%0 Generic
%A W., Beaubien-Souligny
%A M., Rhéaume
%A M.-C., Blondin
%A S., El-Barnachawy
%A A., Fortier
%A J., Éthier
%A L., Legault
%A A.Y., Denault
%D 2017
%T 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
%U 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
%R 10.6084/m9.figshare.5679103.v1
%2 https://karger.figshare.com/ndownloader/files/9932299
%K Point-of-care ultrasound
%K Fluid balance management
%K Hemodialysis
%K Pulmonary edema
%K Pulmonary ultrasound
%K B-line artifact
%K Fluid overload
%K End-stage renal disease
%X Background: 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. Methods: 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. Results: 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. Conclusions: 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.
%I Karger Publishers