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Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function
Lung ultrasound is a bedside technique for the assessment of pulmonary congestion. The study aims to assess the severity of lung congestion in kidney transplant recipients (KTR) in relation to arteriovenous fistula (AVF) patency. One hundred fifty-seven patients at least 12 months after kidney trans...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836698/ https://www.ncbi.nlm.nih.gov/pubmed/35160293 http://dx.doi.org/10.3390/jcm11030842 |
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author | Letachowicz, Krzysztof Królicka, Anna Tukiendorf, Andrzej Banasik, Mirosław Kamińska, Dorota Gołębiowski, Tomasz Kuriata-Kordek, Magdalena Madziarska, Katarzyna Mazanowska, Oktawia Krajewska, Magdalena |
author_facet | Letachowicz, Krzysztof Królicka, Anna Tukiendorf, Andrzej Banasik, Mirosław Kamińska, Dorota Gołębiowski, Tomasz Kuriata-Kordek, Magdalena Madziarska, Katarzyna Mazanowska, Oktawia Krajewska, Magdalena |
author_sort | Letachowicz, Krzysztof |
collection | PubMed |
description | Lung ultrasound is a bedside technique for the assessment of pulmonary congestion. The study aims to assess the severity of lung congestion in kidney transplant recipients (KTR) in relation to arteriovenous fistula (AVF) patency. One hundred fifty-seven patients at least 12 months after kidney transplantation were recruited to participate in a cross-sectional study. Apart from routine visits, lung ultrasound at 28 typical points was performed. The patients were assigned to either AVF+ or AVF− groups. The mean number of lung ultrasound B-lines (USBLs) was 5.14 ± 4.96 with no differences between groups: 5.5 ± 5.0 in AVF+ and 4.8 ± 4.9 in AVF−, p = 0.35. The number and proportion of patients with no congestion (0–5 USBLs), mild congestion (6–15 USBLs), and moderate congestion (16–30 USBLs) were as follows: 101 (64.7%), 49 (31.4%), and 6 (3.8%), respectively. In multivariate analysis, only symptoms (OR 5.90; CI 2.43,14.3; p = 0.0001), body mass index (BMI) (OR 1.09; CI 1.03,1.17; p = 0.0046), and serum cholesterol level (OR 0.994; CI 0.998,1.000; p = 0.0452) contributed significantly to the severity of lung congestion. Lung ultrasound is a valuable tool for the evaluation of KTR. Functioning AVF in KTR is not the major factor affecting the severity of pulmonary congestion. |
format | Online Article Text |
id | pubmed-8836698 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88366982022-02-12 Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function Letachowicz, Krzysztof Królicka, Anna Tukiendorf, Andrzej Banasik, Mirosław Kamińska, Dorota Gołębiowski, Tomasz Kuriata-Kordek, Magdalena Madziarska, Katarzyna Mazanowska, Oktawia Krajewska, Magdalena J Clin Med Article Lung ultrasound is a bedside technique for the assessment of pulmonary congestion. The study aims to assess the severity of lung congestion in kidney transplant recipients (KTR) in relation to arteriovenous fistula (AVF) patency. One hundred fifty-seven patients at least 12 months after kidney transplantation were recruited to participate in a cross-sectional study. Apart from routine visits, lung ultrasound at 28 typical points was performed. The patients were assigned to either AVF+ or AVF− groups. The mean number of lung ultrasound B-lines (USBLs) was 5.14 ± 4.96 with no differences between groups: 5.5 ± 5.0 in AVF+ and 4.8 ± 4.9 in AVF−, p = 0.35. The number and proportion of patients with no congestion (0–5 USBLs), mild congestion (6–15 USBLs), and moderate congestion (16–30 USBLs) were as follows: 101 (64.7%), 49 (31.4%), and 6 (3.8%), respectively. In multivariate analysis, only symptoms (OR 5.90; CI 2.43,14.3; p = 0.0001), body mass index (BMI) (OR 1.09; CI 1.03,1.17; p = 0.0046), and serum cholesterol level (OR 0.994; CI 0.998,1.000; p = 0.0452) contributed significantly to the severity of lung congestion. Lung ultrasound is a valuable tool for the evaluation of KTR. Functioning AVF in KTR is not the major factor affecting the severity of pulmonary congestion. MDPI 2022-02-05 /pmc/articles/PMC8836698/ /pubmed/35160293 http://dx.doi.org/10.3390/jcm11030842 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Letachowicz, Krzysztof Królicka, Anna Tukiendorf, Andrzej Banasik, Mirosław Kamińska, Dorota Gołębiowski, Tomasz Kuriata-Kordek, Magdalena Madziarska, Katarzyna Mazanowska, Oktawia Krajewska, Magdalena Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function |
title | Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function |
title_full | Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function |
title_fullStr | Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function |
title_full_unstemmed | Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function |
title_short | Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function |
title_sort | lung congestion severity in kidney transplant recipients is not affected by arteriovenous fistula function |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836698/ https://www.ncbi.nlm.nih.gov/pubmed/35160293 http://dx.doi.org/10.3390/jcm11030842 |
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