Research ArticleOriginal Article
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Evaluation of diaphragm thickness to predict intubation requirement and mortality in critical COVID-19 patients

Hayriye C. Dal, Betul A. Dolek, Muhammet A. Beyoğlu, Dilek Acar, Melih G. Gozukara and Sema Turan
Saudi Medical Journal October 2022, 43 (10) 1120-1127; DOI: https://doi.org/10.15537/smj.2022.43.10.20220469

References

  1. 1.↵
    1. Richardson S,
    2. Hirsch JS,
    3. Narasimhan M,
    4. Crawford JM,
    5. McGinn T,
    6. Davidson KW, et al.
    Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York city area. JAMA 2020; 323: 2052-2059.
    OpenUrlCrossRefPubMed
  2. 2.↵
    World Health Organization. WHO coronavirus (COVID-19) dashboard. [Updated 2022; accessed 2022 Mar 23]. Available from: https://covid19.who.int/
  3. 3.↵
    1. Meyer NJ,
    2. Gattinoni L,
    3. Calfee CS.
    Acute respiratory distress syndrome. Lancet 2021; 398: 622-637.
    OpenUrlPubMed
  4. 4.↵
    1. Tjendra Y,
    2. Al Mana AF,
    3. Espejo AP,
    4. Akgun Y,
    5. Millan NC,
    6. Gomez-Fernandez C, et al.
    Predicting disease severity and outcome in COVID-19 patients: a review of multiple biomarkers. Arch Pathol Lab Med 2020; 144: 1465-1474.
    OpenUrlCrossRefPubMed
  5. 5.
    1. Mahendra M,
    2. Nuchin A,
    3. Kumar R,
    4. Shreedhar S,
    5. Mahesh PA.
    Predictors of mortality in patients with severe COVID-19 pneumonia - a retrospective study. Adv Respir Med 2021; 89: 135-144.
    OpenUrl
  6. 6.↵
    1. Haimovich AD,
    2. Ravindra NG,
    3. Stoytchev S,
    4. Young HP,
    5. Wilson FP,
    6. van Dijk D, et al.
    Development and validation of the quick COVID-19 severity index: a prognostic tool for early clinical decompensation. Ann Emerg Med 2020; 76: 442-453.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. McCool FD,
    2. Manzoor K,
    3. Minami T.
    Disorders of the diaphragm. Clin Chest Med 2018; 39: 345-360.
    OpenUrlCrossRef
  8. 8.↵
    1. Roberts HC.
    Imaging the diaphragm. Thorac Surg Clin 2009; 19: 431-50.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Corradi F,
    2. Isirdi A,
    3. Malacarne P,
    4. Santori G,
    5. Barbieri G,
    6. Romei C, et al.
    Low diaphragm muscle mass predicts adverse outcome in patients hospitalized for COVID-19 pneumonia: an exploratory pilot study. Minerva Anestesiol 2021; 87: 432-438.
    OpenUrl
  10. 10.↵
    1. Ojha V,
    2. Mani A,
    3. Pandey NN,
    4. Sharma S,
    5. Kumar S.
    CT in coronavirus disease 2019 (COVID-19): a systematic review of chest CT findings in 4410 adult patients. Eur Radiol 2020; 30: 6129-6138.
    OpenUrlPubMed
  11. 11.↵
    1. Enright SJ,
    2. Unnithan VB,
    3. Heward C,
    4. Withnall L,
    5. Davies DH.
    Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Phys Ther 2006; 86: 345-354.
    OpenUrlAbstract/FREE Full Text
  12. 12.↵
    1. Ni YN,
    2. Xu H,
    3. Li WJ,
    4. Sun JK,
    5. Liang BM,
    6. Liang ZA.
    Could the loss of diaphragm thickness measured by computer tomography predict the rate of reintubation? J Thorac Dis 2020; 12: 581-591.
    OpenUrl
  13. 13.↵
    1. Dres M,
    2. Goligher EC,
    3. Heunks LMA,
    4. Brochard LJ.
    Critical illness-associated diaphragm weakness. Intensive Care Med 2017; 43: 1441-1452.
    OpenUrlPubMed
  14. 14.↵
    1. Vivier E,
    2. Mekontso Dessap A,
    3. Dimassi S,
    4. Vargas F,
    5. Lyazidi A,
    6. Thille AW, et al.
    Diaphragm ultrasonography to estimate the work of breathing during non-invasive ventilation. Intensive Care Med 2012; 38: 796-803.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Laghi FA Jr.,
    2. Saad M,
    3. Shaikh H.
    Ultrasound and non-ultrasound imaging techniques in the assessment of diaphragmatic dysfunction. BMC Pulm Med 2021; 21: 85.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Adolf Helmy M,
    2. Magdy Milad L,
    3. Hasanin A,
    4. Mostafa M.
    The novel use of diaphragmatic excursion on hospital admission to predict the need for ventilatory support in patients with coronavirus disease 2019. Anaesth Crit Care Pain Med 2021; 40: 100976.
    OpenUrl
  17. 17.↵
    1. Ufuk F,
    2. Cakmak P,
    3. Sağtaş E,
    4. Herek D,
    5. Arslan M,
    6. Baki YB.
    Diaphragm thickness measurement in computed tomography: intra- and interobserver agreement. Istanbul Med J 2019; 20: 101-106.
    OpenUrl
  18. 18.↵
    1. Lee GD,
    2. Kim HC,
    3. Yoo JW,
    4. Lee SJ,
    5. Cho YJ,
    6. Bae K, et al.
    Computed tomography confirms a reduction in diaphragm thickness in mechanically ventilated patients. J Crit Care 2016; 33: 47-50.
    OpenUrl
  19. 19.↵
    1. Jubran A.
    Critical illness and mechanical ventilation: effects on the diaphragm. Respir Care 2006; 51: 1054-1061.
    OpenUrlAbstract/FREE Full Text
  20. 20.↵
    1. Hojyo S,
    2. Uchida M,
    3. Tanaka K,
    4. Hasebe R,
    5. Tanaka Y,
    6. Murakami M, et al.
    How COVID-19 induces cytokine storm with high mortality. Inflamm Regen 2020; 40: 37.
    OpenUrlPubMed
  21. 21.↵
    1. Zhao C,
    2. Wei Y,
    3. Chen D,
    4. Jin J,
    5. Chen H.
    Prognostic value of an inflammatory biomarker-based clinical algorithm in septic patients in the emergency department: an observational study. Int Immunopharmacol 2020; 80: 106145.
    OpenUrl
  22. 22.↵
    1. Hwang SY,
    2. Shin TG,
    3. Jo IJ,
    4. Jeon K,
    5. Suh GY,
    6. Lee TR, et al.
    Neutrophil-to-lymphocyte ratio as a prognostic marker in critically-ill septic patients. Am J Emerg Med 2017; 35: 234-239.
    OpenUrlPubMed
  23. 23.↵
    1. Zahorec R,
    2. Hulin I,
    3. Zahorec P.
    Rationale use of neutrophil-to-lymphocyte ratio for early diagnosis and stratification of COVID-19. Bratisl Lek Listy 2020; 121: 466-470.
    OpenUrl
  24. 24.
    1. Wang X,
    2. Li X,
    3. Shang Y,
    4. Wang J,
    5. Zhang X,
    6. Su D, et al.
    Ratios of neutrophil-to-lymphocyte and platelet-to-lymphocyte predict all-cause mortality in inpatients with coronavirus disease 2019 (COVID-19): a retrospective cohort study in a single medical centre. Epidemiol Infect 2020; 148: e211.
    OpenUrl
  25. 25.↵
    1. Ponti G,
    2. Maccaferri M,
    3. Ruini C,
    4. Tomasi A,
    5. Ozben T.
    Biomarkers associated with COVID-19 disease progression. Crit Rev Clin Lab Sci 2020; 57: 389-399.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Shanely RA,
    2. Van Gammeren D,
    3. Deruisseau KC,
    4. Zergeroglu AM,
    5. McKenzie MJ,
    6. Yarasheski KE, et al.
    Mechanical ventilation depresses protein synthesis in the rat diaphragm. Am J Respir Crit Care Med 2004; 170: 994-999.
    OpenUrlCrossRefPubMedWeb of Science
  27. 27.↵
    1. Levine S,
    2. Nguyen T,
    3. Taylor N,
    4. Friscia ME,
    5. Budak MT,
    6. Rothenberg P, et al.
    Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med 2008; 358: 1327-1335.
    OpenUrlCrossRefPubMedWeb of Science
  28. 28.↵
    1. Rocco M,
    2. Maggi L,
    3. Ranieri G,
    4. Ferrari G,
    5. Gregoretti C,
    6. Conti G, et al.
    Propofol sedation reduces diaphragm activity in spontaneously breathing patients: ultrasound assessment. Minerva Anestesiol 2017; 83: 266-273.
    OpenUrl
  29. 29.↵
    1. Sassoon CS,
    2. Zhu E,
    3. Pham HT,
    4. Nelson RS,
    5. Fang L,
    6. Baker MJ, et al.
    Acute effects of high-dose methylprednisolone on diaphragm muscle function. Muscle Nerve 2008; 38: 1161-1172.
    OpenUrlCrossRefPubMedWeb of Science
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