Correlation Between Biodemographic Parameters and the Size of Inferior Vena Cava and Collapsibility Index Using Ultrasound in Children Biodemographic Parameters in Ultrasound in Children
Journal of Pediatric Nephrology,
Vol. 11 No. 2 (2023),
7 February 2024
https://doi.org/10.22037/jpn.v12i2.43202
Abstract
Background and Aim:There is a concern regarding the relationship between biodemographic
parameters at different ages and the size of inferior vena cava (IVC) and the collapsibility
index (CI). Due to the lack of normative data on these parameters in children, we aimed to
use ultrasound to determine the mean sizes of IVC in healthy children and calculate the CI.
Methods: In this analytical cross-sectional study, we measured the IVC diameter in euvolemic
children aged four weeks to 12 years. The maximum IVC diameter was recorded during
the exhalation phase of the respiratory cycle, while the minimum diameter was recorded
during the inhalation phase using M-mode. Additionally, we calculated the CI by dividing the
difference between the maximum and minimum IVC diameters by the maximum diameter.
Results: In this study, 534 euvolemic healthy children with a mean age of 6.77±3.22 years
were assessed. The mean diameter of the maximum IVC during exhalation was 5.26±4.70
and the mean diameter of the minimum IVC during inspiration was 2.96±2.89 mm. The
mean CI in the present study was 0.5±0.13. Ultrasound measurements of IVC diameter
during exhalation, unlike IVC diameter during inhalation, were positively correlated with
age, weight, and height. The mean IVC and CI had a direct and significant correlation with
biodemographic parameters, such as age, height, weight, and body mass index.
Conclusion: Evaluating intravascular volume status holds significant clinical relevance,
particularly in pediatric patients. Utilizing ultrasound to assess the IVC allows for swift and noninvasive analysis of an individual’s hemodynamics, impacting clinical decision-making positively.
Establishing normative IVC measurements in healthy and euvolemic children can serve as valuable
reference data for clinicians and help them accurately assess fluid status in unwell pediatric patients.
- Cardiovascular disease
- Inferior vena cava
- Ultrasound
How to Cite
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