10.6084/m9.figshare.5679103.v1
Beaubien-Souligny W.
Beaubien-Souligny
W.
Rhéaume M.
Rhéaume
M.
Blondin M.-C.
Blondin
M.-C.
El-Barnachawy S.
El-Barnachawy
S.
Fortier A.
Fortier
A.
Éthier J.
Éthier
J.
Legault L.
Legault
L.
Denault A.Y.
Denault
A.Y.
Supplementary Material for: A Simplified Approach to Extravascular Lung Water Assessment Using Point-of-Care Ultrasound in Patients with End-Stage Chronic Renal Failure Undergoing Hemodialysis
Karger Publishers
2017
Point-of-care ultrasound
Fluid balance management
Hemodialysis
Pulmonary edema
Pulmonary ultrasound
B-line artifact
Fluid overload
End-stage renal disease
2017-12-07 15:28:28
Dataset
https://karger.figshare.com/articles/dataset/Supplementary_Material_for_A_Simplified_Approach_to_Extravascular_Lung_Water_Assessment_Using_Point-of-Care_Ultrasound_in_Patients_with_End-Stage_Chronic_Renal_Failure_Undergoing_Hemodialysis/5679103
<b><i>Background:</i></b> Fluid overload leading to pulmonary congestion is an important issue in patients undergoing hemodialysis. This study aimed to determine if a simplified method of extravascular lung water assessment using ultrasound provided clinically relevant information. <b><i>Methods:</i></b> This prospective study recruited 47 patients from a single hemodialysis center. Pulmonary ultrasound was performed before and after 2 hemodialysis sessions in 28 regions on the thorax. The B-line score was defined as the percentage regions where B-lines were present. <b><i>Results:</i></b> When B-lines were detected before hemodialysis, a significant relationship was found between fluid removal and the change in B-line score. Patients with a B-line score of ≥21.4% (4th quartile) after the second hemodialysis session were more likely to be hospitalized for pulmonary edema or acute coronary syndrome. <b><i>Conclusions:</i></b> A simplified pulmonary assessment using ultrasound provides relevant information about pulmonary congestion in hemodialysis patients and identifies patients at risk of hospitalization for heart-related problems.