Health Condition 1: R69- Illness, unspecified
Conditions
Interventions
Intervention1: A Doppler echocardiography to determine right ventricular dysfunction by tricuspid annular plane systolic excursion (TAPSE), on patient admission to ICU: Doppler echocardiograms will be
Sponsors
None
Eligibility
Inclusion criteria
Inclusion criteria: Admitted to ICU with one or more of following parameters: emergent/major surgery (abdominal, intrathoracic, vascular), systolic BP <90 mmHg, need for mechanical ventilation, need for vasopressers, or arterial pH <7.31
Exclusion criteria
Exclusion criteria: Patients with a history of myocardial infarction, myocarditis, chronic heart failure, valvular heart disease, coronary artery disease, ejection fraction <40%, chronic pulmonary disease requiring long-term oxygen therapy or home mechanical ventilation, cor-pulmonale and pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Right ventricular dysfunction as a predictor of mortality (in-hospital and after discharge)Timepoint: ICU admission (Day 1)-6 month | — |
Secondary
| Measure | Time frame |
|---|---|
| APACHE II ScoreTimepoint: On patient admission in ICU;Baseline demographic characteristics, co-morbidities and cause of ICU admissionTimepoint: On patient admission in ICU;Hospital length of stayTimepoint: ICU admission (Day 1)-6 month or patient discharge or patient death whichever is earlier;ICU length of stayTimepoint: ICU admission (Day 1)-6 month or patient shifted to ward or patient death whichever is earlier;ICU-free daysTimepoint: Day patient is shifted to ward-6 month or patient discharge or patient death whichever is earlier;Incidence of right ventricular dysfunctionTimepoint: On patient admission in ICU;Mechanical ventilation daysTimepoint: ICU admission (Day 1)-6 month or patient shifted to ward or patient death whichever is earlier;SOFA scoreTimepoint: On patient admission in ICU;Vasopressor requirement in ICUTimepoint: ICU admission (Day 1)-6 month or patient shifted to ward or patient death whichever is earlier | — |
Countries
India
Contacts
Public ContactDr Gaurav Jain
All India Institute of Medical Sciences Rishikesh
Outcome results
None listed