↓ Skip to main content

Lung ultrasound for monitoring cardiogenic pulmonary edema

Overview of attention for article published in Internal and Emergency Medicine, July 2016
Altmetric Badge

Mentioned by

facebook
1 Facebook page

Citations

dimensions_citation
20 Dimensions

Readers on

mendeley
55 Mendeley
Title
Lung ultrasound for monitoring cardiogenic pulmonary edema
Published in
Internal and Emergency Medicine, July 2016
DOI 10.1007/s11739-016-1510-y
Pubmed ID
Authors

Francesca Cortellaro, Elisa Ceriani, Monica Spinelli, Carlo Campanella, Ilaria Bossi, Daniele Coen, Giovanni Casazza, Chiara Cogliati

Abstract

Several studies address the accuracy of lung ultrasound (LUS) in the diagnosis of cardiogenic pulmonary edema (CPE) evaluating the interstitial syndrome, which is characterized by multiple and diffuse vertical artifacts (B-lines), and correlates with extravascular lung water. We studied the potential role of LUS in monitoring CPE response to therapy, by evaluating the clearance of interstitial syndrome within the first 24 h after Emergency Department (ED) admission. LUS was performed at arrival (T0), after 3 (T3) and 24 (T24) hours. Eleven regions were evaluated in the antero-lateral chest; the B-lines burden was estimated in each region (0 = no B-lines, 1 = multiple B-lines, 2 = confluent B-lines/white lung) and a mean score (B-Score, range 0-2) was calculated. Patients received conventional CPE treatment. Blood chemistry, vital signs, blood gas analysis, diuresis at T0, T3, T24 were also recorded. A complete echocardiography was obtained during hospitalization. Forty-one patients were enrolled. Respiratory and hemodynamic parameters improved in all patients between T0 and T3 and between T3 and T24. Mean B-score significantly decreased at T3 (from 1.59 ± 0.40 to 0.73 ± 0.44, P < 0.001) and between T3 and T 24 (from 0.73 ± 0.44 to 0.38 ± 0.33, P < 0.001). B-score was higher in the lower pulmonary regions at any time. At final evaluation (T24) 75 % of apical and only 38 % of basal regions were cleared. LUS allows one to assess the clearance of interstitial syndrome and its distribution in the early hours of treatment of CPE, thus representing a possible tool to guide therapy titration.

Mendeley readers

The data shown below were compiled from readership statistics for 55 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Sweden 1 2%
Unknown 53 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 12 22%
Researcher 9 16%
Other 8 15%
Student > Doctoral Student 5 9%
Student > Master 4 7%
Other 11 20%
Unknown 6 11%
Readers by discipline Count As %
Medicine and Dentistry 38 69%
Veterinary Science and Veterinary Medicine 2 4%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Agricultural and Biological Sciences 1 2%
Unspecified 1 2%
Other 1 2%
Unknown 11 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 August 2016.
All research outputs
#11,187,704
of 12,572,556 outputs
Outputs from Internal and Emergency Medicine
#324
of 389 outputs
Outputs of similar age
#219,388
of 261,245 outputs
Outputs of similar age from Internal and Emergency Medicine
#29
of 38 outputs
Altmetric has tracked 12,572,556 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 389 research outputs from this source. They receive a mean Attention Score of 4.5. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 261,245 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.