Auscultation of velcro crackles is associated with usual interstitial pneumonia

Auscultation of Velcro crackles has been proposed as a key finding in physical lung examination in patients with interstitial lung diseases (ILDs), especially in idiopathic pulmonary fibrosis (IPF). However, no studies have been carried out to assess the association of Velcro crackles with other cli...

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Authors: Sellarés Torres, Jacobo, Hernández González, Fernanda, Lucena, Carmen M., Paradela, Marina, Brito Zerón, María del Pilar, Prieto González, Sergio, Benegas, Mariana, Cuerpo Cardeñosa, Sandra, Espinosa Garriga, Gerard, Ramírez Ruz, J. (José), Sánchez, Marcelo, Xaubet Mir, Antonio
Format: article
Status:Published version
Publication Date:2016
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/115574
Online Access:https://hdl.handle.net/2445/115574
Access Level:Open access
Keyword:Pneumònia
Auscultació
Malalties del pulmó
Pneumonia
Auscultation
Pulmonary diseases
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spelling Auscultation of velcro crackles is associated with usual interstitial pneumoniaSellarés Torres, JacoboHernández González, FernandaLucena, Carmen M.Paradela, MarinaBrito Zerón, María del PilarPrieto González, SergioBenegas, MarianaCuerpo Cardeñosa, SandraEspinosa Garriga, GerardRamírez Ruz, J. (José)Sánchez, MarceloXaubet Mir, AntonioPneumòniaAuscultacióMalalties del pulmóPneumoniaAuscultationPulmonary diseasesAuscultation of Velcro crackles has been proposed as a key finding in physical lung examination in patients with interstitial lung diseases (ILDs), especially in idiopathic pulmonary fibrosis (IPF). However, no studies have been carried out to assess the association of Velcro crackles with other clinical variables. We evaluated a cohort of 132 patients, prospectively and consecutively included in our ILD diagnostic program at a tertiary referral center. All patients were auscultated during the physical examination. The patients were divided into 2 groups: "presence" or "nonpresence" of bilateral Velcro crackles. Of all patients assessed, 83 (63%) presented Velcro crackles in the respiratory auscultation. Patients with Velcro crackles usually had more frequently cough and dyspnea at the moment of diagnosis. Forced vital capacity (P = 0.002) and lung diffusion capacity for carbon monoxide (P = 0.04) was lower in these patients. The ILD-GAP index was higher in the group with Velcro crackles (P = 0.01). All patients with usual interstitial pneumonia (UIP) in high-resolution computed tomography and all patients with final IPF diagnosis presented Velcro crackles. In multivariate analysis, the presence of Velcro crackles was independently associated with an UIP pattern. In patients suspected of having ILD, the auscultation of Velcro crackles was associated with UIP, a possibility which must be taken into consideration in early ILD detection in primary care.Lippincott, Williams & Wilkins. Wolters Kluwer Health2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/115574Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1097/MD.0000000000002573Medicine, 2016, vol. 95, num. 5, p. e2573https://doi.org/10.1097/MD.0000000000002573cc-by (c) Sellarés, Jacobo et al., 2016http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1155742026-05-27T06:46:51Z
dc.title.none.fl_str_mv Auscultation of velcro crackles is associated with usual interstitial pneumonia
title Auscultation of velcro crackles is associated with usual interstitial pneumonia
spellingShingle Auscultation of velcro crackles is associated with usual interstitial pneumonia
Sellarés Torres, Jacobo
Pneumònia
Auscultació
Malalties del pulmó
Pneumonia
Auscultation
Pulmonary diseases
title_short Auscultation of velcro crackles is associated with usual interstitial pneumonia
title_full Auscultation of velcro crackles is associated with usual interstitial pneumonia
title_fullStr Auscultation of velcro crackles is associated with usual interstitial pneumonia
title_full_unstemmed Auscultation of velcro crackles is associated with usual interstitial pneumonia
title_sort Auscultation of velcro crackles is associated with usual interstitial pneumonia
dc.creator.none.fl_str_mv Sellarés Torres, Jacobo
Hernández González, Fernanda
Lucena, Carmen M.
Paradela, Marina
Brito Zerón, María del Pilar
Prieto González, Sergio
Benegas, Mariana
Cuerpo Cardeñosa, Sandra
Espinosa Garriga, Gerard
Ramírez Ruz, J. (José)
Sánchez, Marcelo
Xaubet Mir, Antonio
author Sellarés Torres, Jacobo
author_facet Sellarés Torres, Jacobo
Hernández González, Fernanda
Lucena, Carmen M.
Paradela, Marina
Brito Zerón, María del Pilar
Prieto González, Sergio
Benegas, Mariana
Cuerpo Cardeñosa, Sandra
Espinosa Garriga, Gerard
Ramírez Ruz, J. (José)
Sánchez, Marcelo
Xaubet Mir, Antonio
author_role author
author2 Hernández González, Fernanda
Lucena, Carmen M.
Paradela, Marina
Brito Zerón, María del Pilar
Prieto González, Sergio
Benegas, Mariana
Cuerpo Cardeñosa, Sandra
Espinosa Garriga, Gerard
Ramírez Ruz, J. (José)
Sánchez, Marcelo
Xaubet Mir, Antonio
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Pneumònia
Auscultació
Malalties del pulmó
Pneumonia
Auscultation
Pulmonary diseases
topic Pneumònia
Auscultació
Malalties del pulmó
Pneumonia
Auscultation
Pulmonary diseases
description Auscultation of Velcro crackles has been proposed as a key finding in physical lung examination in patients with interstitial lung diseases (ILDs), especially in idiopathic pulmonary fibrosis (IPF). However, no studies have been carried out to assess the association of Velcro crackles with other clinical variables. We evaluated a cohort of 132 patients, prospectively and consecutively included in our ILD diagnostic program at a tertiary referral center. All patients were auscultated during the physical examination. The patients were divided into 2 groups: "presence" or "nonpresence" of bilateral Velcro crackles. Of all patients assessed, 83 (63%) presented Velcro crackles in the respiratory auscultation. Patients with Velcro crackles usually had more frequently cough and dyspnea at the moment of diagnosis. Forced vital capacity (P = 0.002) and lung diffusion capacity for carbon monoxide (P = 0.04) was lower in these patients. The ILD-GAP index was higher in the group with Velcro crackles (P = 0.01). All patients with usual interstitial pneumonia (UIP) in high-resolution computed tomography and all patients with final IPF diagnosis presented Velcro crackles. In multivariate analysis, the presence of Velcro crackles was independently associated with an UIP pattern. In patients suspected of having ILD, the auscultation of Velcro crackles was associated with UIP, a possibility which must be taken into consideration in early ILD detection in primary care.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/115574
url https://hdl.handle.net/2445/115574
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1097/MD.0000000000002573
Medicine, 2016, vol. 95, num. 5, p. e2573
https://doi.org/10.1097/MD.0000000000002573
dc.rights.none.fl_str_mv cc-by (c) Sellarés, Jacobo et al., 2016
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Sellarés, Jacobo et al., 2016
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Lippincott, Williams & Wilkins. Wolters Kluwer Health
publisher.none.fl_str_mv Lippincott, Williams & Wilkins. Wolters Kluwer Health
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869416600405278721
score 15,301603

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