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dc.typeArtigo de periódicopt_BR
dc.titleA Simplified Ultrasound-based Edema Score To Assess Lung Injury And Clinical Severity In Septic Patients.pt_BR
dc.contributor.authorSantos, Thiago Mpt_BR
dc.contributor.authorFranci, Danielpt_BR
dc.contributor.authorCoutinho, Carolina M Gpt_BR
dc.contributor.authorRibeiro, Diego Lpt_BR
dc.contributor.authorSchweller, Marcelopt_BR
dc.contributor.authorMatos-Souza, José Rpt_BR
dc.contributor.authorCarvalho-Filho, Marco Apt_BR
unicamp.authorThiago M Santos, Department of Emergency Medicine, Hospital of the University of Campinas (Unicamp), Campinas, Brazil.pt_BR Franci,pt M G Coutinho,pt L Ribeiro,pt Schweller,pté R Matos-Souza,pt A Carvalho-Filho,pt
dc.subjectCohort Studiespt_BR
dc.subjectEmergency Service, Hospitalpt_BR
dc.subjectHospital Mortalitypt_BR
dc.subjectMiddle Agedpt_BR
dc.subjectProspective Studiespt_BR
dc.subjectPulmonary Edemapt_BR
dc.subjectSeverity Of Illness Indexpt_BR
dc.subjectShock, Septicpt_BR
dc.description.abstractLung ultrasound (US) is an excellent tool to assess lung edema in a myriad of different clinical situations. We hypothesized that lung US might also be a good prognostic and management instrument in septic patients, regardless of disease severity. This was a prospective observational cohort study at an urban academic emergency department (ED). Inclusion criteria were as follows: septic patients, at least 18 years old, admitted at the ED of a tertiary hospital. A simplified lung edema scoring system (SLESS) was developed, and 6 thoracic regions were evaluated. Four different lung US patterns were considered, from normal aeration to total consolidation. To evaluate disease severity, the SLESS was compared with the Mortality in Emergency Department Sepsis Score and the third version of the Simplified Acute Physiology Score scoring systems. Aiming to assess the effect of the lung edema in the gas exchange, the SLESS was compared with the Pao2/fraction of inspired oxygen ratio. Sixty-one patients were enrolled in a 3-month period. The SLESS had a good correlation with the Mortality in Emergency Department Sepsis Score and Simplified Acute Physiology Score (r = 0.53 and r = 0.55, respectively; P < .001 for both) and a negative correlation with the Pao2/fraction of inspired oxygen ratio (r = -0.62; P < .001). The SLESS also showed correlation with the respiratory rate (r = 0.45; P = .0003). The odds ratio for death related to the SLESS was 1.370 (95% confidence interval, 1.109-1.691; P = .0035). The SLESS is an easy and practical scoring system. It might be a useful tool to predict severity of disease in sepsis patients. The SLESS might also be able to be correlated with the oxygen exchange.en
dc.relation.ispartofThe American Journal Of Emergency Medicinept_BR
dc.relation.ispartofabbreviationAm J Emerg Medpt_BR
dc.identifier.citationThe American Journal Of Emergency Medicine. v. 31, n. 12, p. 1656-60, 2013-Dec.pt_BR
dc.rights.holder© 2013 Elsevier Inc. All rights reserved.pt_BR
dc.description.provenanceMade available in DSpace on 2015-11-27T13:32:13Z (GMT). No. of bitstreams: 1 pmed_24119611.pdf: 579791 bytes, checksum: a4548ae5ab12b991d3da05fdeedffbd8 (MD5) Previous issue date: 2013en
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