Bibliographic citations
López, G., Sandoval, J. (2024). ASOCIACIÓN ENTRE LA PRESENCIA DE CONGESTIÓN PULMONAR POR ECOGRAFÍA PULMONAR AL ALTA Y LA REHOSPITALIZACIÓN EN PACIENTES ADULTOS INGRESADOS POR INSUFICIENCIA CARDIACA AGUDA: UNA REVISIÓN SISTEMÁTICA Y META-ANÁLISIS [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/672564
López, G., Sandoval, J. ASOCIACIÓN ENTRE LA PRESENCIA DE CONGESTIÓN PULMONAR POR ECOGRAFÍA PULMONAR AL ALTA Y LA REHOSPITALIZACIÓN EN PACIENTES ADULTOS INGRESADOS POR INSUFICIENCIA CARDIACA AGUDA: UNA REVISIÓN SISTEMÁTICA Y META-ANÁLISIS [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2024. http://hdl.handle.net/10757/672564
@misc{renati/1297665,
title = "ASOCIACIÓN ENTRE LA PRESENCIA DE CONGESTIÓN PULMONAR POR ECOGRAFÍA PULMONAR AL ALTA Y LA REHOSPITALIZACIÓN EN PACIENTES ADULTOS INGRESADOS POR INSUFICIENCIA CARDIACA AGUDA: UNA REVISIÓN SISTEMÁTICA Y META-ANÁLISIS",
author = "Sandoval Urbina, Jimena Milagros",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2024"
}
Introduction: Lung ultrasound, through the identification of B-lines, has been shown to be an imaging technique with adequate diagnostic accuracy for evaluation of pulmonary congestion. However, its prognostic value has shown heterogeneous results. Therefore, our study evaluated the association between the presence of pulmonary congestion by lung ultrasound at discharge and clinical outcomes in hospitalized adult patients with acute heart failure. Methods: The study search was performed in four electronic databases until December 2022. We included cohort studies that evaluated the association between the presence of pulmonary congestion by lung ultrasound at discharge and at least one of the outcomes of interest in adult patients hospitalized for acute heart failure. The primary outcome was a composite event of rehospitalization for heart failure or all-cause mortality. Secondary outcomes were the components of the primary outcome, cardiovascular mortality, and quality of life. Risk of bias assessment was performed using the Newcastle-Ottawa Scale tool. Meta-analyses were performed using a random-effects model. The measures of effect were the crude (HRc) and adjusted (HRa) hazard ratios with their 95% confidence intervals (CI). Results: A total of 14 studies were included, including 2,164 patients. The mean age ranged from 61 to 82 years, and 58% were male. The risk of bias was low in 10 studies, while in the rest it was moderate. The number of B lines was associated with increased risk of the composite primary outcome using an 8-zone (HRa 1.57, 95% CI 1.02-2.41, I2 = 73%) and 28-zone (HRa 6.31, 95% CI 2.69-14.81, I2 = 0%) protocol. Similarly, it was found to be associated with increased risk of rehospitalization for heart failure (28-zone protocol, HRc 1.03, 95% CI 1.02 - 1.04, I2 = 0%) and all-cause mortality (8-zone protocol, HRc 1.14, 95% CI 1.04 - 1.25, I2 = 78%). No studies reported information on cardiovascular mortality and quality of life. Conclusions: Our study found that the presence of pulmonary congestion by ultrasound at discharge was associated with increased risk of rehospitalization for heart failure and all-cause mortality in patients with acute heart failure.
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