Evidence map›Paper›PMID 42602344›Full record

ArticleJournal of ultrasonography2026

Diaphragm thickening fraction as a predictor of the need for ventilatory support in the emergency department: an observational pilot study.

Carmine Cristiano Di Gioia, Alice Alame, Maria Lucrezia Grisan, Gianmarco Sicuranza, Eli Ollari, Filippo Orlando, Daniele Orso

Abstract read
In one paragraph

Article in Journal of ultrasonography, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carmine Cristiano Di GioiaDepartment of Emergency Medicine, Azienda Ospedaliero-Universitaria di Modena, Community Hospital of Baggiovara,Italy.ORCID https://orcid.org/0000-0002-9685-0012
Alice AlameDepartment of Emergency Medicine, Azienda Ospedaliero-Universitaria di Modena, Community Hospital of Baggiovara,Italy.ORCID https://orcid.org/0009-0009-2303-387X
Maria Lucrezia GrisanDepartment of Anesthesiology and Intensive Care, University of Modena and Reggio Emilia,Italy.ORCID https://orcid.org/0009-0002-4998-2255
Gianmarco SicuranzaDepartment of Emergency Medicine, Azienda Ospedaliero-Universitaria di Modena, Community Hospital of Baggiovara,Italy.ORCID https://orcid.org/0009-0002-6796-259X
Eli OllariDepartment of Emergency Medicine, Azienda Ospedaliero-Universitaria di Modena, Community Hospital of Baggiovara,Italy.ORCID https://orcid.org/0009-0001-9956-3545
Filippo OrlandoDepartment of Emergency Medicine, Azienda Ospedaliero-Universitaria di Modena, Community Hospital of Baggiovara,Italy.ORCID https://orcid.org/0009-0008-5005-4564
Daniele OrsoDepartment of Emergency, Udine University Hospital, Azienda Sanitaria Universitaria Friuli Centrale,Italy.ORCID https://orcid.org/0000-0001-7136-0343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Early identification of patients likely to require ventilatory support is a key emergency department priority. Bedside diaphragm ultrasound provides a rapid assessment of respiratory muscle function, and the diaphragm thickening fraction quantifies diaphragmatic contraction during tidal breathing. Material and methods: In this prospective observational pilot study, adults with acute respiratory failure in a single emergency department underwent diaphragm ultrasound within 6 hours of presentation. The primary outcome was initiation of non-invasive ventilation or invasive mechanical ventilation from emergency department presentation through hospitalization. Results: Among 56 patients, 22 (39%) required ventilatory support. Diaphragm thickening fraction was lower in those requiring support (median 20.93% vs 29.8%; Conclusions: Early emergency department assessment of diaphragm thickening fraction may help identify patients at increased risk of requiring ventilatory support.

Indexed as

acute respiratory failurediaphragm thickening fractionemergency departmentultrasound

Identifiers

PMID42602344
PMCPMC13474166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.