Does stroke volume variation predict fluid responsiveness in children: A systematic review and meta-analysis

PloS One
Ling YiDezhi Mu

Abstract

Stroke volume variation (SVV) is a reliable predictor of fluid responsiveness in adult patients. However, the predictive value of SVV is uncertain in pediatric patients. We performed the first systematic meta-analysis to evaluate the diagnostic value of SVV in predicting fluid responsiveness in children. PUBMED, EMBASE, and Cochrane Central Register of Controlled Trials were searched up to December 2016. Original studies assessing the diagnostic accuracy of SVV in predicting fluid responsiveness in children were considered to be eligible. A random-effects model was used to calculate pooled values of sensitivity, specificity and diagnostic odds ratio with 95% CI. The summary receiver operating characteristic curve was estimated and area under the curve was calculated. Quality of the studies was assessed with the QUADAS-2 tool. Six studies with a total of 279 fluid boluses in 224 children were included. The analysis demonstrated a pooled sensitivity of 0.68 (95% CI,0.59-0.76), pooled specificity of 0.65 (95% CI, 0.57-0.73), pooled diagnostic odds ratio of 8.24 (95% CI, 2.58-26.30), and the summary area under the summary receiver operating characteristic curve of 0.81. However, significant inter-study heterogeneity was found (p<0....Continue Reading

References

Nov 15, 1988·Annals of Internal Medicine·M A Matthay, K Chatterjee
Jun 14, 2000·Journal of Applied Physiology·M K SharpJ A Hawkins
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Sep 26, 2002·European Journal of Pediatrics·Hideaki SenzakiShoich Awa
Apr 10, 2004·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·D A Hett, M M Jonas
Mar 9, 2005·Intensive Care Medicine·Daniel De BackerJean-Louis Vincent
Sep 17, 2005·European Journal of Anaesthesiology·C WiesenackC Keyl
Jun 6, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Rajesh ChandNaresh Trehan
Jul 14, 2006·BMC Medical Research Methodology·Javier ZamoraArri Coomarasamy
May 21, 2009·Critical Care : the Official Journal of the Critical Care Forum·Sophie MarquéPierre Squara
Feb 23, 2010·International Journal of Surgery·David MoherUNKNOWN PRISMA Group
Jul 7, 2011·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Christoph K Hofer, Maxime Cannesson
Oct 19, 2011·Annals of Internal Medicine·Penny F WhitingUNKNOWN QUADAS-2 Group
May 23, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Paul E Marik
Sep 3, 2013·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Miharu AkaoYasuhiko Itoh
Nov 22, 2013·Anesthesia and Analgesia·Heng GanJ Mark Ansermino
Sep 25, 2014·Critical Care Medicine·Robert H ThieleTong J Gan
Mar 10, 2015·Journal of Clinical Monitoring and Computing·Tae Kyong KimYunseok Jeon
Apr 22, 2015·Perioperative Medicine·Lais Helena Camacho NavarroGeorge C Kramer
Sep 9, 2015·Current Opinion in Critical Care·Andrea CarsettiAndrew Rhodes
Nov 26, 2015·Journal of Intensive Care·Ahmed Hasanin

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Citations

Dec 15, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ignacio Oulego-ErrozAntonio Rodríguez-Núñez
Jun 15, 2021·Frontiers in Veterinary Science·Søren R Boysen, Kris Gommeren

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