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Table 3 Prediction of fluid responsiveness using the receiver operating characteristic curves and gray zones of IVC related parameters and CVP under two respiratory modes

From: The diagnostic accuracy of inferior vena cava respiratory variation in predicting volume responsiveness in patients under different breathing status following abdominal surgery

Respiratory mode

Parameters

AUROC curve (95% CI)

p-value

Optimal cut-off value

Sensitivity (%)(95% CI)

Specificity (%)(95% CI)

Youden index

Gray zones

Patients in gray zones (%)

Mechanical ventilation

cIVC1 *

0.80 (0.68–0.90)

 < 0.0001

 > 15.32

100 (89–100)

65 (43–84)

0.65

17.01–25.93

44.6

ΔIVC *

0.80 (0.67–0.90)

 < 0.0001

 > 0.29

85 (68–95)

65 (43–84)

0.50

0.27–0.36

48.2

IVCmax

0.65 (0.51–0.77)

 > 0.05

 ≤ 1.69

67 (48–82)

61 (39–80)

0.28

1.32–1.96

60.7

IVCmin

0.73 (0.60–0.84)

0.002

 ≤ 1.44

88 (72–97)

57 (35–77)

0.44

0.99–1.54

57.1

CVP

0.57 (0.43–0.70)

 > 0.05

 ≤ 1

24 (11–42)

96 (78–100)

0.20

2.04–9.69

76.8

Spontaneous breathing

cIVC2 *,†

0.87 (0.75–0.94)

 < 0.0001

 > 30.25

91 (71–99)

71 (53–85)

0.62

30.72–38.32

23.2

ΔIVC

0.76 (0.62–0.86)

 < 0.001

 > 0.46

86 (65–97)

62 (44–78)

0.48

0.41–0.61

51.8

IVCmax

0.77 (0.64–0.87)

 < 0.0001

 ≤ 1.53

73 (50–89)

71 (53–85)

0.43

1.29–1.87

51.8

IVCmin *

0.85 (0.73–0.93)

 < 0.0001

 ≤ 1.14

86 (65–97)

71 (53–85)

0.57

0.82–1.19

30.4

CVP

0.64 (0.50–0.76)

 > 0.05

 ≤ 4

82 (60–95)

47 (30–65)

0.29

0–4.9

64.3

  1. AUROC area under the receiver operating characteristic, IVC inferior vena cava, cIVC1 IVC diameter variation in mechanically ventilated patients, ΔIVC the difference of the maximum and minimum IVC diameter, IVCmax maximum diameter of IVC, IVCmin minimum diameter of IVC, cIVC2: collapsibility of IVC in spontaneously breathing patients
  2. * cIVC1 versus CVP, P = 0.025; ΔIVC versus CVP, P = 0.021; cIVC2 versus CVP, P = 0.0039; IVCmin versus CVP, P = 0.0053
  3. cIVC versus ΔIVC, P = 0.037