Cargando…
Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study
Lung ultrasonography (LUS) is an accurate method of estimating lung congestion but there is ongoing debate on the optimal number of scanning points. The aim of the present study was to compare the reproducibility (i.e. interobserver agreement) and the feasibility (i.e. time consumption) of the two m...
Autores principales: | , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856869/ https://www.ncbi.nlm.nih.gov/pubmed/35181839 http://dx.doi.org/10.1007/s11739-022-02943-9 |
_version_ | 1784653933561511936 |
---|---|
author | Leidi, Antonio Soret, Guillaume Mann, Tamara Koegler, Flora Coen, Matteo Leszek, Alexandre Dubouchet, Laetitia Guillermin, Alexandre Kaddour, Myriam Rouyer, Frédéric Combescure, Christophe Carballo, Sebastian Reny, Jean-Luc Marti, Christophe Stirnemann, Jérôme Grosgurin, Olivier |
author_facet | Leidi, Antonio Soret, Guillaume Mann, Tamara Koegler, Flora Coen, Matteo Leszek, Alexandre Dubouchet, Laetitia Guillermin, Alexandre Kaddour, Myriam Rouyer, Frédéric Combescure, Christophe Carballo, Sebastian Reny, Jean-Luc Marti, Christophe Stirnemann, Jérôme Grosgurin, Olivier |
author_sort | Leidi, Antonio |
collection | PubMed |
description | Lung ultrasonography (LUS) is an accurate method of estimating lung congestion but there is ongoing debate on the optimal number of scanning points. The aim of the present study was to compare the reproducibility (i.e. interobserver agreement) and the feasibility (i.e. time consumption) of the two most practiced protocols in patients hospitalized for acute heart failure (AHF). This prospective trial compared 8- and 28-point LUS protocols. Both were performed by an expert–novice pair of sonographers at admission and after 4 to 6 days on patients admitted for AHF. A structured bio-clinical evaluation was simultaneously carried out by the treating physician. The primary outcome was expert-novice interobserver agreement estimated by kappa statistics. Secondary outcomes included time spent on image acquisition and interpretation. During the study period, 43 patients underwent a total of 319 LUS exams. Expert–novice interobserver agreement was moderate at admission and substantial at follow-up for 8-point protocol (weighted kappa of 0.54 and 0.62, respectively) with no significant difference for 28-point protocol (weighted kappa of 0.51 and 0.41; P value for comparison 0.74 at admission and 0.13 at follow-up). The 8-point protocol required significantly less time for image acquisition at admission (mean time difference − 3.6 min for experts, − 5.1 min for novices) and interpretation (− 6.0 min for experts and − 6.3 min for novices; P value < 0.001 for all time comparisons). Similar differences were observed at follow-up. In conclusion, an 8-point LUS protocol was shown to be timesaving with similar reproducibility when compared with a 28-point protocol. It should be preferred for evaluating lung congestion in AHF inpatients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11739-022-02943-9. |
format | Online Article Text |
id | pubmed-8856869 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-88568692022-02-22 Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study Leidi, Antonio Soret, Guillaume Mann, Tamara Koegler, Flora Coen, Matteo Leszek, Alexandre Dubouchet, Laetitia Guillermin, Alexandre Kaddour, Myriam Rouyer, Frédéric Combescure, Christophe Carballo, Sebastian Reny, Jean-Luc Marti, Christophe Stirnemann, Jérôme Grosgurin, Olivier Intern Emerg Med Im - Original Lung ultrasonography (LUS) is an accurate method of estimating lung congestion but there is ongoing debate on the optimal number of scanning points. The aim of the present study was to compare the reproducibility (i.e. interobserver agreement) and the feasibility (i.e. time consumption) of the two most practiced protocols in patients hospitalized for acute heart failure (AHF). This prospective trial compared 8- and 28-point LUS protocols. Both were performed by an expert–novice pair of sonographers at admission and after 4 to 6 days on patients admitted for AHF. A structured bio-clinical evaluation was simultaneously carried out by the treating physician. The primary outcome was expert-novice interobserver agreement estimated by kappa statistics. Secondary outcomes included time spent on image acquisition and interpretation. During the study period, 43 patients underwent a total of 319 LUS exams. Expert–novice interobserver agreement was moderate at admission and substantial at follow-up for 8-point protocol (weighted kappa of 0.54 and 0.62, respectively) with no significant difference for 28-point protocol (weighted kappa of 0.51 and 0.41; P value for comparison 0.74 at admission and 0.13 at follow-up). The 8-point protocol required significantly less time for image acquisition at admission (mean time difference − 3.6 min for experts, − 5.1 min for novices) and interpretation (− 6.0 min for experts and − 6.3 min for novices; P value < 0.001 for all time comparisons). Similar differences were observed at follow-up. In conclusion, an 8-point LUS protocol was shown to be timesaving with similar reproducibility when compared with a 28-point protocol. It should be preferred for evaluating lung congestion in AHF inpatients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11739-022-02943-9. Springer International Publishing 2022-02-18 2022 /pmc/articles/PMC8856869/ /pubmed/35181839 http://dx.doi.org/10.1007/s11739-022-02943-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Im - Original Leidi, Antonio Soret, Guillaume Mann, Tamara Koegler, Flora Coen, Matteo Leszek, Alexandre Dubouchet, Laetitia Guillermin, Alexandre Kaddour, Myriam Rouyer, Frédéric Combescure, Christophe Carballo, Sebastian Reny, Jean-Luc Marti, Christophe Stirnemann, Jérôme Grosgurin, Olivier Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study |
title | Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study |
title_full | Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study |
title_fullStr | Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study |
title_full_unstemmed | Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study |
title_short | Eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study |
title_sort | eight versus 28-point lung ultrasonography in moderate acute heart failure: a prospective comparative study |
topic | Im - Original |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856869/ https://www.ncbi.nlm.nih.gov/pubmed/35181839 http://dx.doi.org/10.1007/s11739-022-02943-9 |
work_keys_str_mv | AT leidiantonio eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT soretguillaume eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT manntamara eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT koeglerflora eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT coenmatteo eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT leszekalexandre eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT dubouchetlaetitia eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT guillerminalexandre eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT kaddourmyriam eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT rouyerfrederic eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT combescurechristophe eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT carballosebastian eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT renyjeanluc eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT martichristophe eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT stirnemannjerome eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy AT grosgurinolivier eightversus28pointlungultrasonographyinmoderateacuteheartfailureaprospectivecomparativestudy |