title: [Use of lung ultrasound as a prognostic tool in outpatients with heart failure].
abstract: OBJECTIVE
  To assess the prognostic value of lung ultrasound for patients with chronic heart failure.
  
  
  METHODS
  Prospective observational cohort study, in which a lung ultrasound was performed on 54 patients at a heart failure outpatient consultation. Ultrasonography was classified as positive or negative for ultrasound interstitial syndrome depending on the number of B lines observed. Patients were followed up for six months; considering emergency visits, readmissions and deaths due to heart failure as markers of poor prognosis.
  
  
  RESULTS
  53.7% (29) of the patients had ultrasound interstitial syndrome. Among them, 48.3% (14) were readmitted, compared to 16% (4) of those without the syndrome (P=.012). Considering any of the events previously described as end points (readmissions, emergencies and deaths), we found that in the group of patients with ultrasound interstitial syndrome, 55.2% (16) had at least one of these complications, compared to 20% (5) of participants without the syndrome (P=.008).
  
  
  CONCLUSIONS
  Lung ultrasound in the outpatient setting is useful in predicting which patients are at increased risk of heart failure decompensation in the mid-term.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España; Universidad Rey Juan Carlos, Madrid, España. Electronic address: carmen_tojo@yahoo.es.
authors.forename: María Del Carmen
authors.initials: Mdel C
authors.lastname: Tojo Villanueva
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España; Universidad Rey Juan Carlos, Madrid, España.
authors.forename: María
authors.initials: M
authors.lastname: Fernández López
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España; Universidad Rey Juan Carlos, Madrid, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Canora Lebrato
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España; Universidad Rey Juan Carlos, Madrid, España; Unidad de Manejo Integral del Paciente con Insuficiencia Cardiaca (UMIPIC), Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
authors.forename: José Ángel
authors.initials: JÁ
authors.lastname: Satué Bartolomé
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España; Unidad de Manejo Integral del Paciente con Insuficiencia Cardiaca (UMIPIC), Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
authors.forename: Alberto
authors.initials: A
authors.lastname: San Martín Prado
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España; Universidad Rey Juan Carlos, Madrid, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Zapatero Gaviria
mesh_terms: D000328:Adult; D000359:Aftercare / Q000379:methods*; D000368:Aged; D000553:Ambulatory Care / Q000379:methods*; D002908:Chronic Disease; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000401:mortality; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011379:Prognosis; D011446:Prospective Studies; D014463:Ultrasonography
keywords: Consulta; Ecografía pulmonar; Ecografía torácica; Heart failure; Insuficiencia cardiaca; Lung ultrasound; Outpatient; Prognosis; Pronóstico; Thoracic ultrasound