{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T14:19:30Z","timestamp":1772115570329,"version":"3.50.1"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2026,2,26]]},"abstract":"<jats:p>Objetivo. La disnea es un motivo frecuente de consulta en urgencias. Los artefactos ecogr\u00e1ficos generados en el tejido pulmonar pueden interpretarse con fines diagn\u00f3sticos. El objetivo principal del estudio fue aportar evidencia sobre\nla viabilidad y aplicabilidad del algoritmo CLINIC-LUS, basado en auscultaci\u00f3n y ecograf\u00eda pulmonar, para diagnosticar\ncausas de disnea aguda en pacientes adultos que acuden a servicios de urgencias hospitalarias (SUH).\nM\u00e9todo. Estudio prospectivo, multic\u00e9ntrico y de viabilidad que se realiz\u00f3 en pacientes atendidos por disnea aguda en\nSUH. Se evalu\u00f3 la auscultaci\u00f3n pulmonar y los patrones ecogr\u00e1ficos pulmonares en ecograf\u00eda de 12 puntos. La factibilidad se evalu\u00f3 mediante el tiempo necesario para realizar la ecograf\u00eda pulmonar y la percepci\u00f3n del investigador. Se\ncalcularon la precisi\u00f3n (porcentajes de diagn\u00f3sticos correctos), y el \u00edndice Kappa de concordancia del algoritmo.\nResultados. Entre enero 2024 y junio de 2025 se incluyeron 95 pacientes con disnea aguda atendidos en SUH. El\ntiempo de realizaci\u00f3n de la ecograf\u00eda pulmonar [mediana (rango)] fue de 12 (9-16) minutos. La percepci\u00f3n de los investigadores fue un\u00e1nime: utilizar el algoritmo CLINIC-LUS fue sencillo y no gener\u00f3 problemas en la pr\u00e1ctica cl\u00ednica.\nLa precisi\u00f3n diagn\u00f3stica fue del 78,1% (IC95 %: 67,5- 86,4%). El \u00edndice Kappa fue de 0,73 (IC 95%: 0,52-0,82).\nConclusiones. Integrar la exploraci\u00f3n f\u00edsica con la ecograf\u00eda pulmonar en un \u00fanico algoritmo para diagnosticar las causas de disnea aguda en SUH es viable en la pr\u00e1ctica cl\u00ednica<\/jats:p>","DOI":"10.55633\/s3me\/020.2026","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T13:16:27Z","timestamp":1772111787000},"source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic algorithm for urgent causes of dyspnea based on lung auscultation and ultrasound: The CLINIC-LUS Prospective Study"],"prefix":"10.55633","author":[{"given":"Davide","family":"Bernaudo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda de los \u00c1ngeles","family":"Guerrero-Le\u00f3n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milagros","family":"Rodr\u00edguez-Cort\u00e9s","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"T\u00e1rtalo-Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosario","family":"de Mora-Alfaro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lamberto","family":"Landete Mart\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Ronchetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Motilla-Fraile","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neus","family":"Robert-Boter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Jes\u00fas","family":"Dom\u00ednguez-Tordable","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Carreres-Molas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonia","family":"Segura- Egea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebasti\u00e1n","family":"Videla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram\u00f3n","family":"Nogu\u00e9-Bou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2026,2,26]]},"container-title":["Emergencias"],"original-title":["Estudio prospectivo del algoritmo diagn\u00f3stico CLINIC-LUS para causas urgentes de disnea basado en auscultaci\u00f3n pulmonar y ultrasonidos"],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T13:16:27Z","timestamp":1772111787000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/estudio-prospectivo-del-algoritmo-diagnostico-clinic-lus-para-causas-urgentes-de-disnea-basado-en-auscultacion-pulmonar-y-ultrasonidos\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,26]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/020.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,26]]}}}