RESUMO
El derrame pleural es una patología frecuente en las unidades de cuidados intensivos. El diagnóstico ha mejorado tras la introducción de la ecografía pulmonar, método accesible a pie de cama, que permite no sólo el diagnóstico sino también el tratamiento de esta entidad. El objetivo de nuestro estudio es determinar la precisión de las fórmulas matemáticas publicadas para calcular el volumen de derrame pleural a partir de mediciones ecográficas. Tras realizar una revisión sistemática, se seleccionaron siete artículos que proponen cada uno de ellos una ecuación matemática. En todos ellos los resultados fueron estadísticamente significativos. No obstante, no existe una fórmula ideal entre las estudiadas
Pleural effusion is a frequent pathology in intensive care units. The diagnosis has improved after the introduction of pulmonary ultrasound, an accessible method at the bedside, which allows not only the diagnosis but also the treatment of this entity. The aim of our study is to determine the accuracy of published mathematical equations to calculate the volume of pleural effusion from ultrasound measurements. After doing a systematic review, seven articles were selected that each proposed a mathematical equation. In all of them the results were statistically significant. However, there is no ideal formula among those studied
Assuntos
Humanos , Unidades de Terapia Intensiva , Derrame Pleural/diagnóstico por imagem , Ultrassonografia , Modelos TeóricosRESUMO
Pleural effusion is a frequent pathology in intensive care units. The diagnosis has improved after the introduction of pulmonary ultrasound, an accessible method at the bedside, which allows not only the diagnosis but also the treatment of this entity. The aim of our study is to determine the accuracy of published mathematical equations to calculate the volume of pleural effusion from ultrasound measurements. After doing a systematic review, seven articles were selected that each proposed a mathematical equation. In all of them the results were statistically significant. However, there is no ideal formula among those studied.
