45035

Ultrasonographic Assessment of Diaphragmatic Function and Its Correlation with Chronic Obstructive Pulmonary Disease Severity

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Last updated: 03 Jan 2025

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Abstract

Background: chronic obstructive pulmonary disease (COPD) is currently the fourth leading cause of death in the world, and it is projected to be the third leading cause of death by 2020. More than 3 million people died because of COPD in 2012, accounting for 6% of all deaths globally. Objective: the aim of this study is to assess the diaphragmatic function in COPD patients using the ultrasonographic technique, and to study its correlation with severity of the disease. Patients and Methods: this study was carried out during the period from November 2018 to June 2019, on sixty patients with clinically stable chronic obstructive pulmonary disease (COPD), during their follow up in the outpatient clinic of Chest Department, Bab-Al-Sha'reia University Hospital. Results: thickness of the diaphragm (TD) at different lung volumes and capacities (RV, FRC and TLC) estimated by U/S, was found to be progressively decreased with increasing COPD severity. TD was found to be decreased significantly in COPD patients when compared with controls. The only exception was the presence of a non-significant relationship between TDRV in control and mild COPD groups, which may denote that diaphragmatic thickness is not markedly affected in early COPD at low lung volumes. Conclusion: U/S is a simple, easily learned, non-invasive and reliable method that can be used in assessment of the diaphragmatic function and kinetics. There is a significant negative correlation between diaphragmatic function (assessed by measuring diaphragmatic thickness and excursion through U/S) and COPD severity.

DOI

10.21608/ejhm.2019.45035

Keywords

ultrasonographic, Diaphragmatic Function, chronic obstructive pulmonary disease

Authors

First Name

Abd El-hay Ibrahim

Last Name

Abd El-hay

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Affiliation

Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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First Name

Houssam Eldin Hassanin

Last Name

Abd Elnaby

MiddleName

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Affiliation

Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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Orcid

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First Name

Mohamed Mohy Mohamed Erfan

Last Name

El-gamal

MiddleName

-

Affiliation

Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

mohy6240@gmail.com

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Volume

76

Article Issue

7

Related Issue

6934

Issue Date

2019-07-01

Receive Date

2019-08-18

Publish Date

2019-07-01

Page Start

4,524

Page End

4,532

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_45035.html

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https://ejhm.journals.ekb.eg/service?article_code=45035

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Ultrasonographic Assessment of Diaphragmatic Function and Its Correlation with Chronic Obstructive Pulmonary Disease Severity

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Article

Created At

22 Jan 2023