Can diaphragm excursion predict prognosis in patients with severe pneumonia?

Kaya, Aslıhan Gürün; Verdi, E B; Süslü, Sema Nur; Öz, Miraç; Erol, Serhat; Ciftci, Fatma; Çiledağ, Aydın; Kaya, Akın

doi:10.5578/tt.20219609

Cited by 2 publications

(3 citation statements)

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“…APACHE II score is an internationally used method to classify and assess the condition of critical patients and predict the prognosis, and it is also applicable to the assessment of the severity and prognosis of ICU patients [ 17 ]. Also, the higher the score, the more severe the patient's condition.…”

Section: Discussionmentioning

confidence: 99%

Effect Observation of Optimized Individualized Nursing Care Applied to ICU Patients with Severe Pneumonia

Wang

Yi-mei

et al. 2022

Emergency Medicine International

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Purpose. This study aims to observe the effect of optimized individualized nursing care applied to intensive care unit (ICU) patients with severe pneumonia (SP). Methods. 440 patients with SP admitted to the ICU of our hospital from January 2019 to June 2020 were provided with routine nursing care (group A), and 550 patients with SP admitted from July 2020 to December 2021 were provided with optimized individualized nursing care (group B). The blood lactate index and acute physiology and chronic health evaluation (APACHE II) scores before and after care were compared between the two groups. The WBC count recovery time, mechanical ventilation time, antipyretic time, and length of hospital stay of the two groups were recorded. The complication rate of the two groups during the nursing care period was compared. The prognosis effect of the two groups after 6 and 12 months of discharge was followed up with the Seattle angina pectoris questionnaire (SAQ). Results. After care, the lactate level and lactate clearance rate were higher in both groups than before care, and the lactate level in group B was lower than that in group A and the lactate clearance rate was higher than that in group A ( P < 0.05 ). After care, APACHE II scores were lower in both groups than before care, and lower in group B than in group A ( P < 0.05 ). After care, the WBC count recovery time, mechanical ventilation time, antipyretic time, and length of hospital stay were shorter in group B than in group A ( P < 0.05 ). During the nursing care period, the complication rate was lower in group B (5.82%) than in group A (11.59%) ( P < 0.05 ). 6 and 12 months after discharge, the SAQ scores were higher in group B than in group A ( P < 0.05 ). Conclusion. Optimized individualized nursing care applied to ICU SP patients can effectively improve the patients’ physiological indicators, reduce complications, improve the prognosis of quality of life, and have a positive effect on the patients’ speedy recovery.

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Section: Discussionmentioning

confidence: 99%

Effect Observation of Optimized Individualized Nursing Care Applied to ICU Patients with Severe Pneumonia

Wang

Yi-mei

et al. 2022

Emergency Medicine International

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Section: Diaphragm Ultrasound In Specific Clinical Situations or Dise...mentioning

confidence: 99%

“…Despite the frequency in the geriatric population, only two studies have evaluated the role of assessing diaphragm function by ultrasound in patients with bacterial pneumonia to date [ 148 , 149 ]. In the earliest one, diaphragm excursion was negatively correlated with the Acute Physiology and Chronic Health Evaluation (APACHE)-II score and predicted the need for mechanical ventilation and mortality in critical patients [ 148 ]. In the second one, conducted on a group of 50 patients presenting to the ED with bacterial pneumonia (mean age 78 years old), a reduced diaphragm thickening fraction was an independent predictor of subsequent respiratory failure [ 149 ].…”

Section: Diaphragm Ultrasound In Specific Clinical Situations or Dise...mentioning

confidence: 99%

Diaphragm Ultrasound in Different Clinical Scenarios: A Review with a Focus on Older Patients

Siniscalchi,

Nouvenne,

Cerundolo

et al. 2024

Geriatrics

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Diaphragm muscle dysfunction is increasingly recognized as a fundamental marker of several age-related diseases and conditions including chronic obstructive pulmonary disease, heart failure and critical illness with respiratory failure. In older individuals with physical frailty and sarcopenia, the loss of muscle mass and function may also involve the diaphragm, contributing to respiratory dysfunction. Ultrasound has recently emerged as a feasible and reliable strategy to visualize diaphragm structure and function. In particular, it can help to predict the timing of extubation in patients undergoing mechanical ventilation in intensive care units (ICUs). Ultrasonographic evaluation of diaphragmatic function is relatively cheap, safe and quick and can provide useful information for real-time monitoring of respiratory function. In this review, we aim to present the current state of scientific evidence on the usefulness of ultrasound in the assessment of diaphragm dysfunction in different clinical settings, with a particular focus on older patients. We highlight the importance of the qualitative information gathered by ultrasound to assess the integrity, excursion, thickness and thickening of the diaphragm. The implementation of bedside diaphragm ultrasound could be useful for improving the quality and appropriateness of care, especially in older subjects with sarcopenia who experience acute respiratory failure, not only in the ICU setting.

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Can diaphragm excursion predict prognosis in patients with severe pneumonia?

Cited by 2 publications

References 0 publications

Effect Observation of Optimized Individualized Nursing Care Applied to ICU Patients with Severe Pneumonia

Effect Observation of Optimized Individualized Nursing Care Applied to ICU Patients with Severe Pneumonia

Diaphragm Ultrasound in Different Clinical Scenarios: A Review with a Focus on Older Patients

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