ArticleCardiorenal medicine2018
Relevance of B-Lines on Lung Ultrasound in Volume Overload and Pulmonary Congestion: Clinical Correlations and Outcomes in Patients on Hemodialysis.
Article in Cardiorenal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Role of Lung Ultrasound in the Assessment and Management of Pulmonary Congestion in Chronic Hemodialysis Patients: A Randomized Controlled Study
The Detection of Lung Pathologies Among Dialysis Patients Using Novel Mobile-Phone Ultrasound - A Feasibility Pilot Study
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Recommendations for Lung Ultrasound in Internal Medicine.Diagnostics (Basel, Switzerland) · 2020Guideline
- Ultrasonography in disaster medicine: a narrative review.Insights into imaging · 2026Article
- Lung ultrasonography for assessment of fluid overload in children with acute kidney injury undergoing hemodialysis: a prospective pilot study.Pediatric nephrology (Berlin, Germany) · 2026Observational
- Correlation between lung ultrasound B lines and clinical as well as echocardiographic parameters in patients on maintenance hemodialysis.Scientific reports · 2026Article
- Imaging of Congestion in Cardio-renal Syndrome.Current heart failure reports · 2025Review
- Application of a modified lung ultrasound score in assessing the severity of neonatal pneumonia: a multicenter prospective study.Frontiers in medicine · 2025Article
- Pulmonary Congestion and Anemia in Hemodialysis: The Potential Link to Inflammation.International journal of molecular sciences · 2024Observational
- Pulmonary congestion and systemic congestion in hemodialysis: dynamics and correlations.Frontiers in nephrology · 2024Article
- Ultrasound imaging of lung disease and its relationship to histopathology: An experimentally validated simulation approach.The Journal of the Acoustical Society of America · 2023Article
- Can Dialysis Patients Identify and Diagnose Pulmonary Congestion Using Self-Lung Ultrasound?Journal of clinical medicine · 2023Article
- Volume Status Assessment by Lung Ultrasound in End-Stage Kidney Disease: A Systematic Review.Canadian journal of kidney health and disease · 2023Review
- Automated lung ultrasound image assessment using artificial intelligence to identify fluid overload in dialysis patients.BMC nephrology · 2022Article
- Lung-kidney interactions and their role in chronic kidney disease-associated pulmonary diseases.American journal of physiology. Lung cellular and molecular physiology · 2022Review
- Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function.Journal of clinical medicine · 2022Article
- Assessment of fluid unresponsiveness guided by lung ultrasound in abdominal surgery: a prospective cohort study.Scientific reports · 2022Observational
- Volume overload in hemodialysis: diagnosis, cardiovascular consequences, and management.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Review
- Interobserver Agreement of Lung Ultrasound Findings of COVID-19.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2021Article
- Lung ultrasound and BNP to detect hidden pulmonary congestion in euvolemic hemodialysis patients: a single centre experience.BMC nephrology · 2021Article
- From bedside to bench: lung ultrasound for the assessment of pulmonary edema in animal models.Cell and tissue research · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVolume overload in patients on hemodialysis (HD) is an independent risk factor for cardiovascular mortality. B-lines detected on lung ultrasound (BLUS) assess extravascular lung water. This raises interest in its utility for assessing volume status and cardiovascular outcomes.
methodsEnd-stage renal disease patients on HD at the Island Rehab Center being older than 18 years were screened. Patients achieving their dry weight (DW) had a lung ultrasound in a supine position. Scores were classified as mild (0-14), moderate (15-30), and severe (>30) for pulmonary congestion. Patients with more than 60 were further classified as very severe. Patients were followed for cardiac events and death.
results81 patients were recruited. 58 were males, with a mean age of 59.7 years. 44 had New York Heart Association (NYHA) class 1, 24 had class 2, and 13 had class 3. In univariate analysis, NYHA class was associated with B-line classes (<0.001) and diastolic dysfunction (0.002). In multivariate analysis, NYHA grade strongly correlated with B-line classification (0.01) but not with heart function (0.95). 71 subjects were followed for a mean duration of 1.19 years. 9 patients died and 20 had an incident cardiac event. A Kaplan-Meier survival analysis demonstrated an interval decrease in survival times in all-cause mortality and cardiac events with increased BLUS scores (p = 0.0049). Multivariate Cox regression analysis showed the independent predictive value of BLUS class for mortality and cardiac events with a heart rate of 2.98 and 7.98 in severe and very severe classes, respectively, compared to patients in the mild class (p = 0.025 and 0.013).
conclusionAt DW, BLUS is an independent risk factor for death and cardiovascular events in patients on HD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.