Observational studyJournal of clinical monitoring and computing2025
Effectiveness of diaphragmatic ultrasound as a predictor of successful weaning from mechanical ventilation.
Observational study in Journal of clinical monitoring and computing, 2025. 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
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
- Explainable deep-learning models to predict diaphragmatic dysfunction and cognitive stress in ICU patients under mechanical ventilation.Frontiers in physiology · 2026Article
- Nurse-performed diaphragm ultrasound integrated with spontaneous breathing trial criteria for risk stratification of extubation outcomes in neurosurgical critically ill patients: a multicenter prospective cohort study.Frontiers in medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Weaning from mechanical ventilation (MV) is the transition from ventilator dependence to independent breathing. Optimal timing reduces complications. Traditional predictors like the Rapid Shallow Breathing Index (RSBI), diaphragmatic excursion (DE), and diaphragm thickening fraction (DTF) have limitations. This study evaluates the clinical utility of diaphragmatic excursion RSBI (DE-RSBI) and diaphragm thickening fraction RSBI (DTF-RSBI) alongside conventional RSBI in predicting weaning success. Methods: An observational study was conducted in the ICU of Menoufia University Hospitals on 50 adult patients mechanically ventilated for over 48 hours who underwent spontaneous breathing trials (SBT). Diaphragmatic ultrasound measured DE and DTF, from which DE-RSBI and DTF-RSBI were calculated and compared with RSBI. Weaning success was defined as maintaining spontaneous breathing for more than 48 hours post-extubation. Results: DE-RSBI (≥1.685) showed the highest predictive accuracy (AUC=0.851, sensitivity=80%, specificity=85%). Both DE-RSBI and DTF-RSBI correlated with ICU mortality (p<0.001) and MV duration (p≤0.001). Weaning failure odds were significantly higher for DE-RSBI >1.56 (OR=12, p=0.004) and DTF-RSBI >62.33 (OR=8.04, p=0.008) compared to RSBI alone (OR=4.84, p=0.04). Conclusions: DE-RSBI and DTF-RSBI are reliable predictors of MV weaning, outperforming RSBI alone. Their use can enhance weaning decisions, reducing failure rates and improving patient outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.