Key result
RUSH protocol yields high diagnostic agreement for shock etiology with a Kappa of 0.85.
Why the study?
Clinical assessment and classification of shock is extremely difficult in critically ill patients, and the accuracy of early RUSH protocol to predict shock type and guide resuscitation needed evaluation.
Does the early RUSH protocol accurately predict the type of shock in critically ill patients?
Observational (n=68)
No
Does the early RUSH protocol accurately predict the type of shock in critically ill patients?
Effect estimate: Kappa 0.85
p-value: p=<0.0001
This study evaluates the diagnostic accuracy of the RUSH ultrasound protocol for determining the etiology of shock in critically ill patients.
RUSH protocol may aid shock etiology assessment; leaves open routine adoption pending prospective validation.
Background: Clinical assessment and classification of shock is extremely difficult to conduct on critically ill patients.Rapid Ultrasound in Shock (RUSH) is an easily learned and quickly performed shock ultrasound protocol, it allows for rapid evaluation of reversible causes of shock and improves accurate diagnosis in undifferentiated hypotension.Objectives: to evaluate the accuracy of early RUSH protocol performed by chest physicians to predict type of shock and its guide of resuscitation in critically ill patients. Patients and Methods: Study was conducted on 68 patients with shock state in RespiratoryIntensive Care Unit (RICU) of Chest Department at Assuit University Hospital and evaluated for the cause of shock by performing early RUSH protocol for patients.Patients received all needed standard therapeutic and diagnostic interventions without delay and were followed to document their final clinical diagnosis.The agreement between the initial impression provided by RUSH and the final diagnosis was investigated by calculating the Kappa index.Sensitivity, Specificity, positive predictive value (PPV) and negative predictive value (NPV) of RUSH for diagnosis of each case.
No takes yet. Share an insight, caveat, or question.
Mohammadien et al. (2021) conducted an observational in Shock (n=68). Rapid Ultrasound in Shock (RUSH) protocol vs. Final clinical diagnosis was evaluated on Agreement between RUSH protocol diagnosis and final clinical diagnosis (Kappa 0.85, p=<0.0001). The RUSH protocol performed by chest physicians demonstrated high agreement with the final clinical diagnosis for determining shock etiology, achieving a Kappa index of 0.85.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: