dc.creator | Grilo Bensusan, Israel | es |
dc.creator | Pascasio, Juan Manuel | es |
dc.creator | López Pardo, Francisco Jesús | es |
dc.creator | Ortega Ruiz, Francisco | es |
dc.creator | Tirado, Juan Luis | es |
dc.creator | Sousa, José Manuel | es |
dc.creator | Rodríguez Puras, María José | es |
dc.creator | Ferrer, María Teresa | es |
dc.creator | Gómez Bravo, Miguel Ángel | es |
dc.creator | Grilo Reina, Antonio | es |
dc.date.accessioned | 2024-05-20T15:33:35Z | |
dc.date.available | 2024-05-20T15:33:35Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Grilo Bensusan, I., Pascasio, J.M., López Pardo, F.J., Ortega Ruiz, F., Tirado, J.L., Sousa, J.M.,...,Grilo Reina, A. (2017). Hepatopulmonary syndrome: which blood gas analysis criteria and position should we use for diagnosis?. Revista Española de Enfermedades Digestivas, 109 (12), 843-849. https://doi.org/10.17235/reed.2017.4930/2017. | |
dc.identifier.issn | 1130-0108 | es |
dc.identifier.issn | 2340-4167 | es |
dc.identifier.uri | https://hdl.handle.net/11441/158695 | |
dc.description.abstract | Introduction: Different blood gas criteria have been used in
the diagnosis of hepatopulmonary syndrome (HPS).
Patients and methods: Arterial blood gases were prospec
tively evaluated in 194 cirrhotic candidates for liver transplantation
(LT) in the supine and seated position. Three blood gas criteria were
analyzed: classic (partial pressure of oxygen [PaO2
] < 70 mmHg
and/or alveolar-arterial gradient of oxygen [A-a PO2
] ≥ 20 mmHg),
modern (A-a PO2
≥ 15 mmHg or ≥ 20 mmHg in patients over 64)
and the A-a PO2
≥ threshold value adjusted for age.
Results: The prevalence of HPS in the supine and seated posi
tion was 27.8% and 23.2% (classic), 34% and 25.3% (modern) and
22.2% and 19% (adjusted for age), respectively. The proportion of
severe and very severe cases increased in a seated position (11/49
[22.4%] vs 5/66 [7.6%], p = 0.02). No difference was observed
in the pre-LT, post-LT and overall mortality in patients with HPS,
regardless of the criteria used.
Conclusion: Obtaining blood gas measurements in the supine
position and the use of modern criteria are more sensitive for the
diagnosis of HPS. Blood gas analysis with the patient seated detects
a greater number of severe and very severe cases. The presence of
HPS was not associated with an increase in mortality regardless of
blood gas criterion used. | es |
dc.format | application/pdf | es |
dc.format.extent | 7 p. | es |
dc.language.iso | eng | es |
dc.publisher | Aran Ediciones S.A. | es |
dc.relation.ispartof | Revista Española de Enfermedades Digestivas, 109 (12), 843-849. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Cirrhosis | es |
dc.subject | Ascites | es |
dc.subject | Contrast echocardiography | es |
dc.subject | Pulmonary vascular diseases | es |
dc.subject | Macro-aggregated albumin lung perfusion scan and perioperative care | es |
dc.title | Hepatopulmonary syndrome: which blood gas analysis criteria and position should we use for diagnosis? | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.contributor.affiliation | Instituto de Biomedicina de Sevilla (IBIS) | |
dc.relation.publisherversion | https://www.reed.es/ArticuloFicha.aspx?id=2516&hst=0&idR=55&tp=1 | es |
dc.identifier.doi | 10.17235/reed.2017.4930/2017 | es |
dc.journaltitle | Revista Española de Enfermedades Digestivas | es |
dc.publication.volumen | 109 | es |
dc.publication.issue | 12 | es |
dc.publication.initialPage | 843 | es |
dc.publication.endPage | 849 | es |