Author:
Scarlata Simone,Okoye Chukwuma,Zotti Sonia,Lauretani Fulvio,Nouvenne Antonio,Cerundolo Nicoletta,Bruni Adriana Antonella,Torrini Monica,Finazzi Alberto,Mazzarone Tessa,Lunian Marco,Zucchini Irene,Maccioni Lorenzo,Guarino Daniela,Fabbri della Faggiola Silvia,Capacci Marco,Bianco Maria Giovanna,Guarona Guglielmo,Bellelli Giuseppe,Monzani Fabio,Virdis Agostino,Antonelli Incalzi Raffaele,Ungar Andrea,Ticinesi Andrea,
Abstract
AbstractThis paper reports the proceedings of a meeting convened by the Research Group on Thoracic Ultrasound in Older People of the Italian Society of Gerontology and Geriatrics, to discuss the current state-of-the-art of clinical research in the field of geriatric thoracic ultrasound and identify unmet research needs and potential areas of development. In the last decade, point-of-care thoracic ultrasound has entered clinical practice for diagnosis and management of several respiratory illnesses, such as bacterial and viral pneumonia, pleural effusion, acute heart failure, and pneumothorax, especially in the emergency–urgency setting. Very few studies, however, have been specifically focused on older patients with frailty and multi-morbidity, who frequently exhibit complex clinical pictures needing multidimensional evaluation. At the present state of knowledge, there is still uncertainty on the best requirements of ultrasound equipment, methodology of examination, and reporting needed to optimize the advantages of thoracic ultrasound implementation in the care of geriatric patients. Other issues regard differential diagnosis between bacterial and aspiration pneumonia, objective grading of interstitial syndrome severity, quantification and monitoring of pleural effusions and solid pleural lesions, significance of ultrasonographic assessment of post-COVID-19 sequelae, and prognostic value of assessment of diaphragmatic thickness and motility. Finally, application of remote ultrasound diagnostics in the community and nursing home setting is still poorly investigated by the current literature. Overall, the presence of several open questions on geriatric applications of thoracic ultrasound represents a strong call to implement clinical research in this field.
Funder
Università degli Studi di Milano - Bicocca
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology,Aging
Cited by
1 articles.
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