Evidence of the usefulness of VEXUS score in the diagnosis and treatment of the syndrome cardiorenal: a narrative review

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Cardiorenal syndrome (CRS) includes a spectrum of disorders affecting both the heart and the kidneys in which acute or chronic dysfunction in one organ leads to acute or chronic dysfunction in the other. The use of Point-of-Care ultrasound (POCUS) and specifically the VExUS score seems to play an important role in the detection of venous congestion, being a useful tool to complement the physical examination of the patient, allowing the establishment of a targeted therapeutic approach. CRS is a entity that presents a challenge for the clinician, from the difficulty in establishing the etiology to the need to monitoring and follow-up of the chosen treatment. Point-of-Care ultrasound and specifically the VExUS Score emerged promisingly for the evaluation of patients with kidney injury and congestion. In this context, it makes sense to find the evidence that can guide us towards the integrated use of VExUs in such a complex pathology and common as CRS. A article review was made for systematic reviews, meta-analyses, observational studies, original studies, articles on evidence-based medicine sites published in the last 10 years, in English and Spanish. 43 results were obtained, of which 13 met the inclusion criteria. In conclusion, most of the studies carried out correspond to post-surgical patients, and despite the fact that VExUS is increasingly present in the literature, it is necessary to generate evidence to know if it could be useful to manage, assess and adjust the treatment of our main cohort of patients.

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The first step in writing a manuscript is finding a single idea that engages you and will be of interest to a particular group of readers. If you don't narrow your idea to a single slant, you are likely to wander around in the article and in the literature review, making both longer and weaker than intended. When you narrow the slant of the article, you also narrow the focus of the literature review. The idea itself has a lot to do with the length of the literature review. For example, an article that is a review article on the use of music therapy for cardiac patients is likely to be fairly long, because the main idea is to review, compare, and contrast the current studies and literature. Another article on techniques for using music therapy for pediatric cardiac patients might be fairly short, because there is less literature on this narrow topic and the focus of the article is on advice for the reader. 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And, the audience's viewpoint and interest in past studies and theory suggests the length of the literature review. Busy clinical nurses who like shorter, to-the-point articles would like to know the basics of how the idea fits in with nursing theory, while researchers and academicians want to know details on the literature basis for the study or information. The need to support ideas with citations from the literature differs depending upon the type of journal for which you are writing. The way to find which journal best fits your idea and audience is to go through the journals by hand to search for articles that are similar in topic and style to the one you want to write. Isolating the most fitting journal for your piece determines if a review of the literature is necessary and how extensive and intensive that review usually is for that journal. Most journals use one of three literature search types. Study the author guidelines for the journal where you want to submit your manuscript, because editors often describe the length of literature search to use. Notice that editors of general practice journals usually do not want a separate literature review section or citations. Rather than have a separate review section, a few sentences are often used within the paper to refer to past work. While editors of specialty or clinical journals may or may not want a formal literature review, they usually want to see relevant ideas from selected authors cited. They expect a reference list of moderate length including between five and ten citations. For non-research articles in these journals, the literature summary is often one to five paragraphs in length. However, research articles in these specialty journals may have longer literature reviews. Editors of research or scholarly journals typically require a formal literature review and an extensive reference list that includes approximately ten to 30 citations. The literature review is often five to 15 paragraphs long, but is not as long as that in most school thesis projects. In the first example of a general practice journal, ideas are presented without being attributed to any one author. While, in the second example of a specialty journal, only one set of authors is specifically cited. Yet, in the third example for a scholarly journal, a string of authors are cited who share similar ideas related to peer mentoring. The best guide for determining when to use a literature review and how long to make it is to peruse articles of a similar nature in the chosen journal. Articles with a similar style in the target journal have the same idea, audience, and journal, so they are most likely to reflect the target length for your own literature search. By analyzing these three factors, authors can develop a goal for the length of their literature searches and the number of citations to use, and editorial board members can give consistent advice on manuscript reviews. At the same time, don't take the review lightly. Shorter is not necessarily easier. A well-organized, selective, and succinct literature review is not easy to write. Don't be scared off from publishing by the idea of writing a literature review for your manuscript. You no longer have to include every article you read (in fact you should not) and you don't need to convince the teacher you read everything on the subject. In the publication process, writing the literature review helps you identify the uniqueness of your idea and how it fits into the literature and updates the reader on the literature on which you have based your idea or research. The literature review should not overshadow the author's advice, research, or information; instead, it should strengthen it. Kathleen T. Heinrich PhD, RN is an associate professor at the University of Hartford in West Hartford, CT. In addition to presenting “Writing for Publication” workshops to nursing groups around the country, Dr. Heinrich is a reviewer for Nurse Educator and the Journal of Family Nursing. You may contact her at 860-768-4213).

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