Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients
Pneumonia, one of the major contributors to morbidity and mortality globally, often leads to serious complications such as respiratory failure. Diaphragmatic dysfunction, detected through ultrasound, may predict the need for intubation in patients with pneumonia. This study aimed to evaluate the ro...
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| Language: | English |
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PAGEPress Publications
2025-04-01
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| Series: | Monaldi Archives for Chest Disease |
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| Online Access: | https://www.monaldi-archives.org/macd/article/view/3252 |
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| author | Elzahraa Wagdy Abdelfatah Salwa Hussein Abdelmoneim Hend Yahia Zakaria Fatmaalzahraa Saad Abdalrazik |
| author_facet | Elzahraa Wagdy Abdelfatah Salwa Hussein Abdelmoneim Hend Yahia Zakaria Fatmaalzahraa Saad Abdalrazik |
| author_sort | Elzahraa Wagdy Abdelfatah |
| collection | DOAJ |
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Pneumonia, one of the major contributors to morbidity and mortality globally, often leads to serious complications such as respiratory failure. Diaphragmatic dysfunction, detected through ultrasound, may predict the need for intubation in patients with pneumonia. This study aimed to evaluate the roles of diaphragmatic thickness fraction (DTF) and diaphragmatic excursion (DE) as predictors of intubation in pneumonia patients. This follow-up cohort study involved 53 participants diagnosed with pneumonia. Diaphragmatic ultrasonography was performed to measure DTF and DE within 24 hours of admission. The mean age of the patients was 51.8±20.4 years, with 66% being male. Diabetes mellitus (DM) (p=0.000) and hypertension (HTN) (p=0.003) were significantly associated with the need for intubation. DE was significantly correlated with intubation (p=0.001). At a cut-off of 2.9 cm, DE demonstrated 100% sensitivity and 56% specificity for predicting intubation. DTF exhibited 92% sensitivity and 60% specificity at a cut-off of 0.52, with a positive predictive value of 85% and a negative predictive value of 54%. Diaphragmatic parameters, particularly DE and DTF, are significant predictors of intubation in pneumonia patients. Comorbidities such as DM and HTN also play a critical role, underscoring the importance of early identification of high-risk patients for timely intervention.
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| format | Article |
| id | doaj-art-9bdd7792bb3d4c09bb40d96f7563ec20 |
| institution | OA Journals |
| issn | 1122-0643 2532-5264 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | PAGEPress Publications |
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| series | Monaldi Archives for Chest Disease |
| spelling | doaj-art-9bdd7792bb3d4c09bb40d96f7563ec202025-08-20T02:08:27ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642025-04-0110.4081/monaldi.2025.3252Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patientsElzahraa Wagdy Abdelfatah0https://orcid.org/0009-0009-8775-967XSalwa Hussein Abdelmoneim1Hend Yahia Zakaria2https://orcid.org/0000-0002-4992-5333Fatmaalzahraa Saad Abdalrazik3Faculty of Medicine, Banha UniversityChest Diseases Department, Faculty of Medicine, Helwan UniversityCritical Care Department, Faculty of Medicine, Helwan UniversityChest Diseases Department, Faculty of Medicine, Helwan University Pneumonia, one of the major contributors to morbidity and mortality globally, often leads to serious complications such as respiratory failure. Diaphragmatic dysfunction, detected through ultrasound, may predict the need for intubation in patients with pneumonia. This study aimed to evaluate the roles of diaphragmatic thickness fraction (DTF) and diaphragmatic excursion (DE) as predictors of intubation in pneumonia patients. This follow-up cohort study involved 53 participants diagnosed with pneumonia. Diaphragmatic ultrasonography was performed to measure DTF and DE within 24 hours of admission. The mean age of the patients was 51.8±20.4 years, with 66% being male. Diabetes mellitus (DM) (p=0.000) and hypertension (HTN) (p=0.003) were significantly associated with the need for intubation. DE was significantly correlated with intubation (p=0.001). At a cut-off of 2.9 cm, DE demonstrated 100% sensitivity and 56% specificity for predicting intubation. DTF exhibited 92% sensitivity and 60% specificity at a cut-off of 0.52, with a positive predictive value of 85% and a negative predictive value of 54%. Diaphragmatic parameters, particularly DE and DTF, are significant predictors of intubation in pneumonia patients. Comorbidities such as DM and HTN also play a critical role, underscoring the importance of early identification of high-risk patients for timely intervention. https://www.monaldi-archives.org/macd/article/view/3252Diaphragmatic ultrasounddiaphragmatic excursiondiaphragmatic thickening fractionpneumoniaintubation predictors |
| spellingShingle | Elzahraa Wagdy Abdelfatah Salwa Hussein Abdelmoneim Hend Yahia Zakaria Fatmaalzahraa Saad Abdalrazik Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients Monaldi Archives for Chest Disease Diaphragmatic ultrasound diaphragmatic excursion diaphragmatic thickening fraction pneumonia intubation predictors |
| title | Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients |
| title_full | Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients |
| title_fullStr | Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients |
| title_full_unstemmed | Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients |
| title_short | Assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients |
| title_sort | assessment of diaphragmatic thickness as a predictor for intubation in pneumonia patients |
| topic | Diaphragmatic ultrasound diaphragmatic excursion diaphragmatic thickening fraction pneumonia intubation predictors |
| url | https://www.monaldi-archives.org/macd/article/view/3252 |
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