276e83d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Antibiotics</topic><topic>Bacteria</topic><topic>Bacterial infections</topic><topic>Blood flow</topic><topic>Blood pressure</topic><topic>Blood tests</topic><topic>Body temperature</topic><topic>Care and treatment</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Chronic illnesses</topic><topic>Coronaviruses</topic><topic>Cytokines</topic><topic>Diabetes</topic><topic>Doppler ultrasonography</topic><topic>Emergency medical care</topic><topic>Emergency service</topic><topic>Flow velocity</topic><topic>Gram-positive bacteria</topic><topic>Health aspects</topic><topic>Heart rate</topic><topic>Hemodynamics</topic><topic>Hospitals</topic><topic>Infections</topic><topic>Measurement</topic><topic>Medical examination</topic><topic>Medical records</topic><topic>Mortality</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Respiratory diseases</topic><topic>Risk assessment</topic><topic>Sepsis</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Su-Il</creatorcontrib><creatorcontrib>Jang, Yun-Deok</creatorcontrib><creatorcontrib>Ji, Jae-Gu</creatorcontrib><creatorcontrib>Kim, Yong-Seok</creatorcontrib><creatorcontrib>Kang, In-Hye</creatorcontrib><creatorcontrib>Kim, Seong-Ju</creatorcontrib><creatorcontrib>Han, Seong-Min</creatorcontrib><creatorcontrib>Choi, Min-Seok</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</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)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central</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>Publicly Available Content Database</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Su-Il</au><au>Jang, Yun-Deok</au><au>Ji, Jae-Gu</au><au>Kim, Yong-Seok</au><au>Kang, In-Hye</au><au>Kim, Seong-Ju</au><au>Han, Seong-Min</au><au>Choi, Min-Seok</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Usefulness of Carotid Artery Doppler Measurement as a Predictor of Early Death in Sepsis Patients Admitted to the Emergency Department</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2024-11-16</date><risdate>2024</risdate><volume>13</volume><issue>22</issue><spage>6912</spage><pages>6912-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>This study aims to verify whether the blood flow velocity and the diameter size, measured through intra-carotid artery Doppler measurements performed on sepsis patients visiting the emergency department, are useful as tools for predicting the risk of early death.
As a prospective study, this research was performed on sepsis patients who visited a local emergency medical center from August 2021 to February 2023. The sepsis patients' carotid artery was measured using Doppler imaging, and they were divided into patients measured for the size of systolic and diastolic mean blood flow velocity and diameter size: those measured for their qSOFA (quick sequential organ failure assessment) score and those measured using the SIRS (systemic inflammatory response syndrome) criteria. By measuring and comparing their mortality prediction accuracies, this study sought to verify the usefulness of blood flow velocity and the diameter size of the intra-carotid artery as tools to predict early death.
This study was conducted on 1026 patients, excluding 45 patients out of the total of 1071 patients. All sepsis patients were measured using systolic and diastolic blood flow velocity and diameter by Doppler imaging of the intra-carotid artery, assessed using qSOFA and evaluated using SIRS criteria. The results of the analysis performed to compare the mortality prediction accuracy were as follows. First, the hazard ratio (95% CI) of the intra-carotid artery was significant (
< 0.05), at 1.020 (1.004-1.036); the hazard ratio (95% CI) of qSOFA was significant (
< 0.05), at 3.871 (2.526-5.931); and the hazard ratio (95% CI) of SIRS showed no significant difference, at 1.002 (0.995-1.009). After 2 h of infusion treatment, the diameter size was 4.72 ± 1.23, showing a significant difference (
< 0.05). After 2 h of fluid treatment, the blood flow velocity was 101 m/s ± 21.12, which showed a significant difference (
< 0.05).
Measuring the mean blood flow velocity in the intra-carotid arteries of sepsis patients who visit the emergency department is useful for predicting the risk of death at an early stage. And this study showed that Doppler measurement of the diameter size of the carotid artery significantly increased after performing fluid treatment after early recognition.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39598057</pmid><doi>10.3390/jcm13226912</doi><orcidid>https://orcid.org/0009-0009-7622-2594</orcidid><orcidid>https://orcid.org/0000-0001-6090-1255</orcidid><orcidid>https://orcid.org/0000-0003-1538-8573</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Antibiotics Bacteria Bacterial infections Blood flow Blood pressure Blood tests Body temperature Care and treatment Carotid arteries Carotid artery Chronic illnesses Coronaviruses Cytokines Diabetes Doppler ultrasonography Emergency medical care Emergency service Flow velocity Gram-positive bacteria Health aspects Heart rate Hemodynamics Hospitals Infections Measurement Medical examination Medical records Mortality Patient outcomes Patients Prognosis Respiratory diseases Risk assessment Sepsis Veins & arteries |
| title | The Usefulness of Carotid Artery Doppler Measurement as a Predictor of Early Death in Sepsis Patients Admitted to the Emergency Department |
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