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Point of care diaphragm ultrasound: An objective tool to predict the severity of pneumonia and outcomes in children

Pediatric Pulmonology Mar 11, 2021

Şık N, Çitlenbik H, Öztürk A, et al. - Researchers sought to determine if diaphragm ultrasound (DUS) parameters may afford a new beneficial instrument to allow objective scoring of the severity of the disease and prediction of results in children suffering from pneumonia. Participants were 96 patients aged between 1 month and 18 years. Positive correlations of inspiratory slope and expiratory slope (ES) measurements with respiratory rate and length of stay in the hospital as well as their negative correlations with oxygen saturation levels were evident. Increased inspiratory slope (IS) and ES and reduced thickening fraction (TF) values were detected in cases with higher clinical scores. Based on findings, it was inferred that a promising and beneficial tool to evaluate diaphragmatic dysfunction in pneumonia cases can be afforded by diaphragm ultrasound. The severity of the illness, the requirement for respiratory support, and outcomes, all may be predicted using objective and dependable information offered by diaphragm parameters, especially TF, IS, and ES.

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