Open AccessPredictive and prognostic roles of electrical cardiometry in noninvasive assessments of community‐acquired pneumonia patients with dyspnoea
Author(s) -
Gho Kyungil,
Woo Seon Hee,
Lee Sang Moog,
Park Ki Cheol,
Park Gyeong Nam,
Kim Jinwoo,
Hong Sungyoup
Publication year - 2021
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/1024907919860643
Subject(s) - medicine , intensive care unit , pneumonia , fraction of inspired oxygen , emergency department , community acquired pneumonia , receiver operating characteristic , confidence interval , area under the curve , emergency medicine , mechanical ventilation , psychiatry
Background: Thoracic impedance monitoring able to detect pneumonia in the very early phase of emerging infiltration prior the patient developed remarkable clinical symptoms. However, no studies have yet been conducted on the usefulness of predicting pneumonia patient outcomes with parameters from electrical cardiometry. Objective: In the present study, we evaluated whether parameters measured by electrical cardiometry can predict clinical outcomes including mortality and length of hospital stay in patients with community‐acquired pneumonia in the emergency department. Methods: Demographic, clinical and laboratory data were collected from enrolled patient. Electrical cardiometry monitoring was done with a portable electrical cardiometry device connected to the body surface sensor. The continuous data from electrical cardiometry were recorded, and parameters were stored on the electrical cardiometry device automatically and then the data were downloaded for further analysis. Results: Thoracic fluid content has shown to be significantly higher in the intensive care unit admission group and in the death group. Expired patients had higher value of thoracic fluid content at emergency department admission. From a receiver operating characteristics curve analysis, thoracic fluid content presented fair AUC values of 0.72 (95% confidence interval, 0.71–0.74) and 0.73 (0.62–0.82) for prediction of 28‐day mortality and intensive care unit admission. Arterial partial pressure of oxygen (PaO 2 ), the ratio of arterial partial pressure of oxygen to inspired oxygen fraction (PaO 2 /FiO 2 ratio) also showed excellent AUC value for prediction of mortality and intensive care unit admission. Conclusion: Electrical cardiometry monitoring indicated new possibility to anticipate prognosis of community‐acquired pneumonia patient. Increased thoracic fluid content value would relate worse outcome of the patient like mortality and intensive care unit admission. Electrical cardiometry monitoring allows real‐time measurements of thoracic fluid content without restraining the patient or invasive catheters.