Does Point-of-Care Ultrasound Affect Fluid Resuscitation Volume in Patients with Septic Shock: A Retrospective Review

Table 4

Logistic regression for predictors of POCUS in the emergency department.

Univariable analysis; Total (n = 304)	OR (95% CI)	value
Comorbidities, n (%)
CHF	1.71 (0.92–3.16)	0.09
HTN	1.10 (0.64–1.87)	0.73
Diabetes	0.76 (0.44–1.29)	0.31
COPD	1.53 (0.72–3.23)	0.26
Renal failure (>stage 3) or HD	1.47 (0.72–3.02)	0.29
CAD	1.22 (0.65–2.3)	0.54
Total volume IVF in ED (mL/kg)	1.00 (0.99–1.02)	0.47
Highest lactate	1.11 (1.04–1.20)	0.003
Lowest documented SBP in ED	0.98 (0.96–0.99)	0.001
Lowest documented DBP in ED	0.98 (0.96–1.00)	0.038
Lowest recorded SpO2 in ED	0.98 (0.96–1.01)	0.20
New oxygen requirement during ED stay	1.48 (0.86–2.55)	0.16
Positive pressure ventilation at any point in ED	1.94 (1.12–3.36)	0.018
Vasopressors initiated in ED	2.08 (1.23–3.50)	0.006
ED disposition, n (%)
Floor	Reference	0.15
ICU	1.93 (0.97–3.84)
Deceased	1.21 (0.23–6.42)
Hospital disposition, n (%)
Discharge	Reference	0.48
Deceased	1.22 (0.70–2.15)

CHF, congestive heart failure; HTN, hypertension; COPD, chronic obstructive pulmonary disease; CAD, coronary artery disease; SBP, systolic blood pressure; DBP, diastolic blood pressure; SpO₂, oxygen saturation; IVF, intravenous fluid; ED, emergency department; ICU, intensive care unit.