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Swimming-Induced Pu...
Swimming-Induced Pulmonary Edema : Diagnostic Criteria Validated by Lung Ultrasound
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- Hårdstedt, Maria, 1971- (författare)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Falun Cent Hosp, Dept Cardiol, Falun, Sweden.
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- Seiler, Claudia, 1976- (författare)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Falun Cent Hosp, Dept Anesthesiol & Intens Care, Falun, Sweden.
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- Kristiansson, Linda (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Sandviken North Primary Hlth Care Ctr, Sandviken, Sweden.
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- Lundeqvist, Daniel (författare)
- Department of Internal Medicine, Mora Hospital, Mora, Sweden,Mora Hosp, Dept Internal Med, Mora, Sweden.
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- Klingberg, Cecilia (författare)
- Department of Anesthesiology and Intensive Care, Falun Hospital, Falun, Sweden; Department of Anesthesiology and Intensive Care, Falun Hospital, Falun, Sweden,Falun Cent Hosp, Dept Anesthesiol & Intens Care, Falun, Sweden.
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- Braman Eriksson, Annika (författare)
- Vansbro Primary Health Care Center, Vansbro, Sweden
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(creator_code:org_t)
- American College of Chest Physicians, 2020
- 2020
- Engelska.
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Ingår i: Chest. - : American College of Chest Physicians. - 0012-3692 .- 1931-3543. ; 158:4, s. 1586-1595
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
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- BACKGROUND: Despite the increasing popularity of open water swimming worldwide, swimming-induced pulmonary edema (SIPE) is a poorly recognized condition lacking established diagnostic criteria.RESEARCH QUESTION: The aim of this study was to identify diagnostic criteria of SIPE during a large open water swimming event.STUDY DESIGN AND METHODS: In this cross-sectional study, 17,904 individuals swam 1,000, 1,500, or 3,000 m in cold open water during Sweden's largest open water swimming event in 2018 and 2019. Of 166 swimmers seeking medical attention for acute respiratory symptoms, 160 were included in the study. Medical history, symptoms, and clinical findings were collected. On-site lung ultrasound (LUS) was performed to verify pulmonary edema.RESULTS: Pulmonary edema was confirmed by LUS in 102 patients (64%); findings were unilateral in 11 (7%). Peripheral oxygen saturation was identified as a strong independent diagnostic test for pulmonary edema, with ≤ 95% as the suggested cut off based on receiver-operating characteristic curve analysis (area under the curve, 0.893; P < .0001). Crackles on lung auscultation, predominantly over the anterior chest, identified 88% of patients with edema. Peripheral oxygen saturation ≤ 95% or auscultation findings of crackles identified pulmonary edema with a sensitivity of 97% and a specificity of 86%. A specificity of 98% and a positive predictive value of 99% for LUS-verified pulmonary edema were reached if patients presented with both oxygen saturation ≤ 95% and auscultation of crackles.INTERPRETATION: We suggest a clinical algorithm for diagnosis of SIPE for swimmers with acute respiratory symptoms during swimming in cold open water. Novel features of focally distributed edema in the anterior parts of the lungs, sometimes unilateral, add to this unique dataset of an underreported condition.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Nyckelord
- SIPE
- immersion pulmonary edema
- lung ultrasound
- swimming
- swimming-induced pulmonary edema
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