P341 DANTE (DIAGNOSTIC ACUTE PATIENT TOOL IN EMERGENCY) & BEATRICE (BEDSIDE ECHOCARDIOGRAPHIC ASSESMENT FOR IMPROVE CLINICAL EVALUATION) FOR GERIATRIC PATIENTS Article Swipe

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Gabriele Savioli , F Lapia , Tiziana Bosoni , G Alunno , Giovanni Rigano , Luigi Coppola , Alessandra Fusco , A Lo Bello , M Brattoli , F Fumoso , Viola Novelli , A Muzzi , Amedeo Mugellini , Alessandra Martignoni , Sara Cutti , Antonio Di Sabatino ·

YOU? · · 2022 · Open Access · · DOI: https://doi.org/10.1093/eurheartj/suac012.328

Objectives To determine whether comprehensive quantitative bed side echocardiogram could be used as a usual assessment tool in acute geriatric patients and to assess its effect on patient care. Design Retrospective. Setting: DEA di II livello IRCSS Policlinico san Matteo. Patients Acute ill medical, trauma and surgical patients. A doctor enrolled in the discipline of emergency medicine was assigned to perform bedside echocardiograms of acute inpatients. This work took only geriatric patients into consideration. (> 65aa). Interventions: The Bedside Echocardiographic AssesmenT foR Improve Clinical Evaluetion (BEATRICE), a comprehensive transthoracic echocardiogram was performed. Measurements and Main Results 6–month period, 369 BEATRICEs were performed. The mean patient age was 76.2 (±14.3) years. 95% were hospitalized in medical departments and 5% in surgical ward. In 97.4% of cases BEATRICE was performed in a timely manner. The ejection fraction, cardiac index and the volumetric indices of the left ventricle is reported in 97% of the reports. Estimated stroke volume, longitudinal systolic function with tissue Doppler and atrium study is reported in 99.7%, 98.6% and 98.9% of BEATRICE studies. The study of diastolic and atrium function is reported in 99.3% and 98.9% of the reports respectively. Estimated left ventricular filling pressures are reported in 98.3% of the measurements. Information on the vena cava reported for 98%. Right heart function was assessed for 91.8%. Mean or systolic right ventricular pressures, or both, were also estimated in 91.9% of the reports. The BEATRICE was judged to be useful by the consulting primary care team in over 96% of cases, BEATRICEs allow the modification of therapy or the diagnostic process in over 40% of cases (in 27% of cases they allow to significantly modify the therapy and in 16% of cases they allow to significantly modify the diagnostic therapeutic procedure) and speeding up the diagnostic process in over 30% of cases. Conclusions The BEATRICE is feasible and alters care in the intensive care unit by providing clinical data not otherwise available at the bedside. Further studies are warranted to assess the impact of comprehensive echocardiogram–directed resuscitation on patient outcomes.

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Medicine Ejection fraction Ventricle Inferior vena cava Stroke volume Cardiology Emergency department Internal medicine Transthoracic echocardiogram Emergency medicine Heart failure Psychiatry

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Type: article
Language: en
Landing Page: https://doi.org/10.1093/eurheartj/suac012.328
PDF: https://academic.oup.com/eurheartjsupp/article-pdf/24/Supplement_C/suac012.328/43747763/suac012.328.pdf
OA Status: bronze
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DOI: https://doi.org/10.1093/eurheartj/suac012.328

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Title: P341 DANTE (DIAGNOSTIC ACUTE PATIENT TOOL IN EMERGENCY) & BEATRICE (BEDSIDE ECHOCARDIOGRAPHIC ASSESMENT FOR IMPROVE CLINICAL EVALUATION) FOR GERIATRIC PATIENTS

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Language: en

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Publication year: 2022

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Publication date: 2022-05-01

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Authors: Gabriele Savioli, F Lapia, Tiziana Bosoni, G Alunno, Giovanni Rigano, Luigi Coppola, Alessandra Fusco, A Lo Bello, M Brattoli, F Fumoso, Viola Novelli, A Muzzi, Amedeo Mugellini, Alessandra Martignoni, Sara Cutti, Antonio Di Sabatino

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Landing page: https://doi.org/10.1093/eurheartj/suac012.328

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Concepts: Medicine, Ejection fraction, Ventricle, Inferior vena cava, Stroke volume, Cardiology, Emergency department, Internal medicine, Transthoracic echocardiogram, Emergency medicine, Heart failure, Psychiatry

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