Clinical Management, Diagnosis and Treatment of Thoracic Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Pulmonology".

Deadline for manuscript submissions: 21 August 2024 | Viewed by 1027

Special Issue Editors


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Guest Editor
"Clinica Medica" Institute, Department of Medicine and Aging Sciences, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy
Interests: cardiovascular risk; lipid metabolism; metabolic diseases; ultrasound

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Guest Editor
Internal Medicine, Bentivoglio Hospital, AUSL Bologna, 40010 Bologna, Italy
Interests: ultrasound; lung disease; hemostasis and thrombosis; cardiovascular disease
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Special Issue Information

Dear Colleagues,

Thoracic diseases are among the most relevant and frequent pathologies in several areas of both the medical and surgical fields. In recent years, a change in the epidemiology of pulmonary diseases has occurred, with great interest in the field of infectious diseases. New diagnostic tools have made it possible to perform increasingly specific diagnoses. Moreover, new therapeutic options in both the medical and surgical fields are modifying the prognosis of some pathologies (e.g., neoplastic diseases). This Special Issue is aimed at all specialists involved in the management of lung diseases, and aims to highlight new diagnostic and therapeutic options in the field of chest diseases.

Dr. Damiano D'Ardes
Dr. Andrea Boccatonda
Guest Editors

Manuscript Submission Information

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Keywords

  • lung
  • thorax
  • pneumonia
  • chest
  • imaging
  • ultrasound

Published Papers (1 paper)

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Research

16 pages, 6519 KiB  
Article
Unlocking Diagnostic Precision: FATE Protocol Integration with BLUE and eFAST Protocols for Enhanced Pre-Hospital Differential Diagnosis of Pleural Effusion Manifested as Dyspnea in Adults—A Pilot Study
by Damian Kowalczyk, Miłosz Turkowiak, Wojciech Jerzy Piotrowski, Oskar Rosiak and Adam Jerzy Białas
J. Clin. Med. 2024, 13(6), 1573; https://doi.org/10.3390/jcm13061573 - 9 Mar 2024
Viewed by 714
Abstract
Background: Dyspnea commonly stems from combined myocardial and pulmonary dysfunction, posing challenges for accurate pre-hospital diagnosis. Limited diagnostic capabilities hinder the differentiation of cardiac and pulmonary issues. This study assesses the efficacy of combined cardiac and pulmonary ultrasound using the BLUE, eFAST, [...] Read more.
Background: Dyspnea commonly stems from combined myocardial and pulmonary dysfunction, posing challenges for accurate pre-hospital diagnosis. Limited diagnostic capabilities hinder the differentiation of cardiac and pulmonary issues. This study assesses the efficacy of combined cardiac and pulmonary ultrasound using the BLUE, eFAST, and FATE protocols. Methods: Participants were consecutively enrolled from dyspnea-related emergency calls in Warsaw, Poland, from 4 April 2022, to 15 June 2023. Patients with pleural effusion were identified through pre-hospital and in-hospital radiological assessments. Pre-hospital thoracic ultrasonography followed the BLUE, eFAST, and FATE protocols, alongside comprehensive clinical assessments. The pre-hospital diagnoses were juxtaposed with the with hospital discharge diagnoses. Results: Sixteen patients (8 men, 8 women; median age: 76 years) were enrolled. Inter-rater agreement for the BLUE protocol was substantial (κ = 0.78), as was agreement for eFAST (κ = 0.75), with almost perfect agreement for combined protocol assessment (κ = 0.83). Left ventricle hypokinesis, identified via the FATE protocol, significantly correlated with hospital-diagnosed decompensated heart failure as the primary cause of dyspnea. Sensitivity and specificity were 1.0 (95%CI: 0.62–1.0) and 0.6 (95%CI: 0.15–0.95), respectively. Positive predictive value was 0.85 (95%CI: 0.55–0.98), and diagnostic accuracy was 0.86 (95%CI: 0.62–0.98). Conclusions: Integrating the FATE protocol into BLUE and eFAST enhances pre-hospital differential diagnosis accuracy of pleural effusion in adults. This synergistic approach streamlines diagnostic processes and facilitates informed clinical decision-making. Larger-scale validation studies are needed for broader applicability. Full article
(This article belongs to the Special Issue Clinical Management, Diagnosis and Treatment of Thoracic Diseases)
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

Title: Evolution of Antimicrobial Stewardship in Pneumonia Man-agement: A Comprehensive Bibliometric Analysis

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