Evaluating Stable Chronic Obstructive Pulmonary Disease by Ultrasound
Background and Aim. The purpose of the study was to evaluate the relationship between COPD severity and the diaphragmatic function measured by point-of-care US in patients with stable COPD. Method. A total of 61 patients with COPD and 40 healthy subjects who had been admitted to Ufuk University Hosp...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2019/5361620 |
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| author | Togay Evrin Semih Korkut Leyla Ozturk Sonmez Lukasz Szarpak Burak Katipoglu Jacek Smereka Ramazan Guven Evrim Eylem Akpinar |
| author_facet | Togay Evrin Semih Korkut Leyla Ozturk Sonmez Lukasz Szarpak Burak Katipoglu Jacek Smereka Ramazan Guven Evrim Eylem Akpinar |
| author_sort | Togay Evrin |
| collection | DOAJ |
| description | Background and Aim. The purpose of the study was to evaluate the relationship between COPD severity and the diaphragmatic function measured by point-of-care US in patients with stable COPD. Method. A total of 61 patients with COPD and 40 healthy subjects who had been admitted to Ufuk University Hospital between December 2018 and May 2019 were enrolled. Point-of-care US was performed, and lung silhouette and anterior, right, and left hemidiaphragm method in M-mode were used to evaluate the diaphragm. Results. The point-of-care US measurements, lung silhouette method right (Lung Sil R), lung silhouette method left (Lung Sil L), right hemidiaphragm US method in B-mode (Ant B-Mode R), and right hemidiaphragm US method in M-mode (Ant M-Mode R), were significantly different among groups (P<0.001 for each). FEV1 was strongly correlated with Lung Sil R, Lung Sil L, Ant B-Mode R, and Ant M-Mode R (r = 0.963, P<0.001; r = 0.956, P<0.001; r = 0.953, P<0.001; and r = 0.917, and P<0.001, respectively). Negative correlations were detected between the number of exacerbations per year and Lung Sil R and the number of exacerbations per year and Ant M-Mode R (r = −0.599, P<0.001 and r = −0.587, and P<0.001, respectively). Conclusion. In this study, FEV1 and annual number of exacerbations turned out to be strongly correlated US findings. The use of US in COPD patients could help to support clinical decision, but further clinical studies are necessary to confirm those findings. |
| format | Article |
| id | doaj-art-e131a9812106417cb86fbad42184ba55 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-e131a9812106417cb86fbad42184ba552025-02-03T01:12:28ZengWileyEmergency Medicine International2090-28402090-28592019-01-01201910.1155/2019/53616205361620Evaluating Stable Chronic Obstructive Pulmonary Disease by UltrasoundTogay Evrin0Semih Korkut1Leyla Ozturk Sonmez2Lukasz Szarpak3Burak Katipoglu4Jacek Smereka5Ramazan Guven6Evrim Eylem Akpinar7Department of Emergency Medicine, Ufuk University Medical Faculty, Dr. Ridvan Ege Education and Research Hospital, Ankara, TurkeyDepartment of Emergency Medicine, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Istanbul, TurkeyDepartment of Physiology, Selcuk University Faculty of Medicine, Konya, TurkeyLazarski University, Medical Faculty, Warsaw, PolandDepartment of Emergency Medicine, Ufuk University Medical Faculty, Dr. Ridvan Ege Education and Research Hospital, Ankara, TurkeyDepartment of Emergency Medical Services, Wroclaw Medical University, Wroclaw, PolandDepartment of Emergency Medicine, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TurkeyDepartment of Chest Diseases, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, Ankara, TurkeyBackground and Aim. The purpose of the study was to evaluate the relationship between COPD severity and the diaphragmatic function measured by point-of-care US in patients with stable COPD. Method. A total of 61 patients with COPD and 40 healthy subjects who had been admitted to Ufuk University Hospital between December 2018 and May 2019 were enrolled. Point-of-care US was performed, and lung silhouette and anterior, right, and left hemidiaphragm method in M-mode were used to evaluate the diaphragm. Results. The point-of-care US measurements, lung silhouette method right (Lung Sil R), lung silhouette method left (Lung Sil L), right hemidiaphragm US method in B-mode (Ant B-Mode R), and right hemidiaphragm US method in M-mode (Ant M-Mode R), were significantly different among groups (P<0.001 for each). FEV1 was strongly correlated with Lung Sil R, Lung Sil L, Ant B-Mode R, and Ant M-Mode R (r = 0.963, P<0.001; r = 0.956, P<0.001; r = 0.953, P<0.001; and r = 0.917, and P<0.001, respectively). Negative correlations were detected between the number of exacerbations per year and Lung Sil R and the number of exacerbations per year and Ant M-Mode R (r = −0.599, P<0.001 and r = −0.587, and P<0.001, respectively). Conclusion. In this study, FEV1 and annual number of exacerbations turned out to be strongly correlated US findings. The use of US in COPD patients could help to support clinical decision, but further clinical studies are necessary to confirm those findings.http://dx.doi.org/10.1155/2019/5361620 |
| spellingShingle | Togay Evrin Semih Korkut Leyla Ozturk Sonmez Lukasz Szarpak Burak Katipoglu Jacek Smereka Ramazan Guven Evrim Eylem Akpinar Evaluating Stable Chronic Obstructive Pulmonary Disease by Ultrasound Emergency Medicine International |
| title | Evaluating Stable Chronic Obstructive Pulmonary Disease by Ultrasound |
| title_full | Evaluating Stable Chronic Obstructive Pulmonary Disease by Ultrasound |
| title_fullStr | Evaluating Stable Chronic Obstructive Pulmonary Disease by Ultrasound |
| title_full_unstemmed | Evaluating Stable Chronic Obstructive Pulmonary Disease by Ultrasound |
| title_short | Evaluating Stable Chronic Obstructive Pulmonary Disease by Ultrasound |
| title_sort | evaluating stable chronic obstructive pulmonary disease by ultrasound |
| url | http://dx.doi.org/10.1155/2019/5361620 |
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