Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time
Lung ultrasound (LUS) is a valid tool for the assessment of heart failure (HF) through the quantification of the B-lines. This study in HF patients aims to evaluate if LUS: (1) can accelerate the discharge time; (2) can efficiently drive diuretic therapy dosage; and (3) may have better performance c...
Gespeichert in:
| Veröffentlicht in: | Internal and emergency medicine 2018, Vol.13 (1), p.27-33 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 33 |
|---|---|
| container_issue | 1 |
| container_start_page | 27 |
| container_title | Internal and emergency medicine |
| container_volume | 13 |
| creator | Mozzini, Chiara Di Dio Perna, Marco Pesce, Giancarlo Garbin, Ulisse Fratta Pasini, Anna Maria Ticinesi, Andrea Nouvenne, Antonio Meschi, Tiziana Casadei, Alder Soresi, Maurizio Cominacini, Luciano |
| description | Lung ultrasound (LUS) is a valid tool for the assessment of heart failure (HF) through the quantification of the B-lines. This study in HF patients aims to evaluate if LUS: (1) can accelerate the discharge time; (2) can efficiently drive diuretic therapy dosage; and (3) may have better performance compared to the amino-terminal portion of B type natriuretic peptide (NT-proBNP) levels in monitoring HF recovery. A consecutive sample of 120 HF patients was admitted from the Emergency Department (ED) to the Internal Medicine Department (Verona University Hospital). The Chest X-ray (CXR) group underwent standard CXR examination on admission and discharge. The LUS group underwent LUS on admission, 24, 48 and 72 h later, and on discharge. The Inferior Cava Vein Collapsibility Index, ICVCI, and the NT-proBNP were assessed. LUS discharge time was significantly shorter if compared to CXR group (
p
|
| doi_str_mv | 10.1007/s11739-017-1738-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1928783002</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1984679910</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-7603223b3a98185eb6db4c4f197be267e2415bb7b06548c172987cc96c5a6fc43</originalsourceid><addsrcrecordid>eNp1kdtqFTEUhoMo9mAfwBsJeOPNaA4zOVyWUtvCBm_0OmQya_ZOmcmMOSh9AZ_bTHctIgiB_CTf-leyfoTeUvKREiI_JUol1w2hsqlCNfQFOqVakkZzIV5WrZhqSNvKE3SW0j0hXSeofI1OmFKEc9mdol-7Eva4TDnatJQwYB_qyhCDnfAMg3c-AIZxrAJCnh7wEP0PSDgfAM822D3M9RwvI15t3pCEf_p8wAewMePR-qlEwLY6pxVgSLisj7WDT-5g4x5w9jO8Qa9GOyW4eNrP0bfP11-vbpvdl5u7q8td47hkuZGCcMZ4z61WVHXQi6FvXTvWT_fAhATW0q7vZU9E1ypHJdNKOqeF66wYXcvP0Yej7xqX7wVSNnN9B0yTDbCUZKhmSipOCKvo-3_Q-6VsY9ko1QqpNSWVokfKxSWlCKNZo59tfDCUmC0kcwzJ1JDMFpKhtebdk3Pp64ifK_6kUgF2BFK9CnuIf7X-r-tv6jGd2w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1984679910</pqid></control><display><type>article</type><title>Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time</title><source>SpringerLink Journals - AutoHoldings</source><creator>Mozzini, Chiara ; Di Dio Perna, Marco ; Pesce, Giancarlo ; Garbin, Ulisse ; Fratta Pasini, Anna Maria ; Ticinesi, Andrea ; Nouvenne, Antonio ; Meschi, Tiziana ; Casadei, Alder ; Soresi, Maurizio ; Cominacini, Luciano</creator><creatorcontrib>Mozzini, Chiara ; Di Dio Perna, Marco ; Pesce, Giancarlo ; Garbin, Ulisse ; Fratta Pasini, Anna Maria ; Ticinesi, Andrea ; Nouvenne, Antonio ; Meschi, Tiziana ; Casadei, Alder ; Soresi, Maurizio ; Cominacini, Luciano</creatorcontrib><description>Lung ultrasound (LUS) is a valid tool for the assessment of heart failure (HF) through the quantification of the B-lines. This study in HF patients aims to evaluate if LUS: (1) can accelerate the discharge time; (2) can efficiently drive diuretic therapy dosage; and (3) may have better performance compared to the amino-terminal portion of B type natriuretic peptide (NT-proBNP) levels in monitoring HF recovery. A consecutive sample of 120 HF patients was admitted from the Emergency Department (ED) to the Internal Medicine Department (Verona University Hospital). The Chest X-ray (CXR) group underwent standard CXR examination on admission and discharge. The LUS group underwent LUS on admission, 24, 48 and 72 h later, and on discharge. The Inferior Cava Vein Collapsibility Index, ICVCI, and the NT-proBNP were assessed. LUS discharge time was significantly shorter if compared to CXR group (
p
< 0.01). During hospitalization, the LUS group underwent an increased number of diuretic dosage modulations compared to the CXR group (
p
< 0.001). There was a stronger association between partial pressure of oxygen in arterial blood (PaO
2
) and B-lines compared to the association between PaO
2
and NT-proBNP both on admission and on discharge (
p
< 0.001). The B-lines numbers were significantly higher on admission in patients with more severe HF, and the ICVCI was inversely associated with B-lines number (
p
< 0.001). The potential of LUS in tailoring diuretic therapy and accelerating the discharge time in HF patients is confirmed. Until the technique comes into common use in different departments, it is plausible that LUS will evolve with different facets.</description><identifier>ISSN: 1828-0447</identifier><identifier>EISSN: 1970-9366</identifier><identifier>DOI: 10.1007/s11739-017-1738-1</identifier><identifier>PMID: 28803375</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Blood pressure ; Diuretics ; Drug dosages ; Emergency medical services ; Heart diseases ; Heart failure ; Im - Original ; Internal Medicine ; Lungs ; Medicine ; Medicine & Public Health ; Partial pressure ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Internal and emergency medicine, 2018, Vol.13 (1), p.27-33</ispartof><rights>SIMI 2017</rights><rights>Internal and Emergency Medicine is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-7603223b3a98185eb6db4c4f197be267e2415bb7b06548c172987cc96c5a6fc43</citedby><cites>FETCH-LOGICAL-c372t-7603223b3a98185eb6db4c4f197be267e2415bb7b06548c172987cc96c5a6fc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11739-017-1738-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11739-017-1738-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28803375$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mozzini, Chiara</creatorcontrib><creatorcontrib>Di Dio Perna, Marco</creatorcontrib><creatorcontrib>Pesce, Giancarlo</creatorcontrib><creatorcontrib>Garbin, Ulisse</creatorcontrib><creatorcontrib>Fratta Pasini, Anna Maria</creatorcontrib><creatorcontrib>Ticinesi, Andrea</creatorcontrib><creatorcontrib>Nouvenne, Antonio</creatorcontrib><creatorcontrib>Meschi, Tiziana</creatorcontrib><creatorcontrib>Casadei, Alder</creatorcontrib><creatorcontrib>Soresi, Maurizio</creatorcontrib><creatorcontrib>Cominacini, Luciano</creatorcontrib><title>Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time</title><title>Internal and emergency medicine</title><addtitle>Intern Emerg Med</addtitle><addtitle>Intern Emerg Med</addtitle><description>Lung ultrasound (LUS) is a valid tool for the assessment of heart failure (HF) through the quantification of the B-lines. This study in HF patients aims to evaluate if LUS: (1) can accelerate the discharge time; (2) can efficiently drive diuretic therapy dosage; and (3) may have better performance compared to the amino-terminal portion of B type natriuretic peptide (NT-proBNP) levels in monitoring HF recovery. A consecutive sample of 120 HF patients was admitted from the Emergency Department (ED) to the Internal Medicine Department (Verona University Hospital). The Chest X-ray (CXR) group underwent standard CXR examination on admission and discharge. The LUS group underwent LUS on admission, 24, 48 and 72 h later, and on discharge. The Inferior Cava Vein Collapsibility Index, ICVCI, and the NT-proBNP were assessed. LUS discharge time was significantly shorter if compared to CXR group (
p
< 0.01). During hospitalization, the LUS group underwent an increased number of diuretic dosage modulations compared to the CXR group (
p
< 0.001). There was a stronger association between partial pressure of oxygen in arterial blood (PaO
2
) and B-lines compared to the association between PaO
2
and NT-proBNP both on admission and on discharge (
p
< 0.001). The B-lines numbers were significantly higher on admission in patients with more severe HF, and the ICVCI was inversely associated with B-lines number (
p
< 0.001). The potential of LUS in tailoring diuretic therapy and accelerating the discharge time in HF patients is confirmed. Until the technique comes into common use in different departments, it is plausible that LUS will evolve with different facets.</description><subject>Blood pressure</subject><subject>Diuretics</subject><subject>Drug dosages</subject><subject>Emergency medical services</subject><subject>Heart diseases</subject><subject>Heart failure</subject><subject>Im - Original</subject><subject>Internal Medicine</subject><subject>Lungs</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Partial pressure</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>1828-0447</issn><issn>1970-9366</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kdtqFTEUhoMo9mAfwBsJeOPNaA4zOVyWUtvCBm_0OmQya_ZOmcmMOSh9AZ_bTHctIgiB_CTf-leyfoTeUvKREiI_JUol1w2hsqlCNfQFOqVakkZzIV5WrZhqSNvKE3SW0j0hXSeofI1OmFKEc9mdol-7Eva4TDnatJQwYB_qyhCDnfAMg3c-AIZxrAJCnh7wEP0PSDgfAM822D3M9RwvI15t3pCEf_p8wAewMePR-qlEwLY6pxVgSLisj7WDT-5g4x5w9jO8Qa9GOyW4eNrP0bfP11-vbpvdl5u7q8td47hkuZGCcMZ4z61WVHXQi6FvXTvWT_fAhATW0q7vZU9E1ypHJdNKOqeF66wYXcvP0Yej7xqX7wVSNnN9B0yTDbCUZKhmSipOCKvo-3_Q-6VsY9ko1QqpNSWVokfKxSWlCKNZo59tfDCUmC0kcwzJ1JDMFpKhtebdk3Pp64ifK_6kUgF2BFK9CnuIf7X-r-tv6jGd2w</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Mozzini, Chiara</creator><creator>Di Dio Perna, Marco</creator><creator>Pesce, Giancarlo</creator><creator>Garbin, Ulisse</creator><creator>Fratta Pasini, Anna Maria</creator><creator>Ticinesi, Andrea</creator><creator>Nouvenne, Antonio</creator><creator>Meschi, Tiziana</creator><creator>Casadei, Alder</creator><creator>Soresi, Maurizio</creator><creator>Cominacini, Luciano</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2018</creationdate><title>Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time</title><author>Mozzini, Chiara ; Di Dio Perna, Marco ; Pesce, Giancarlo ; Garbin, Ulisse ; Fratta Pasini, Anna Maria ; Ticinesi, Andrea ; Nouvenne, Antonio ; Meschi, Tiziana ; Casadei, Alder ; Soresi, Maurizio ; Cominacini, Luciano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-7603223b3a98185eb6db4c4f197be267e2415bb7b06548c172987cc96c5a6fc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Blood pressure</topic><topic>Diuretics</topic><topic>Drug dosages</topic><topic>Emergency medical services</topic><topic>Heart diseases</topic><topic>Heart failure</topic><topic>Im - Original</topic><topic>Internal Medicine</topic><topic>Lungs</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Partial pressure</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mozzini, Chiara</creatorcontrib><creatorcontrib>Di Dio Perna, Marco</creatorcontrib><creatorcontrib>Pesce, Giancarlo</creatorcontrib><creatorcontrib>Garbin, Ulisse</creatorcontrib><creatorcontrib>Fratta Pasini, Anna Maria</creatorcontrib><creatorcontrib>Ticinesi, Andrea</creatorcontrib><creatorcontrib>Nouvenne, Antonio</creatorcontrib><creatorcontrib>Meschi, Tiziana</creatorcontrib><creatorcontrib>Casadei, Alder</creatorcontrib><creatorcontrib>Soresi, Maurizio</creatorcontrib><creatorcontrib>Cominacini, Luciano</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Internal and emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mozzini, Chiara</au><au>Di Dio Perna, Marco</au><au>Pesce, Giancarlo</au><au>Garbin, Ulisse</au><au>Fratta Pasini, Anna Maria</au><au>Ticinesi, Andrea</au><au>Nouvenne, Antonio</au><au>Meschi, Tiziana</au><au>Casadei, Alder</au><au>Soresi, Maurizio</au><au>Cominacini, Luciano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time</atitle><jtitle>Internal and emergency medicine</jtitle><stitle>Intern Emerg Med</stitle><addtitle>Intern Emerg Med</addtitle><date>2018</date><risdate>2018</risdate><volume>13</volume><issue>1</issue><spage>27</spage><epage>33</epage><pages>27-33</pages><issn>1828-0447</issn><eissn>1970-9366</eissn><abstract>Lung ultrasound (LUS) is a valid tool for the assessment of heart failure (HF) through the quantification of the B-lines. This study in HF patients aims to evaluate if LUS: (1) can accelerate the discharge time; (2) can efficiently drive diuretic therapy dosage; and (3) may have better performance compared to the amino-terminal portion of B type natriuretic peptide (NT-proBNP) levels in monitoring HF recovery. A consecutive sample of 120 HF patients was admitted from the Emergency Department (ED) to the Internal Medicine Department (Verona University Hospital). The Chest X-ray (CXR) group underwent standard CXR examination on admission and discharge. The LUS group underwent LUS on admission, 24, 48 and 72 h later, and on discharge. The Inferior Cava Vein Collapsibility Index, ICVCI, and the NT-proBNP were assessed. LUS discharge time was significantly shorter if compared to CXR group (
p
< 0.01). During hospitalization, the LUS group underwent an increased number of diuretic dosage modulations compared to the CXR group (
p
< 0.001). There was a stronger association between partial pressure of oxygen in arterial blood (PaO
2
) and B-lines compared to the association between PaO
2
and NT-proBNP both on admission and on discharge (
p
< 0.001). The B-lines numbers were significantly higher on admission in patients with more severe HF, and the ICVCI was inversely associated with B-lines number (
p
< 0.001). The potential of LUS in tailoring diuretic therapy and accelerating the discharge time in HF patients is confirmed. Until the technique comes into common use in different departments, it is plausible that LUS will evolve with different facets.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>28803375</pmid><doi>10.1007/s11739-017-1738-1</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1828-0447 |
| ispartof | Internal and emergency medicine, 2018, Vol.13 (1), p.27-33 |
| issn | 1828-0447 1970-9366 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1928783002 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Blood pressure Diuretics Drug dosages Emergency medical services Heart diseases Heart failure Im - Original Internal Medicine Lungs Medicine Medicine & Public Health Partial pressure Ultrasonic imaging Ultrasound |
| title | Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T19%3A29%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Lung%20ultrasound%20in%20internal%20medicine%20efficiently%20drives%20the%20management%20of%20patients%20with%20heart%20failure%20and%20speeds%20up%20the%20discharge%20time&rft.jtitle=Internal%20and%20emergency%20medicine&rft.au=Mozzini,%20Chiara&rft.date=2018&rft.volume=13&rft.issue=1&rft.spage=27&rft.epage=33&rft.pages=27-33&rft.issn=1828-0447&rft.eissn=1970-9366&rft_id=info:doi/10.1007/s11739-017-1738-1&rft_dat=%3Cproquest_cross%3E1984679910%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1984679910&rft_id=info:pmid/28803375&rfr_iscdi=true |