Chest X-ray quantification of admission lung congestion as a prognostic factor in patients admitted for worsening heart failure from the ICALOR cohort study
| العنوان: | Chest X-ray quantification of admission lung congestion as a prognostic factor in patients admitted for worsening heart failure from the ICALOR cohort study |
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| المؤلفون: | Erwan Bozec, João Pedro Ferreira, Patrick Rossignol, Faiez Zannad, Sarah Pierre, Nicolas Girerd, Tahar Chouihed, Matthieu Bercker, Nicolas Sadoul, Masatake Kobayashi, Olivier Huttin |
| المساهمون: | BOZEC, Erwan, Combattre l'insuffisance cardiaque - - FIGHT-HF2015 - ANR-15-RHUS-0004 - RHUS - VALID, Centre d'investigation clinique plurithématique Pierre Drouin [Nancy] (CIC-P), Centre d'investigation clinique [Nancy] (CIC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Défaillance Cardiovasculaire Aiguë et Chronique (DCAC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Cardiovascular and Renal Clinical Trialists [Vandoeuvre-les-Nancy] (INI-CRCT), Institut Lorrain du Coeur et des Vaisseaux Louis Mathieu [Nancy], French-Clinical Research Infrastructure Network - F-CRIN [Paris] (Cardiovascular & Renal Clinical Trialists - CRCT ), Service de Cardiologie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), This study was sponsored by the Nancy CHRU and JPF, NG, PR, FZ are supported by a public grant overseen by the French National Research Agency (ANR) as part of the second 'Investissements d’Avenir' program (reference: ANR-15-RHU-0004)., ANR-15-RHUS-0004,FIGHT-HF,Combattre l'insuffisance cardiaque(2015), Université de Lorraine (UL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy) |
| المصدر: | International Journal of Cardiology International Journal of Cardiology, Elsevier, 2020, 299, pp.192-198. ⟨10.1016/j.ijcard.2019.06.062⟩ |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Plasma volume, medicine.medical_specialty, Organ Dysfunction Scores, Hypertension, Pulmonary, Worsening heart failure, Pulmonary Edema, 030204 cardiovascular system & hematology, Disease cluster, Logistic regression, 03 medical and health sciences, 0302 clinical medicine, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Predictive Value of Tests, Congestion score index, Clinical Decision Rules, Internal medicine, medicine, Humans, In patient, 030212 general & internal medicine, Lung congestion, Lung, Aged, Heart Failure, business.industry, Prognosis, medicine.disease, Patient Care Management, [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, 3. Good health, Hospitalization, medicine.anatomical_structure, Blood pressure, Heart failure, Disease Progression, Cardiology, Female, Radiography, Thoracic, Cardiology and Cardiovascular Medicine, business, Cohort study |
| الوصف: | International audience; Introduction: Chest X-ray (CXR) widely used, but the prognostic value of congestion quantification using CXR remains uncertain. The main objective of the present study was to assess whether initial quantification of lung congestion evaluated by CXR [and its interplay with estimated plasma volume status (ePVS)] in patients with worsening heart failure (WHF) is associated with in-hospital and short-term clinical outcome. Methods: We studied 117 patients hospitalized for WHF in the ICALOR HF disease management program. Pulmonary congestion was estimated using congestion score index (CSI, range 0 to 3) evaluated from 6 lung areas on CXR. Systemic congestion was assessed by ePVS. Logistic regression analysis was used to assess length of stay and the composite of all-cause death or HF re-hospitalization at 90 days.Results: Patients were divided according to the median of admission CSI (median=2.20) and ePVS (median=5.38). Higher CSI was significantly associated with higher pulmonary arterial systolic pressure in multivariable models. Multivariable models showed patients with high CSI/high ePVS had a 6-day longer length of stay [OR (95%CI)=6.78 (1.82-29.79), p |
| وصف الملف: | application/pdf |
| تدمد: | 0167-5273 1874-1754 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e0bd10f7a5f605df65c5a134ef7b9ecaTest https://doi.org/10.1016/j.ijcard.2019.06.062Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e0bd10f7a5f605df65c5a134ef7b9eca |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 01675273 18741754 |
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