ArticleBMC pulmonary medicine2019
The predictive value of diaphragm ultrasound for weaning outcomes in critically ill children.
Article in BMC pulmonary medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Diaphragmatic Ultrasonography as a Predictor of Extubation Success in Children: Systematic Review and Meta-Analysis.Pediatric pulmonology · 2026Pooled it
- Guideline
- Executive Summary: International Clinical Practice Guidelines for Pediatric Ventilator Liberation, A Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network Document.American journal of respiratory and critical care medicine · 2023Pooled it
- Application of bedside ultrasound assessment of diaphragmatic function in preparing tracheostomised patients for ventilator liberation and decannulation: a narrative review.Journal of thoracic disease · 2026Review
- Integrated lung-diaphragm ultrasound in pediatric weaning assessment: a mini review.Frontiers in pediatrics · 2026Review
- Ultrasonographic predictors of extubation success in children: diaphragmatic, lung, and laryngeal assessment-a prospective pilot cohort study.European journal of pediatrics · 2025Article
- Beyond feasibility: standardization and reproducibility as the next frontier for respiratory muscle ultrasound.Critical care (London, England) · 2025Article
- Personalizing ICU liberation for critically Ill children: shaping the future of the ABCDEF bundle.Current opinion in pediatrics · 2025Review
- Advancements in imaging techniques for monitoring the respiratory muscles.Critical care (London, England) · 2025Review
- Diaphragm muscle parameters as a predictive tool for weaning critically ill patients from mechanical ventilation: a systematic review and meta-analysis study.European journal of translational myology · 2024Article
- Evaluation of the combined predictive value of multiple indicators based on diaphragmatic ultrasound using logistic regression and ROC curve in weaning from mechanical ventilation in pediatric patients.Frontiers in pediatrics · 2024Article
- Reference values of diaphragmatic dimensions in healthy children aged 0-8 years.European journal of pediatrics · 2023Article
- Point-of-Care Ultrasound Measurement of Diaphragm Thickening Fraction as a Predictor of Successful Extubation in Critically Ill Children.Journal of pediatric intensive care · 2023Article
- Article
- Accuracy of lung and diaphragm ultrasound in predicting infant weaning outcomes: a systematic review and meta-analysis.Frontiers in pediatrics · 2023Review
- No association between thickening fraction of the diaphragm and extubation success in ventilated children.Frontiers in pediatrics · 2023Article
- Pediatric Point-of-Care Lung Ultrasonography: A Narrative Review.The western journal of emergency medicine · 2022Review
- Weaning from ventilation and extubation of children in critical care.BJA education · 2022Review
- Lung Ultrasound: Its Findings and New Applications in Neonatology and Pediatric Diseases.Diagnostics (Basel, Switzerland) · 2021Review
- How to improve precision and reliability of diaphragm ultrasonographic measurements in newborns.European journal of pediatrics · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMultiple studies have shown that diaphragmatic ultrasound can better predict the outcome of weaning in adults. However, there are few studies focusing on children, leading to a lack of sufficient clinical evidence for the application of diaphragmatic ultrasound in children. The purpose of this study was to investigate the predictive value of diaphragm ultrasound for weaning outcomes in critically ill children.
methodsThe study included 50 cases whose mechanical ventilation (MV) time was > 48 h, and all eligibles were divided into either the weaning success group (n = 39) or the weaning failure group (n = 11). Diaphragm thickness, diaphragmatic excursion (DE), and diaphragmatic thickening fraction (DTF) were measured in the zone of apposition. The maximum inspiratory pressure (PImax) was also recorded.
resultsThe ventilatory treatment time (P = 0.002) and length of PICU stay (P = 0.013) in the weaning failure group was longer than the success group. Cut-off values of diaphragmatic measures associated with successful weaning were ≥ 21% for DTF with a sensitivity of 0.82 and a specificity of 0.81, whereas it was ≥0.86 cm H
conclusionsDiaphragm ultrasound has potential value in predicting the weaning outcome of critically ill children. DTF and PImax presented better performance than other diaphragmatic parameters. However, DE has limited value in predicting weaning outcomes of children with MV.
trial registrationCurrent Controlled Trials ChiCTR1800020196, (Dec 2018).
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