دورية أكاديمية
أعرض في EDS

Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion.

التفاصيل البيبلوغرافية
العنوان: Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion.
المؤلفون: Fjaellegaard K; Pulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, Denmark.; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.; Department of Internal Medicine, Zealand University Hospital, Roskilde, Denmark., Koefod Petersen J; Pulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, Denmark.; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.; Department of Internal Medicine, Zealand University Hospital, Roskilde, Denmark., Alstrup G; Pulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, Denmark.; Department of Internal Medicine, Zealand University Hospital, Roskilde, Denmark., Skaarup S; Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark., Frost Clementsen P; Copenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, Denmark., Laursen CB; Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark.; Odense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, Odense, Denmark., Bhatnagar R; Odense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, Odense, Denmark.; Academic Respiratory Unit, University of Bristol, Bristol, UK.; Department of Respiratory Medicine, Southmead Hospital, North Bristol NHS Trust, Bristol, UK., Bodtger U; Pulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, Denmark.; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.; Department of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.
المصدر: European clinical respiratory journal [Eur Clin Respir J] 2024 May 05; Vol. 11 (1), pp. 2337446. Date of Electronic Publication: 2024 May 05 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101662134 Publication Model: eCollection Cited Medium: Print ISSN: 2001-8525 (Print) Linking ISSN: 20018525 NLM ISO Abbreviation: Eur Clin Respir J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: <2016- > : Philadelphia, PA : Taylor & Francis
Original Publication: Järfälla : Co-Action Publishing, [2014]-
مستخلص: Background: In patients with recurrent pleural effusion, therapeutic thoracentesis is one way of relief. Correct prediction of which patients will experience relief following drainage may support the management of these patients. This study aimed to assess the association between ultrasound (US) characteristics and a relevant improvement in dyspnoea immediately following drainage.
Methods: In a prospective, observational study, patients with recurrent unilateral pleural effusion underwent US evaluation of effusion characteristics and diaphragm movement measured by M-mode and the Area method before and right after drainage. The level of dyspnoea was assessed using the modified Borg scale (MBS). A minimal important improvement in dyspnoea was defined as delta MBS ≥ 1.
Results: In the 104 patients included, 53% had a minimal important improvement in dyspnoea following thoracentesis. We found no association between US-characteristics, including diaphragm shape or movement (M-mode or the Area method), and a decrease in dyspnoea following drainage. Baseline MBS score ≥ 4 and a fully drained effusion were significant correlated with a minimal important improvement in dyspnoea (OR 3.86 (1.42-10.50), p  = 0.01 and 2.86 (1.03-7.93), p  = 0.04, respectively).
Conclusions: In our study population, US-characteristics including assessment of diaphragm movement or shape was not associated with a minimal important improvement in dyspnoea immediately following thoracentesis.
Competing Interests: No potential conflict of interest was reported by the author(s).
(© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)
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فهرسة مساهمة: Keywords: Thoracic ultrasound; diaphragm movement; diaphragm shape; dyspnoea; pleural effusion; therapeutic thoracentesis
تواريخ الأحداث: Date Created: 20240507 Latest Revision: 20240508
رمز التحديث: 20240508
مُعرف محوري في PubMed: PMC11073413
DOI: 10.1080/20018525.2024.2337446
PMID: 38711600
قاعدة البيانات: MEDLINE
الوصف
تدمد:2001-8525
DOI:10.1080/20018525.2024.2337446