Evidence map›Paper›PMID 34316147›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2021

Radiographical Spectrum of High-altitude Pulmonary Edema: A Pictorial Essay.

Uday Yanamandra, Vasu Vardhan, Puneet Saxena, Priyanka Singh, Amul Gupta, Deepak Mulajkar, Rajan Grewal, Velu Nair

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Uday YanamandraDepartment of Hematology & Stem Cell Transplant, Army Hospital (R&R), New Delhi, India.ORCID https://orcid.org/0000-0002-0546-6585
Vasu VardhanDepartment of Pulmonology, Base Hospital, New Delhi, India.ORCID https://orcid.org/0000-0002-2180-218X
Puneet SaxenaDepartment of Pulmonology, Army Hospital (R&R), New Delhi, India.ORCID https://orcid.org/0000-0003-1111-1008
Priyanka SinghDepartment of Pulmonology, Army Hospital (R&R), New Delhi, India.ORCID https://orcid.org/0000-0002-2468-8394
Amul GuptaDepartment of Radiology, Base Hospital, New Delhi, India.ORCID https://orcid.org/0000-0002-0076-9317
Deepak MulajkarDepartment of Oncology, Army Hospital (R&R), New Delhi, India.ORCID https://orcid.org/0000-0001-9775-0032
Rajan GrewalEx Director General, Medical Services (Army), Currently, Vice Chancellor, Sikkim Manipal University, Sikkim, Gangtok, India.ORCID https://orcid.org/0000-0001-5305-0990
Velu NairDepartment of Haemato-Oncology and Bone Marrow Transplant, Apollo CBCC Cancer Care, Ahmedabad, Gujarat, India.ORCID https://orcid.org/0000-0002-8710-1925
Army Hospital Research and Referral · INCommand Hospital · INApollo Proton Cancer Centre · INHospital Base · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-altitude pulmonary edema (HAPE) is a common cause of hospitalization in high altitude areas with significant morbidity. The clinical presentation of HAPE can overlap with a broad spectrum of cardiopulmonary diseases. Also, it is associated with varied radiological manifestations mimicking other conditions and often leading to unnecessary and inappropriate treatment. PATIENTS AND

methodsThe primary aim of the study was to study the various radiological manifestations of HAPE through real-world chest radiographs. We present six different chest X-ray patterns of HAPE as a pictorial assay, at initial presentation, and after the resolution of symptoms with supplemental oxygen therapy and bed rest alone.

resultsHAPE can present as bilateral symmetrical perihilar opacities, bilateral symmetrical diffuse opacities, unilateral diffuse opacities, bilateral asymmetrical focal opacities, and even lobar consolidation with lower zone or less commonly upper zonal predilection. These presentations can mimic many common conditions like heart failure, acute respiratory distress syndrome, pulmonary embolism, aspiration pneumonitis, pneumonia, malignancy, and tuberculosis.

conclusionA holistic clinical-radiological correlation coupled with analysis of the temporal course can help high-altitude physicians in differentiating true HAPE from its mimics. HOW TO CITE THIS ARTICLE: Yanamandra U, Vardhan V, Saxena P, Singh P, Gupta A, Mulajkar D,

Indexed as

Chest X-rayHigh-altitude pulmonary edemaImagingRadiograph

Identifiers

PMID34316147
PMCPMC8286401
OpenAlexW3171942320

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.