دورية أكاديمية
Prognostic value of the chest x-ray in patients hospitalised for heart failure
| العنوان: | Prognostic value of the chest x-ray in patients hospitalised for heart failure |
|---|---|
| المؤلفون: | Pan, Daniel, Pellicori, Pierpaolo, Dobbs, Karen, Bulemfu, Jeanne, Sokoreli, Ioanna, Urbinati, Alessia, Brown, Oliver, Sze, Shirley, Rigby Cstat, Alan R., Kazmi, Syed, Riistama, Jarno M., Cleland, John G.F., Clark, Andrew L. |
| بيانات النشر: | Springer |
| سنة النشر: | 2021 |
| المجموعة: | University of Glasgow: Enlighten - Publications |
| الوصف: | Background: Patients admitted to hospital with heart failure will have had a chest X-ray (CXR), but little is known about their prognostic significance. We aimed to report the prevalence and prognostic value of the initial chest radiograph findings in patients admitted to hospital with heart failure (acute heart failure, AHF). Methods: The erect CXRs of all patients admitted with AHF between October 2012 and November 2016 were reviewed for pulmonary venous congestion, Kerley B lines, pleural effusions and alveolar oedema. Film projection (whether anterior–posterior [AP] or posterior–anterior [PA]) and cardiothoracic ratio (CTR) were also recorded. Trial registration: ISRCTN96643197 Results: Of 1145 patients enrolled, 975 [median (interquartile range) age 77 (68–83) years, 61% with moderate, or worse, left ventricular systolic dysfunction, and median NT-proBNP 5047 (2337–10,945) ng/l] had an adequate initial radiograph, of which 691 (71%) were AP. The median CTR was 0.57 (IQR 0.53–0.61) in PA films and 0.60 (0.55–0.64) in AP films. Pulmonary venous congestion was present in 756 (78%) of films, Kerley B lines in 688 (71%), pleural effusions in 649 (67%) and alveolar oedema in 622 (64%). A CXR score was constructed using the above features. Increasing score was associated with increasing age, urea, NT-proBNP, and decreasing systolic blood pressure, haemoglobin and albumin; and with all-cause mortality on multivariable analysis (hazard ratio 1.10, 95% confidence intervals 1.07–1.13, p < 0.001). Conclusions: Radiographic evidence of congestion on a CXR is very common in patients with AHF and is associated with other clinical measures of worse prognosis. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | http://eprints.gla.ac.uk/236223/1/236223.pdfTest; Pan, D. et al. (2021) Prognostic value of the chest x-ray in patients hospitalised for heart failure. Clinical Research in Cardiology , 110(11), pp. 1743-1756. (doi:10.1007/s00392-021-01836-9 ) (PMID:33754159) |
| الإتاحة: | https://doi.org/10.1007/s00392-021-01836-9Test http://eprints.gla.ac.uk/236223Test/ http://eprints.gla.ac.uk/236223/1/236223.pdfTest |
| حقوق: | cc_by_4 |
| رقم الانضمام: | edsbas.4884F88B |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |