Medicina clinica
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The utility of lung ultrasound as a prognostic tool for patients with acute heart failure is well known, but most studies have been conducted in mixed groups of patients with preserved and reduced ejection fraction. While some subgroup analysis suggests that lung ultrasound is useful regardless of ejection fraction, no specific studies have addressed this question. Our objective is to determine the utility of bedside lung ultrasound as a prognostic tool for patients with preserved ejection fraction, acute heart failure. ⋯ Subclinical congestion evaluated with lung ultrasound before discharge is associated with worse prognosis in patients with acute heart failure and preserved ejection fraction. Patients with 15Blines are 2.5times more likely to be readmitted for acute heart failure than less congestive patients.
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Case Reports
Adaptation of the Spanish version of the Frontal Assessment Battery for detection of executive dysfunction.
The Frontal Assessment Battery (FAB) evaluates executive dysfunctions; however, there is no culturally adapted version of this instrument for the Spanish population. The aim of this study was the translation and cross-cultural adaptation of the original version of the FAB into Spanish and to pilot test this version. ⋯ Our findings support that the FAB-E can be used to screen for executive dysfunctions in a Spanish-speaking population.
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Observational Study
Effectiveness of glucocorticoids in patients hospitalized for severe SARS-CoV-2 pneumonia.
Several studies have reported the beneficial effect of glucocorticoids in the treatment of cytokine storm that occurs in patients with severe COVID-19. Various glucocorticoids regimens have been proposed. ⋯ The results of this study show that patients with severe SARS-CoV-2 pneumonia treated with glucocorticoids pulses with equivalent doses of prednisone greater than or equal to 250mg have a more favorable evolution (less mortality and less admission to ICU).