Evidence map›Paper›PMID 39451587›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Predictive Value of Diaphragm and Lung Ultrasonography for Weaning Failure in Critically Ill Patients with Acute Respiratory Failure Due to COVID-19 Pneumonia.

Camila Fonseca, Claudio Novoa, Matias Aguayo, Ricardo Arriagada, Cristóbal Alvarado, César Pedreros, David Kraunik, Camila M Martins, Patricia R M Rocco, Denise Battaglini

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

10 authors.

Camila FonsecaUnidad de Paciente Crítico Adulto, Hospital Las Higueras, Talcahuano 4270918, Chile.
Claudio NovoaUnidad de Paciente Crítico Adulto, Hospital Las Higueras, Talcahuano 4270918, Chile.
Matias AguayoUnidad de Paciente Crítico Adulto, Hospital Las Higueras, Talcahuano 4270918, Chile.
Ricardo ArriagadaUnidad de Paciente Crítico Adulto, Hospital Las Higueras, Talcahuano 4270918, Chile.ORCID 0009-0003-8556-9713
Cristóbal AlvaradoUnidad de Paciente Crítico Adulto, Hospital Las Higueras, Talcahuano 4270918, Chile.
César PedrerosUnidad de Paciente Crítico Adulto, Hospital Las Higueras, Talcahuano 4270918, Chile.
David KraunikUnidad de Paciente Crítico Adulto, Hospital Las Higueras, Talcahuano 4270918, Chile.ORCID 0000-0003-3176-9149
Camila M MartinsAAC&T Research Consulting LTDA, Curitiba 82620-045, Brazil.
Patricia R M RoccoLaboratory of Pulmonary Investigation, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Centro de Ciências da Saúde, Avenida Carlos Chagas Filho, 373, Bloco G-014, Ilha Do Fundão, Rio de Janeiro 21941-598, Brazil.ORCID 0000-0003-1412-7136
Denise BattagliniDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-6895-6442

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study analyzed weaning characteristics and assessed the association of clinical and ultrasonographic indices-maximum inspiratory pressure (MIP), rapid shallow breathing index (RSBI), peak flow expiratory (PFE), diaphragm-thickening fraction (DTF), diaphragm thickness (DT), diaphragm excursion (DE), diaphragm-RSBI (D-RSBI), and lung ultrasound (LUS) patterns-with weaning failure.

methodsThis retrospective cohort study included critically ill COVID-19 patients aged 18 and older who had been on invasive mechanical ventilation for at least 48 h and undergoing weaning. Exclusion criteria included absence of ultrasound assessments, neuromuscular diseases, and chronic cardio-respiratory dysfunction.

resultsAmong 61 patients, 44.3% experienced weaning failure, 27.9% failed the spontaneous breathing trial (SBT), 16.4% were re-intubated within 48 h, and 28% required tracheostomy. Weaning failure was associated with prolonged ventilation (29 vs. 7 days,

conclusionsUltrasound provides supplementary information during weaning, but no definitive association between ultrasound indices and weaning failure was confirmed in this study.

Indexed as

COVID-19diaphragmlung ultrasoundmechanical ventilationweaning

Identifiers

PMID39451587
PMCPMC11505932

What Socratic holds

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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 Socratic graph.