Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Nefrologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000400406 |
Resumo: | Abstract Introduction: Ultrasound is an emerging method for assessing lung congestion but is still seldom used. Lung congestion is an important risk of cardiac events and death in end-stage renal disease (ESRD) patients on hemodialysis (HD). Objective: We investigated possible variables associated with lung congestion among diabetics with ESRD on HD, using chest ultrasound to detect extracellular lung water. Methods: We studied 73 patients with diabetes as the primary cause of ESRD, undergoing regular HD. Lung congestion was assessed by counting the number of B lines detected by chest ultrasound. Hydration status was assessed by bioimpedance analysis and cardiac function by echocardiography. The collapse index of the inferior vena cava (IVC) was measured by ultrasonography. All patients were classified according to NYHA score. Correlations of the number of B lines with continuous variables and comparisons regarding the number of B lines according to categorical variables were performed. Multivariate linear regression was used to test the variables as independent predictors of the number of B lines. Results: None of the variables related to hydration status and cardiac function were associated with the number of B lines. In the multivariate analysis, only the IVC collapse index (b = 45.038; p < 0.001) and NYHA classes (b = 13.995; p = 0.006) were independent predictors of the number of B lines. Conclusion: Clinical evaluation based on NYHA score and measurement of the collapsed IVC index were found to be more reliable than bioimpedance analysis to predict lung congestion. |
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Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysisextracellular fluidkidney failure, chronicpulmonary edemaultrasonographyAbstract Introduction: Ultrasound is an emerging method for assessing lung congestion but is still seldom used. Lung congestion is an important risk of cardiac events and death in end-stage renal disease (ESRD) patients on hemodialysis (HD). Objective: We investigated possible variables associated with lung congestion among diabetics with ESRD on HD, using chest ultrasound to detect extracellular lung water. Methods: We studied 73 patients with diabetes as the primary cause of ESRD, undergoing regular HD. Lung congestion was assessed by counting the number of B lines detected by chest ultrasound. Hydration status was assessed by bioimpedance analysis and cardiac function by echocardiography. The collapse index of the inferior vena cava (IVC) was measured by ultrasonography. All patients were classified according to NYHA score. Correlations of the number of B lines with continuous variables and comparisons regarding the number of B lines according to categorical variables were performed. Multivariate linear regression was used to test the variables as independent predictors of the number of B lines. Results: None of the variables related to hydration status and cardiac function were associated with the number of B lines. In the multivariate analysis, only the IVC collapse index (b = 45.038; p < 0.001) and NYHA classes (b = 13.995; p = 0.006) were independent predictors of the number of B lines. Conclusion: Clinical evaluation based on NYHA score and measurement of the collapsed IVC index were found to be more reliable than bioimpedance analysis to predict lung congestion.Sociedade Brasileira de Nefrologia2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000400406Brazilian Journal of Nephrology v.39 n.4 2017reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.5935/0101-2800.20170073info:eu-repo/semantics/openAccessSantos,Paulo RobertoLima Neto,José Antonio deCarneiro,Raimundo Aragão AiresSoares,Antônio Igor Taumaturgo DiasOliveira,Wanessa Ribeiro deFigueiredo,Juliana OliveiraSilva Filho,Narcélio MenezesSilva,Thais Oliveiraeng2018-01-04T00:00:00Zoai:scielo:S0101-28002017000400406Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2018-01-04T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false |
dc.title.none.fl_str_mv |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis |
title |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis |
spellingShingle |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis Santos,Paulo Roberto extracellular fluid kidney failure, chronic pulmonary edema ultrasonography |
title_short |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis |
title_full |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis |
title_fullStr |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis |
title_full_unstemmed |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis |
title_sort |
Variables associated with lung congestion as assessed by chest ultrasound in diabetics undergoing hemodialysis |
author |
Santos,Paulo Roberto |
author_facet |
Santos,Paulo Roberto Lima Neto,José Antonio de Carneiro,Raimundo Aragão Aires Soares,Antônio Igor Taumaturgo Dias Oliveira,Wanessa Ribeiro de Figueiredo,Juliana Oliveira Silva Filho,Narcélio Menezes Silva,Thais Oliveira |
author_role |
author |
author2 |
Lima Neto,José Antonio de Carneiro,Raimundo Aragão Aires Soares,Antônio Igor Taumaturgo Dias Oliveira,Wanessa Ribeiro de Figueiredo,Juliana Oliveira Silva Filho,Narcélio Menezes Silva,Thais Oliveira |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Santos,Paulo Roberto Lima Neto,José Antonio de Carneiro,Raimundo Aragão Aires Soares,Antônio Igor Taumaturgo Dias Oliveira,Wanessa Ribeiro de Figueiredo,Juliana Oliveira Silva Filho,Narcélio Menezes Silva,Thais Oliveira |
dc.subject.por.fl_str_mv |
extracellular fluid kidney failure, chronic pulmonary edema ultrasonography |
topic |
extracellular fluid kidney failure, chronic pulmonary edema ultrasonography |
description |
Abstract Introduction: Ultrasound is an emerging method for assessing lung congestion but is still seldom used. Lung congestion is an important risk of cardiac events and death in end-stage renal disease (ESRD) patients on hemodialysis (HD). Objective: We investigated possible variables associated with lung congestion among diabetics with ESRD on HD, using chest ultrasound to detect extracellular lung water. Methods: We studied 73 patients with diabetes as the primary cause of ESRD, undergoing regular HD. Lung congestion was assessed by counting the number of B lines detected by chest ultrasound. Hydration status was assessed by bioimpedance analysis and cardiac function by echocardiography. The collapse index of the inferior vena cava (IVC) was measured by ultrasonography. All patients were classified according to NYHA score. Correlations of the number of B lines with continuous variables and comparisons regarding the number of B lines according to categorical variables were performed. Multivariate linear regression was used to test the variables as independent predictors of the number of B lines. Results: None of the variables related to hydration status and cardiac function were associated with the number of B lines. In the multivariate analysis, only the IVC collapse index (b = 45.038; p < 0.001) and NYHA classes (b = 13.995; p = 0.006) were independent predictors of the number of B lines. Conclusion: Clinical evaluation based on NYHA score and measurement of the collapsed IVC index were found to be more reliable than bioimpedance analysis to predict lung congestion. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000400406 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000400406 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/0101-2800.20170073 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
Brazilian Journal of Nephrology v.39 n.4 2017 reponame:Jornal Brasileiro de Nefrologia instname:Sociedade Brasileira de Nefrologia (SBN) instacron:SBN |
instname_str |
Sociedade Brasileira de Nefrologia (SBN) |
instacron_str |
SBN |
institution |
SBN |
reponame_str |
Jornal Brasileiro de Nefrologia |
collection |
Jornal Brasileiro de Nefrologia |
repository.name.fl_str_mv |
Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN) |
repository.mail.fl_str_mv |
||jbn@sbn.org.br |
_version_ |
1752122064580378624 |