使用半定量评分评估肺充血:心力衰竭患者出院后利尿剂管理的普遍性和影响。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
F.J. Pastor-Pérez, M. Veas-Porlán, N. Fernández-Villa, I.P. Garrido-Bravo, S. Manzano-Fernández, D.A. Pascual-Figal
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引用次数: 0

摘要

导言:心力衰竭(HF)出院后持续充血与再入院的风险较高有关。研究目的是对肺充血程度及其变化进行半定量分析,并描述这些结果与利尿剂管理之间的关系。结果 首次就诊时,尽管大多数患者没有临床充血症状,但半数患者经超声检查有一定程度的肺充血。在首次就诊时进行全面评估(临床和超声)后,50 名患者(60%)的利尿剂用量减少,16 名患者(20%)的利尿剂用量保持不变,其余患者的利尿剂用量增加。结论肺部超声波检查采用简单的量化方法,可以真正融入临床实践,帮助我们做出决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Empleo de un score semicuantitativo en la valoración de la congestión pulmonar: prevalencia e implicaciones en el manejo diurético tras el alta por insuficiencia cardiaca

Introduction

Persistent congestion after heart failure (HF) discharge is associated with a higher risk of readmissions.

Material and methods

Eighty-two patients included after HF discharge. The aim of the study was to characterize semiquantitatively the degree of pulmonary congestion and its changes, describing the relationship between these findings and diuretic management.

Results

On the first visit, despite the absence of clinical congestion in the majority of patients, half of the had some degree of pulmonary congestion by ultrasound. After global assessment in this initial visit (clinical and ultrasound) the diuretic was lowered in 50 patients (60%), kept the same in 16 (20%) and it was increased in the rest. In the 45 patients without ultrasound congestion, diuretic reduction was attempted in 80%, being this strategy successful in the majority of them.

Conclusions

Lung ultrasound, using simple quantification methods, allows its real incorporation into clinical practice, helping us in the decision making process.

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来源期刊
Revista clinica espanola
Revista clinica espanola 医学-医学:内科
CiteScore
4.40
自引率
6.90%
发文量
73
审稿时长
28 days
期刊介绍: Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.
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