Observational studyInternal and emergency medicine2026
Diaphragmatic dysfunction assessed by ultrasound: a key predictor of prolonged ventilation in emergency department.
Observational study in Internal and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Construction and validation of a risk prediction model for early ventilator-induced diaphragm dysfunction in mechanically ventilated patients.Frontiers in medicine · 2026Article
- Beyond blood gases: diaphragm-guided sequential non-invasive ventilation for COPD with type II respiratory failure.Frontiers in medicine · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to evaluate the feasibility and diagnostic value of diaphragmatic ultrasound in the management of respiratory failure in the emergency department (ED), with a focus on its potential to guide treatment decisions and improve patient outcomes.We conducted an observational study at the ED of Santa Maria delle Grazie Hospital in Pozzuoli, Italy, from November 2023 to April 2024. Patients with type 1 or type 2 respiratory failure requiring non-invasive ventilation (NIV) or continuous positive airway pressure (CPAP) were included. The Diaphragmatic ultrasound was performed at baseline to assess diaphragmatic excursion and thickening fraction, alongside arterial blood gas (ABG) measurements. The follow-up ABGs were taken at 1, 3, 6, and 12 h.A total of 44 patients were included in the study. Patients with diaphragmatic dysfunction (defined as excursion < 10 mm or thickening fraction < 30%) had significantly longer in-ED and in-hospital ventilation times (p = 0.002 and p < 0.001, respectively). Power-type regression analysis showed a significant correlation between diaphragmatic excursion and ventilation time (p = 0.003 for in-ED and p = 0.003 for in-hospital ventilation time).Diaphragmatic ultrasound is a feasible and valuable tool for assessing diaphragmatic function in the ED. Its use provides important prognostic information, potentially guiding ventilatory strategies and improving patient outcomes by identifying those at risk for prolonged ventilation.
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Registered trials
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