SHM Converge Scientific Abstract ePoster Gallery-Revolutionizing Admission Protocols: Pocus Ivc's Impact on Fluid Balance Prescriptions

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This retrospective study examined whether point-of-care ultrasound (POCUS), specifically inferior vena cava (IVC) assessment, could improve fluid management decisions at hospital admission. Researchers reviewed 3,919 patients admitted under hospitalist care from January 1, 2021, to September 30, 2023.<br /><br />Patients were divided into two groups based on admission status: a “red” group, which included patients with congestive heart failure, cirrhosis, renal failure, signs of fluid overload (such as dyspnea, lung edema, leg edema, or pleural effusion), or shock; and a “green” group, which included all others. The team compared fluid and diuretic prescriptions before and after POCUS IVC evaluation.<br /><br />The results showed that POCUS had a strong influence on clinical decision-making, especially in the red group. In this group, 71.84% of patients had their IV fluid or diuretic prescriptions adjusted after the ultrasound examination. In the green group, only 47.8% experienced similar changes. Overall, 50.44% of patients were classified in the red group and 49.55% in the green group. The study also noted that after POCUS with IVC evaluation, 82.8% of patients received prescription adjustments within one day.<br /><br />The authors conclude that POCUS IVC assessment is highly useful for guiding fluid balance decisions in patients at risk of volume overload or shock. They suggest that broader use of this tool in hospital wards could improve precision in admission care and help optimize patient outcomes.

Asset Subtitle

Chiang-Yi Chen

Meta Tag

Author List Chiang-Yi Chen, Chih-Ming Lin, Hung-Bin Tsai, Nin-Chieh Hsu, Shu-Yung Lin, Ssu-Chao Ma, Ti-No Hsieh, Tzung-Dau Wang, Wen-Chun Yu, Wen-Kai Chu, Yi-Chih Pu, Yi-Wen Li, Yu-Feng Lin

Category Research

Concept Point-of-Care Ultrasound

Concept Inferior Vena Cava Evaluation

Concept Volume Status

Concept Fluid Prescription

Concept Diuretic Prescription

Distinguished Non-Finalist

Presenter Organization Division of Hospital Medicine, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan

Presenting Author Chiang-Yi Chen

Track Outcomes Research

Keywords

point-of-care ultrasound

POCUS

inferior vena cava

IVC assessment

fluid management

hospital admission

volume overload

diuretic prescription

congestive heart failure

shock

Point-of-Care Ultrasound

Inferior Vena Cava Evaluation

Volume Status

Fluid Prescription

Diuretic Prescription