RT Journal Article
T1 Prognostic Significance of Lung and Cava Vein Ultrasound in Elderly Patients Admitted for Acute Heart Failure: PROFUND-IC Registry Analysis.
A1 Pérez-Herrero, Sara
A1 Lorenzo-Villalba, Noel
A1 Urbano, Elena
A1 Sánchez-Sauce, Beatriz
A1 Aguilar-Rodríguez, Fernando
A1 Bernabeu-Wittel, Máximo
A1 Garcia-Alonso, Rocio
A1 Soler-Rangel, Llanos
A1 Trapiello-Valbuena, Francisco
A1 Garcia-García, Alejandra
A1 Casas-Rojo, Jose Manuel
A1 Beltrán-Romero, Luis
A1 De Jorge-Huerta, Lucia
A1 Molina-Puente, Juan Igor
A1 Andrès, Emmanuel
A1 Iguarán-Bermúdez, Rosario
A1 Méndez-Bailón, Manuel
K1 B lines
K1 clinical ultrasound
K1 heart failure
K1 inferior vena cava
K1 mortality
AB Introduction: Heart failure is an extremely prevalent disease in the elderly population of the world. Most patients present signs and symptoms of decompensation of the disease due to worsening congestion. This congestion has been clinically assessed through clinical signs and symptoms and complementary imaging tests, such as chest radiography. Recently, pulmonary and inferior vena cava ultrasound has been shown to be useful in assessing congestion but its prognostic significance in elderly patients has been less well evaluated. Objectives: This study aims to compare the clinical and radiological characteristics and predictive values for mortality in patients admitted for heart failure through the determination of B lines by lung ultrasound and the degree of collapsibility of the inferior vena cava (IVC). Secondarily, the study aims to assess the prediction of 30-day mortality based on the diameter of the IVC by means of the ROC curve. Methods: This is an observational cohort study based on data collected in the PROFUND-IC study, a nationwide multicentric registry of patients admitted with decompensated heart failure. Data were collected from these patients between October 2020 and April 2022. Results: A total of 482 patients were entered into the PROFUND-IC registry between October 2020 and April 2022. Bedside clinical ultrasound was performed during admission in 301 patients (64.3%). The number of patients with more than 6 B-lines on lung ultrasound amounted to 194 (66%). Statistically significant differences in 30-day mortality (22.1% vs. 9.2%; p = 0.01) were found in these patients. The sum of patients with IVC collapsibility of less than 50% amounted to 195 (67%). Regarding prognostic value, collapsibility data were significant for the number of admissions in the last year (12.5% vs. 5.5%; p = 0.04), in-hospital mortality (10.1% vs. 3.3%, p = 0.04) and 30-day mortality (22.6% vs. 8.1%; p
SN 2077-0383
YR 2022
FD 2022-08-05
LK http://hdl.handle.net/10668/21329
UL http://hdl.handle.net/10668/21329
LA en
DS RISalud
RD Apr 19, 2025