Chest ultrasound and hidden lung congestion in peritoneal dialysis patients
Chest ultrasound (US) is a non-invasive well-validated technique for estimating extravascular lung water (LW) in patients with heart diseases and in end-stage renal disease. We systematically applied this technique to the whole peritoneal dialysis (PD) population of five dialysis units. We studied t...
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| Veröffentlicht in: | Nephrology, dialysis, transplantation dialysis, transplantation, 2012-09, Vol.27 (9), p.3601-3605 |
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| creator | PANUCCIO, Vincenzo ENIA, Giuseppe LUPIA, Mario BRUZZESE, Vincenzo ZOCCALI, Carmine TRIPEPI, Rocco TORINO, Claudia GAROZZO, Maurizio GIORGIO BATTAGLIA, Giovanni MARCANTONI, Carmelita INFANTONE, Lorena GIORDANO, Guido DE GIORGI, Maria Loreta |
| description | Chest ultrasound (US) is a non-invasive well-validated technique for estimating extravascular lung water (LW) in patients with heart diseases and in end-stage renal disease. We systematically applied this technique to the whole peritoneal dialysis (PD) population of five dialysis units.
We studied the cross-sectional association between LW, echocardiographic parameters, clinical [pedal oedema, New York Heart Association (NYHA) class] and bioelectrical impedance analysis (BIA) markers of volume status in 88 PD patients.
Moderate to severe lung congestion was evident in 41 (46%) patients. Ejection fraction was the echocardiographic parameter with the strongest independent association with LW (r = -0.40 P = 0.002). Oedema did not associate with LW on univariate and multivariate analysis. NYHA class was slightly associated with LW (r = 0.21 P = 0.05). Among patients with severe lung congestion, only 27% had pedal oedema and the majority (57%) had no dyspnoea (NYHA Class I). Similarly, the prevalence of patients with BIA, evidence of volume excess was small (11%) and not significantly different (P = 0.79) from that observed in patients with mild or no congestion (9%).
In PD patients, LW by chest US reveals moderate to severe lung congestion in a significant proportion of asymptomatic patients. Intervention studies are necessary to prove the usefulness of chest US for optimizing the control of fluid excess in PD patients. |
| doi_str_mv | 10.1093/ndt/gfs116 |
| format | Article |
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We studied the cross-sectional association between LW, echocardiographic parameters, clinical [pedal oedema, New York Heart Association (NYHA) class] and bioelectrical impedance analysis (BIA) markers of volume status in 88 PD patients.
Moderate to severe lung congestion was evident in 41 (46%) patients. Ejection fraction was the echocardiographic parameter with the strongest independent association with LW (r = -0.40 P = 0.002). Oedema did not associate with LW on univariate and multivariate analysis. NYHA class was slightly associated with LW (r = 0.21 P = 0.05). Among patients with severe lung congestion, only 27% had pedal oedema and the majority (57%) had no dyspnoea (NYHA Class I). Similarly, the prevalence of patients with BIA, evidence of volume excess was small (11%) and not significantly different (P = 0.79) from that observed in patients with mild or no congestion (9%).
In PD patients, LW by chest US reveals moderate to severe lung congestion in a significant proportion of asymptomatic patients. Intervention studies are necessary to prove the usefulness of chest US for optimizing the control of fluid excess in PD patients.</description><identifier>ISSN: 0931-0509</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/gfs116</identifier><identifier>PMID: 22573237</identifier><identifier>CODEN: NDTREA</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Biomarkers - analysis ; Cross-Sectional Studies ; Echocardiography ; Electric Impedance ; Emergency and intensive care: renal failure. Dialysis management ; Extravascular Lung Water - metabolism ; Female ; Follow-Up Studies ; Glomerulonephritis ; Humans ; Intensive care medicine ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - therapy ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; Peritoneal Dialysis - adverse effects ; Prognosis ; Pulmonary Edema - diagnosis ; Pulmonary Edema - etiology ; Risk Factors ; Thorax - diagnostic imaging</subject><ispartof>Nephrology, dialysis, transplantation, 2012-09, Vol.27 (9), p.3601-3605</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-28d1d1aa8f3a00007915d020ea23b0b0b9a6997afd681b6a6093879af9bef3693</citedby><cites>FETCH-LOGICAL-c353t-28d1d1aa8f3a00007915d020ea23b0b0b9a6997afd681b6a6093879af9bef3693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26442677$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22573237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PANUCCIO, Vincenzo</creatorcontrib><creatorcontrib>ENIA, Giuseppe</creatorcontrib><creatorcontrib>LUPIA, Mario</creatorcontrib><creatorcontrib>BRUZZESE, Vincenzo</creatorcontrib><creatorcontrib>ZOCCALI, Carmine</creatorcontrib><creatorcontrib>TRIPEPI, Rocco</creatorcontrib><creatorcontrib>TORINO, Claudia</creatorcontrib><creatorcontrib>GAROZZO, Maurizio</creatorcontrib><creatorcontrib>GIORGIO BATTAGLIA, Giovanni</creatorcontrib><creatorcontrib>MARCANTONI, Carmelita</creatorcontrib><creatorcontrib>INFANTONE, Lorena</creatorcontrib><creatorcontrib>GIORDANO, Guido</creatorcontrib><creatorcontrib>DE GIORGI, Maria Loreta</creatorcontrib><title>Chest ultrasound and hidden lung congestion in peritoneal dialysis patients</title><title>Nephrology, dialysis, transplantation</title><addtitle>Nephrol Dial Transplant</addtitle><description>Chest ultrasound (US) is a non-invasive well-validated technique for estimating extravascular lung water (LW) in patients with heart diseases and in end-stage renal disease. We systematically applied this technique to the whole peritoneal dialysis (PD) population of five dialysis units.
We studied the cross-sectional association between LW, echocardiographic parameters, clinical [pedal oedema, New York Heart Association (NYHA) class] and bioelectrical impedance analysis (BIA) markers of volume status in 88 PD patients.
Moderate to severe lung congestion was evident in 41 (46%) patients. Ejection fraction was the echocardiographic parameter with the strongest independent association with LW (r = -0.40 P = 0.002). Oedema did not associate with LW on univariate and multivariate analysis. NYHA class was slightly associated with LW (r = 0.21 P = 0.05). Among patients with severe lung congestion, only 27% had pedal oedema and the majority (57%) had no dyspnoea (NYHA Class I). Similarly, the prevalence of patients with BIA, evidence of volume excess was small (11%) and not significantly different (P = 0.79) from that observed in patients with mild or no congestion (9%).
In PD patients, LW by chest US reveals moderate to severe lung congestion in a significant proportion of asymptomatic patients. Intervention studies are necessary to prove the usefulness of chest US for optimizing the control of fluid excess in PD patients.</description><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - analysis</subject><subject>Cross-Sectional Studies</subject><subject>Echocardiography</subject><subject>Electric Impedance</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Extravascular Lung Water - metabolism</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glomerulonephritis</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>Peritoneal Dialysis - adverse effects</subject><subject>Prognosis</subject><subject>Pulmonary Edema - diagnosis</subject><subject>Pulmonary Edema - etiology</subject><subject>Risk Factors</subject><subject>Thorax - diagnostic imaging</subject><issn>0931-0509</issn><issn>1460-2385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E1LAzEQBuAgitbqxR8guQgirM1HN9kcpfiFBS96XmY3SRtJs2uye-i_N6VVGcIc8jDMvAhdUXJPieKzoIfZyiZKxRGa0LkgBeNVeYwm-ZMWpCTqDJ2n9EUIUUzKU3TGWCk543KC3hZrkwY8-iFC6sagMeS3dlqbgP0YVrjtwioT1wXsAu5NdEMXDHisHfhtcgn3MDgThnSBTiz4ZC4PfYo-nx4_Fi_F8v35dfGwLFpe8qFglaaaAlSWQ16JSEVLTRgxwHhDcikQSkmwWlS0ESDyGZVUYFVjLBeKT9Htfm4fu-8x71ZvXGqN9xBMN6aaEi6rSkq5o3d72sYupWhs3Ue3gbjNqN6FV-fw6n14GV8f5o7Nxug_-ptWBjcHAKkFbyOE1qV_J-ZzJqTkP76CeIk</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>PANUCCIO, Vincenzo</creator><creator>ENIA, Giuseppe</creator><creator>LUPIA, Mario</creator><creator>BRUZZESE, Vincenzo</creator><creator>ZOCCALI, Carmine</creator><creator>TRIPEPI, Rocco</creator><creator>TORINO, Claudia</creator><creator>GAROZZO, Maurizio</creator><creator>GIORGIO BATTAGLIA, Giovanni</creator><creator>MARCANTONI, Carmelita</creator><creator>INFANTONE, Lorena</creator><creator>GIORDANO, Guido</creator><creator>DE GIORGI, Maria Loreta</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120901</creationdate><title>Chest ultrasound and hidden lung congestion in peritoneal dialysis patients</title><author>PANUCCIO, Vincenzo ; ENIA, Giuseppe ; LUPIA, Mario ; BRUZZESE, Vincenzo ; ZOCCALI, Carmine ; TRIPEPI, Rocco ; TORINO, Claudia ; GAROZZO, Maurizio ; GIORGIO BATTAGLIA, Giovanni ; MARCANTONI, Carmelita ; INFANTONE, Lorena ; GIORDANO, Guido ; DE GIORGI, Maria Loreta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-28d1d1aa8f3a00007915d020ea23b0b0b9a6997afd681b6a6093879af9bef3693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - analysis</topic><topic>Cross-Sectional Studies</topic><topic>Echocardiography</topic><topic>Electric Impedance</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Extravascular Lung Water - metabolism</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glomerulonephritis</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>Peritoneal Dialysis - adverse effects</topic><topic>Prognosis</topic><topic>Pulmonary Edema - diagnosis</topic><topic>Pulmonary Edema - etiology</topic><topic>Risk Factors</topic><topic>Thorax - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PANUCCIO, Vincenzo</creatorcontrib><creatorcontrib>ENIA, Giuseppe</creatorcontrib><creatorcontrib>LUPIA, Mario</creatorcontrib><creatorcontrib>BRUZZESE, Vincenzo</creatorcontrib><creatorcontrib>ZOCCALI, Carmine</creatorcontrib><creatorcontrib>TRIPEPI, Rocco</creatorcontrib><creatorcontrib>TORINO, Claudia</creatorcontrib><creatorcontrib>GAROZZO, Maurizio</creatorcontrib><creatorcontrib>GIORGIO BATTAGLIA, Giovanni</creatorcontrib><creatorcontrib>MARCANTONI, Carmelita</creatorcontrib><creatorcontrib>INFANTONE, Lorena</creatorcontrib><creatorcontrib>GIORDANO, Guido</creatorcontrib><creatorcontrib>DE GIORGI, Maria Loreta</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nephrology, dialysis, transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PANUCCIO, Vincenzo</au><au>ENIA, Giuseppe</au><au>LUPIA, Mario</au><au>BRUZZESE, Vincenzo</au><au>ZOCCALI, Carmine</au><au>TRIPEPI, Rocco</au><au>TORINO, Claudia</au><au>GAROZZO, Maurizio</au><au>GIORGIO BATTAGLIA, Giovanni</au><au>MARCANTONI, Carmelita</au><au>INFANTONE, Lorena</au><au>GIORDANO, Guido</au><au>DE GIORGI, Maria Loreta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chest ultrasound and hidden lung congestion in peritoneal dialysis patients</atitle><jtitle>Nephrology, dialysis, transplantation</jtitle><addtitle>Nephrol Dial Transplant</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>27</volume><issue>9</issue><spage>3601</spage><epage>3605</epage><pages>3601-3605</pages><issn>0931-0509</issn><eissn>1460-2385</eissn><coden>NDTREA</coden><abstract>Chest ultrasound (US) is a non-invasive well-validated technique for estimating extravascular lung water (LW) in patients with heart diseases and in end-stage renal disease. We systematically applied this technique to the whole peritoneal dialysis (PD) population of five dialysis units.
We studied the cross-sectional association between LW, echocardiographic parameters, clinical [pedal oedema, New York Heart Association (NYHA) class] and bioelectrical impedance analysis (BIA) markers of volume status in 88 PD patients.
Moderate to severe lung congestion was evident in 41 (46%) patients. Ejection fraction was the echocardiographic parameter with the strongest independent association with LW (r = -0.40 P = 0.002). Oedema did not associate with LW on univariate and multivariate analysis. NYHA class was slightly associated with LW (r = 0.21 P = 0.05). Among patients with severe lung congestion, only 27% had pedal oedema and the majority (57%) had no dyspnoea (NYHA Class I). Similarly, the prevalence of patients with BIA, evidence of volume excess was small (11%) and not significantly different (P = 0.79) from that observed in patients with mild or no congestion (9%).
In PD patients, LW by chest US reveals moderate to severe lung congestion in a significant proportion of asymptomatic patients. Intervention studies are necessary to prove the usefulness of chest US for optimizing the control of fluid excess in PD patients.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>22573237</pmid><doi>10.1093/ndt/gfs116</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Biomarkers - analysis Cross-Sectional Studies Echocardiography Electric Impedance Emergency and intensive care: renal failure. Dialysis management Extravascular Lung Water - metabolism Female Follow-Up Studies Glomerulonephritis Humans Intensive care medicine Kidney Failure, Chronic - complications Kidney Failure, Chronic - therapy Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Nephropathies. Renovascular diseases. Renal failure Peritoneal Dialysis - adverse effects Prognosis Pulmonary Edema - diagnosis Pulmonary Edema - etiology Risk Factors Thorax - diagnostic imaging |
| title | Chest ultrasound and hidden lung congestion in peritoneal dialysis patients |
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