TY - JOUR T1 - Investigation of Inferior Vena Cava Diameter Measurements as An Assessment Criterion in Acute Dehydration AU - Ay, Oguzhan AU - Yalçın, Gülşen AU - Temizkan, Ramazan Cahit AU - Büyükkara, Elif AU - Sungur, Mehmet Ali AU - Dikici, Bünyamin AU - Önbaş, Ömer AU - Kocabay, Kenan PY - 2025 DA - September Y2 - 2025 DO - 10.37990/medr.1662368 JF - Medical Records JO - Med Records PB - Tıbbi Kayıtlar Derneği WT - DergiPark SN - 2687-4555 SP - 750 EP - 5 VL - 7 IS - 3 LA - en AB - Aim: Acute dehydration due to gastroenteritis is a significant and preventable cause of childhood mortality worldwide. "We used bedside ultrasonography to compare inferior vena cava/Abdominal aorta (IVC/Ao) diameter ratios before and after treatment in patients with acute dehydration and controls, offering a novel, rapid, and objective assessment tool.Material and Method: This study included 68 children admitted to Düzce University Medical Faculty Hospital Pediatric Emergency. 34 of them were patients had acute severe dehydration, and the other 34 case were in the healthy Control Group (CG). IVC and Ao were measured in the transverse plane below the xiphoid process using bedside ultrasonography (USG).Results: A significant difference was found in the IVC/Ao ratio between the Patient Group (PG) and CG (p<0.001). When PG pre- and post-treatment measurements were compared, the results were highly significant (p<0.001). The lack of correlation between the IVC/Ao ratio and age and weight demonstrated that it could be used in the assessment of children of all ages and weights. Conclusion: The IVC/Ao ratio is a rapid and innovative assessment method that can be applied across various age groups and weight categories. KW - Acute gastroenteritis KW - acute dehydration KW - bedside ultrasonography KW - inferior vena cava KW - abdominal aorta diameter CR - Sreedharan R, Liacouras CA. Major symptoms and signs of digestive tract disorders. In: Kliegman R, Stanton B, St. Geme J, Schor N, eds., Nelson Textbook of Pediatrics, 20th edition. Elsevier. 2016;1761. CR - Greenbaum LA, Bou-Matar R. Fluid and electrolits. In: Marcdante KJ, Kliegman RM, eds. Nelson Essentials of Pediatrics. 7th edition. Elsevier-Health Sciences Division. 2015;106. CR - Laurens MB, Donnenber MS. Infection of gastroenteritis. In: Rudolph CD, Rudolph H AMR, Lister GE, et al., eds., Rudolph's Pediatrics. 22nd edition. McGraw-Hill Medical Publishing Division. 2013;945-7. CR - Centers for Disease Control and Prevention. Rotavirus surveillance worldwide. MMWR Morb Mortal Wkly Rep. 2011;60:514-516. CR - Bhutta ZA. Acute Gastroenteritis in Children. In: Kliegman R, Stanton B, St. Geme J, Schor N, eds. Nelson Textbook of Pediatrics. Elsevier-Health Sciences Division. 2016;1854. CR - Kronman MP, Smith S. Acute gastroenteritis. In: Marcdante KJ, Kliegman RM, eds., Nelson Essentials of Pediatrics. 7th edition. Elsevier-Health Sciences Division. 2015;366. CR - Guarino A, Ashkenazi S, Gendrel D, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: Update 2014. J Pediatr Gastroenterol Nutr. 2014;54:132-52. CR - Caicedo RA, Hill ID. Diarrhea. In: Rudolph CD, Rudolph H AMR, Lister GE, et al., eds., Rudolph's Pediatrics. 22nd edition. McGraw-Hill Medical Publishing Division. 2013;1381-84. CR - World Health Organization (WHO). The treatment of diarrhea: a manual for physicians and other senior health workers. 4th revision. World Health Organization. 2005. CR - Chen L, Kim Y, Santucci KA, et al. Use of ultrasound measurement of the inferior vena cava diameter as an objective tool in the assessment of children with clinical dehydration. Acad Emerg Med. 2007;14:841-5. CR - Chen L, Hsiao A, Langhan M, et al. Use of bedside ultrasound to assess degree of dehydration in children with gastroenteritis. Acad Emerg Med. 2010;17:1042-7. CR - Iqbal SH, Ahmed RI, Quddus MA, et al. Electrolyte abnormalities in children presenting with acute gastroenteritis. Pak J Med Health Sci. 2021;15:3361-3. CR - Hussain S, Asma B, Gul H, et al. Acute kidney injury in children admitted with acute gastroenteritis in Bacha Khan Medical Complex, Swabi Pakistan. J Rehman Med Inst. 2025;11:45-50. CR - Modi P, Glavis-Bloom J, Nasrin S, et al. Accuracy of inferior vena cava ultrasound for predicting dehydration in children with acute diarrhea in resource-limited settings. PLoS One. 2016;11:e0146859. CR - Jauregui J, Nelson D, Choo E, et al. The BUDDY (bedside ultrasound to detect dehydration in youth) study. Crit Ultrasound J. 2014;6:15. CR - Levine AC, Shah SP, Umulisa I, et al. Ultrasound assessment of severe dehydration in children with diarrhea and vomiting. Acad Emerg Med. 2010;17:1035-41. CR - Ng L, Khine H, Taragin BH, et al. Does bedside sonographic measurement of the inferior vena cava diameter correlate with central venous pressure in the assessment of intravascular volume in children?. Pediatr Emerg Care. 2013;29:337-41. CR - Kwon H, Lee JH, Kim K, et al. Measurement of inferior vena cava and aorta with bedside ultrasound to assess degree of dehydration in children. Crit Ultrasound J. 2015;7:A23. CR - Naghipour B, Faridaalaee G. Correlation between central venous pressure and inferior vena cava sonographic diameter; determining the best anatomic location. Emergency. 2016;4:83-7. CR - Özkan EA, Kılıç M, Çalışkan F, Baydın A. Evaluation of the inferior vena cava diameter in dehydrated children using bedside ultrasonography. Emerg Med Int. 2022;2022:6395474. CR - Bellini T, Chianucci B, D’Alessandro M, et al. The usefulness of point-of-care ultrasound in dehydrated patients in a pediatric emergency department. Ultrasound J. 2024;16:13. CR - Kaminecki I, Huang DM, Shipman PC, Gibson RW. Point-of-care ultrasonography for the assessment of dehydration in children: a systematic review. Pediatr Emerg Care. 2023;39:786-96. UR - https://doi.org/10.37990/medr.1662368 L1 - https://dergipark.org.tr/tr/download/article-file/4710821 ER -