Swimming-Induced Pulmonary Edema - diagnostic criteria validated by lung ultrasound.

Swimming-Induced Pulmonary Edema - diagnostic criteria validated by lung ultrasound. Chest. 2020 Apr 28;: Authors: Hårdstedt M, Seiler C, Kristiansson L, Lundeqvist D, Klingberg C, Eriksson AB Abstract BACKGROUND: Despite increasing popularity of open water swimming worldwide, swimming induced pulmonary edema (SIPE) is a poorly recognized condition lacking established diagnostic criteria. RESEARCH QUESTION: To determine diagnostic criteria of SIPE during a large open water swimming event. STUDY DESIGN: Cross-sectional study METHODS: In total 17,904 individuals swam 1000, 1500 or 3000 m in cold open water during Sweden's largest open water swimming event in 2018 and 2019. Out of 166 swimmers seeking medical attention for acute respiratory symptoms, 160 were included in the study. Medical history, symptoms and clinical findings were collected. On-site lung ultrasound (LUS) was performed to verify pulmonary edema. RESULTS: Pulmonary edema was confirmed by LUS in 102 patients (64%), of which 11 (7%) were unilateral. Peripheral oxygen saturation was identified as a strong independent diagnostic test for pulmonary edema, with ≤ 95% as suggested cutoff (Receiver Operator Characteristic Curve (ROC) curve; AUC 0.893, p<0.0001). Crackles on lung auscultation, predominantly over the anterior chest, identified 88% of patients with edema. Peripheral oxygen saturation ≤95% or auscultation findings of crackles identi...
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research