Lung ultrasound and short-term prognosis in heart failure patients

Chiara Cogliati, Giovanni Casazza, Elisa Ceriani, Daniela Torzillo, Stefano Furlotti, Ilaria Bossi, Tarcisio Vago, Giorgio Costantino, Nicola Montano

Research output: Contribution to journalArticlepeer-review

Abstract

Background Heart failure (HF) is the leading cause of hospitalization for patients older than 65 years, with a 30-day readmission rate of 20-25%. Although several markers have been evaluated to stratify timing of follow-up after an acute decompensation is mostly based on clinical judgment. Lung ultrasound (LUS) has been demonstrated to be a valid tool for the assessment and monitoring of pulmonary congestion. Aim of our study was to evaluate if LUS performed in HF patients at discharge could predict 100-day hospital readmission or death. Methods One-hundred fifty patients were enrolled. The anterolateral chest was scanned to evaluate the presence of B-lines. A sonographic score was calculated attributing 1 to each positive (≥ 3 B-lines) sector. Clinical, biochemical and echocardiographic data were recorded. A Cox proportional hazard regression analysis was performed to evaluate the association between variables and 100-day events. Results Follow-up was obtained in 149 patients. Thirty-four events were recorded. Sonographic score was significantly associated with events (HR 1.19; CI 1.05 to 1.34; p = 0.005). On average, the increase of 1 point in the sonographic score was associated with an increase of approximately 24% in the risk of event within 100 days. At multivariate analysis NTproBNP remained the only independent prognostic factor. Conclusions We confirmed that B-lines at discharge are a prognostic marker for hospital readmission and death at 100 days in HF patients. Nevertheless, further randomized clinical studies are needed to definitely support the routine use of LUS in the clinical management of HF patients, in combination or not with NT-proBNP.

Original languageEnglish
Pages (from-to)104-108
Number of pages5
JournalInternational Journal of Cardiology
Volume218
DOIs
Publication statusPublished - Sep 1 2016

Keywords

  • Heart failure
  • Lung ultrasound
  • Prognosis, B-lines

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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