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Advancing healthcar...
Advancing healthcare through thoracic ultrasound research in older patients
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Scarlata, Simone (author)
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- Okoye, Chukwuma (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),University of Milano-Bicocca, Italy
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Zotti, Sonia (author)
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Lauretani, Fulvio (author)
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Nouvenne, Antonio (author)
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Cerundolo, Nicoletta (author)
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Bruni, Adriana Antonella (author)
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Torrini, Monica (author)
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Finazzi, Alberto (author)
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Mazzarone, Tessa (author)
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Lunian, Marco (author)
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Zucchini, Irene (author)
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Maccioni, Lorenzo (author)
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Guarino, Daniela (author)
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della Faggiola, Silvia Fabbri (author)
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Capacci, Marco (author)
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Bianco, Maria Giovanna (author)
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Guarona, Guglielmo (author)
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Bellelli, Giuseppe (author)
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Monzani, Fabio (author)
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Virdis, Agostino (author)
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Incalzi, Raffaele Antonelli (author)
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Ungar, Andrea (author)
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Ticinesi, Andrea (author)
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(creator_code:org_t)
- 2023
- 2023
- English.
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In: Aging Clinical and Experimental Research. - 1594-0667 .- 1720-8319. ; 35:12, s. 2887-2901
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https://doi.org/10.1...
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Abstract
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- This paper reports the proceedings of a meeting convened by the Research Group on Thoracic Ultrasound in Older People of the Italian Society of Gerontology and Geriatrics, to discuss the current state-of-the-art of clinical research in the field of geriatric thoracic ultrasound and identify unmet research needs and potential areas of development. In the last decade, point-of-care thoracic ultrasound has entered clinical practice for diagnosis and management of several respiratory illnesses, such as bacterial and viral pneumonia, pleural effusion, acute heart failure, and pneumothorax, especially in the emergency–urgency setting. Very few studies, however, have been specifically focused on older patients with frailty and multi-morbidity, who frequently exhibit complex clinical pictures needing multidimensional evaluation. At the present state of knowledge, there is still uncertainty on the best requirements of ultrasound equipment, methodology of examination, and reporting needed to optimize the advantages of thoracic ultrasound implementation in the care of geriatric patients. Other issues regard differential diagnosis between bacterial and aspiration pneumonia, objective grading of interstitial syndrome severity, quantification and monitoring of pleural effusions and solid pleural lesions, significance of ultrasonographic assessment of post-COVID-19 sequelae, and prognostic value of assessment of diaphragmatic thickness and motility. Finally, application of remote ultrasound diagnostics in the community and nursing home setting is still poorly investigated by the current literature. Overall, the presence of several open questions on geriatric applications of thoracic ultrasound represents a strong call to implement clinical research in this field.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Keyword
- Chest ultrasound
- Lung ultrasound
- Diaphragm motility
- Respiratory failure
- Geriatric assessment
Publication and Content Type
- ref (subject category)
- for (subject category)
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- By the author/editor
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Scarlata, Simone
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Okoye, Chukwuma
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Zotti, Sonia
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Lauretani, Fulvi ...
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Nouvenne, Antoni ...
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Cerundolo, Nicol ...
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show more...
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Bruni, Adriana A ...
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Torrini, Monica
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Finazzi, Alberto
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Mazzarone, Tessa
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Lunian, Marco
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Zucchini, Irene
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Maccioni, Lorenz ...
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Guarino, Daniela
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della Faggiola, ...
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Capacci, Marco
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Bianco, Maria Gi ...
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Guarona, Gugliel ...
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Bellelli, Giusep ...
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Monzani, Fabio
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Virdis, Agostino
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Incalzi, Raffael ...
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Ungar, Andrea
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Ticinesi, Andrea
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Geriatrics
- Articles in the publication
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Aging Clinical a ...
- By the university
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Stockholm University
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Karolinska Institutet