Evidence map›Paper›PMID 36976605›Full record

ArticleThe western journal of emergency medicine2023

Application of Point-of-care Ultrasound for Screening Climbers at High Altitude for Pulmonary B-lines.

Shadi Lahham, John Moeller, Heesun Choi, Chanel Fischetti, Toby Myatt, Nicholas Bove, Soheil Saadat, Proma Mazumder, Isabel M Algaze Gonzalez, Ami Kurzweil and 1 more

Open access · goldFull text read
In one paragraph

Article in The western journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. [Body Function Changes and Prevention Strategies in High-Altitude Environment].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
    Review
  2. Article
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

11 authors at 5 institutions in 1 country.

Shadi LahhamKaiser Permanente Orange County, Department of Emergency Medicine, Anaheim, California.
John MoellerDartmouth-Hitchcock Medical Center, Department of Emergency Medicine, Lebanon, New Hampshire.
Heesun ChoiKingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona.
Chanel FischettiBrigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.
Toby MyattUniversity of California, Irvine, Department of Emergency Medicine, Orange, California.
Nicholas BoveUniversity of California, Irvine, Department of Emergency Medicine, Orange, California.
Soheil SaadatUniversity of California, Irvine, Department of Emergency Medicine, Orange, California.
Proma MazumderTouro University Nevada College of Osteopathic Medicine, Clark County, Nevada.
Isabel M Algaze GonzalezUniversity of California, Irvine, Department of Emergency Medicine, Orange, California.
Ami KurzweilEisenhower Health, Department of Emergency Medicine, Rancho Mirage, California.
John C FoxUniversity of California, Irvine, Department of Emergency Medicine, Orange, California.
Eisenhower Medical Center · USDartmouth–Hitchcock Medical Center · USHarvard University · USTouro University Nevada · USUniversity of California, Irvine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHigh-altitude pulmonary edema (HAPE) occurs as a result of rapid ascent to altitude faster than the acclimatization processes of the body. Symptoms can begin at an elevation of 2,500 meters above sea level. Our objective in this study was to determine the prevalence and trend of developing B-lines at 2,745 meters above sea level among healthy visitors over four consecutive days.

methodsWe performed a prospective case series on healthy volunteers at Mammoth Mountain, CA, USA. Subjects underwent pulmonary ultrasound for B-lines over four consecutive days.

resultsWe enrolled 21 male and 21 female participants. There was an increase in the sum of B-lines at both lung bases from day 1 to day 3, with a subsequent decrease from day 3 to day 4(P<0.001). By the third day at altitude, B-lines were detectable at base of lungs of all participants. Similarly, B-lines increased at apex of lungs from day 1 to day 3 and decreased on day 4 (P=0.004).

conclusionBy the third day at 2,745 meters altitude, B-lines were detectable in the bases of both lungs of all healthy participants in our study. We assume that increasing the number of B-lines could be considered an early sign of HAPE. Point-of-care ultrasound could be used to detect and monitor B-lines at altitude to facilitate early detection of HAPE, regardless of pre-existing risk factors.

Indexed as

Altitude SicknessMountaineeringPulmonary EdemaAltitudeFemaleHumansHypertension, PulmonaryLungMalePoint-of-Care Systems

Identifiers

PMID36976605
PMCPMC10047746
OpenAlexW4327927734

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read15
Read underepoch 390

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.