Key result
A lower inferior vena cava collapsibility index at admission was independently associated with increased in-hospital mortality (HR 0.892) in patients with severe acute decompensated heart failure.
Why the study?
The study aimed to evaluate how inferior vena cava diameter and collapsibility, alongside other markers and clinical variables, relate to in-hospital mortality in severe ADHF.
Does a low inferior vena cava collapsibility index (IVCCI) predict in-hospital mortality in patients with severe acute decompensated heart failure?
Observational (n=231)
No
Does a low inferior vena cava collapsibility index (IVCCI) predict in-hospital mortality in patients with severe acute decompensated heart failure?
In patients with severe acute decompensated heart failure, an inferior vena cava collapsibility index <23% at admission is an independent predictor of in-hospital mortality.
Low IVCCI may flag higher in-hospital mortality risk in severe ADHF; hypothesis-generating and requires prospective validation before clinical adoption.
The aim of this study was to assess the relation between the diameter and collapsibility of the inferior vena cava (IVC), other markers, clinical variables and in-hospital mortality in patients hospitalized with severe acute decompensated heart failure (ADHF).
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Çakmak et al. (2021) conducted an observational in Severe acute decompensated heart failure (ADHF) (n=231). Inferior vena cava collapsibility index (IVCCI) vs. Higher IVCCI was evaluated on In-hospital mortality (HR 0.892, 95% CI 0.824-0.964, p=0.004). A lower inferior vena cava collapsibility index at admission was independently associated with increased in-hospital mortality (HR 0.892) in patients with severe acute decompensated heart failure.
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