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Tytuł pozycji:

Reproducibility and reference values of diaphragmatic shortening fraction for term and premature infants.

Tytuł:
Reproducibility and reference values of diaphragmatic shortening fraction for term and premature infants.
Autorzy:
Alonso-Ojembarrena A; Neonatal Intensive Care Unit, Puerta del Mar University Hospital, Cádiz, Spain.
Ruiz-González E; Neonatal Intensive Care Unit, Puerta del Mar University Hospital, Cádiz, Spain.
Estepa-Pedregosa L; Pediatric Intensive Care Unit, Puerta del Mar University Hospital, Cádiz, Spain.
Armenteros-López AI; Neonatal Intensive Care Unit, Torrecárdenas University Hospital, Almería, Spain.
Segado-Arenas A; Neonatal Intensive Care Unit, Puerta del Mar University Hospital, Cádiz, Spain.
Lubián-López SP; Neonatal Intensive Care Unit, Puerta del Mar University Hospital, Cádiz, Spain.; Department of Maternal and Child Health and Radiology, School of Medicine, University of Cádiz, Cádiz, Spain.
Źródło:
Pediatric pulmonology [Pediatr Pulmonol] 2020 Aug; Vol. 55 (8), pp. 1963-1968. Date of Electronic Publication: 2020 Jun 05.
Typ publikacji:
Journal Article; Observational Study
Język:
English
Imprint Name(s):
Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: [Philadelphia, PA] : W.B. Saunders, [c1985-
MeSH Terms:
Diaphragm/*diagnostic imaging
Female ; Humans ; Infant, Newborn ; Infant, Premature ; Male ; Observer Variation ; Reference Values ; Reproducibility of Results ; Ultrasonography
References:
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Urvoas E, Pariente D, Fausser C, Lipsich J, Taleb R, Devictor D. Diaphragmatic paralysis in children: diagnosis by TM-mode ultrasound. Pediatr Radiol. 1994;24(8):564-568.
Ueki J, De Bruin PF, Pride NB. In vivo assessment of diaphragm contraction by ultrasound in normal subjects. Thorax. 1995;50(11):1157-1161.
Rehan VK, Laiprasert J, Nakashima JM, Wallach M, McCool FD. Effects of continuous positive airway pressure on diaphragm dimensions in preterm infants. J Perinatol. 2001;21(8):521-524. https://doi.org/10.1038/sj.jp.7210587.
Rehan VK, McCool FD. Diaphragm dimensions of the healthy term infant. Acta Paediatr. 2003;92(9):1062-1067.
Rehan VK. Effects of the supine and prone position on diaphragm thickness in healthy term infants. Arch Dis Child. 2000;83(3):234-238. https://doi.org/10.1136/adc.83.3.234.
Rehan VK, Laiprasert J, Wallach M, Rubin LP, McCool FD. Diaphragm dimensions of the healthy preterm infant. Pediatrics. 2001;108(5):e91. https://doi.org/10.1542/peds.108.5.e91.
El-Mogy M, El-Halaby H, Attia G, Abdel-Hady H. Comparative study of the effects of continuous positive airway pressure and nasal high-flow therapy on diaphragmatic dimensions in preterm infants. Am J Perinatol. 2018;35(05):448-454. https://doi.org/10.1055/s-0037-1608682.
Buonsenso D, Berti B, Palermo C, et al. Ultrasound assessment of diaphragmatic function in type 1 spinal muscular atrophy. Pediatr Pulmonol. 2020 May 11:24814. https://doi.org/10.1002/ppul.24814.
Buonsenso D, Supino MC, Giglioni E, et al. Point of care diaphragm ultrasound in infants with bronchiolitis: a prospective study. Pediatr Pulmonol. 2018;53(6):778-786. https://doi.org/10.1002/ppul.23993.
Glau CL, Conlon TW, Himebauch AS, et al. Progressive diaphragm atrophy in pediatric acute respiratory failure. Pediatr Crit Care Med. 2018;19(5):406-411. https://doi.org/10.1097/PCC.0000000000001485.
Dionisio MT, Rebelo A, Pinto C, Carvalho L, Neves JF. Avaliação Ecográfica da Disfunção Diafragmática Induzida pelo Ventilador em Idade Pediátrica. Acta Med Port. 2019;32(7-8):520. https://doi.org/10.20344/amp.10830.
Xue Y, Zhang Z, Sheng C-Q, Li Y-M, Jia F-Y. The predictive value of diaphragm ultrasound for weaning outcomes in critically ill children. BMC Pulm Med. 2019;19(1):270. https://doi.org/10.1186/s12890-019-1034-0.
El-Halaby H, Abdel-Hady H, Alsawah G, Abdelrahman A, El-Tahan H. Sonographic evaluation of diaphragmatic excursion and thickness in healthy infants and children. J Ultrasound Med. 2016;35(1):167-175. https://doi.org/10.7863/ultra.15.01082.
Soon AW, Toney AG, Stidham T, Kendall J, Roosevelt G. Teaching point-of-care lung ultrasound to novice pediatric learners: web-based e-learning versus traditional classroom didactic. Pediatr Emerg Care. 2018 Apr 24. https://doi.org/10.1097/PEC.0000000000001482.
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Contributed Indexing:
Keywords: diaphragm/diagnostic imaging; newborn; preterm; reference values; reproducibility of results; ultrasonography
Entry Date(s):
Date Created: 20200528 Date Completed: 20201130 Latest Revision: 20201130
Update Code:
20240105
DOI:
10.1002/ppul.24866
PMID:
32458563
Czasopismo naukowe
Background: New ultrasound measurements to diagnose diaphragmatic dysfunction, including diaphragmatic shortening fraction (DSF), have been studied in adults and children, but there are no data on reference values for neonates.
Objective: To describe DSF reference values for term neonate (TN) and preterm neonate (PTN), and to calculate its reproducibility.
Methods: We included asymptomatic TN and PTN during their first 24 hours of life. We measured DSF at the zone of apposition in both hemithoraces. Reproducibility of image acquisition, including inter- and intra-rater agreement of the measurements were calculated among an experienced and a novel operator (after completion of a 1-day course on lung ultrasound [LU] and performance of 10 diaphragm ultrasounds [DUs] under supervision), and a more-trained examiner (completion of a 1-day course on LU and performance of 60 DUs under supervision).
Results: Two groups of 33 TN and 33 PTN were studied. Median DSF values did not differ between the groups, although diaphragm thickness was higher in the TN group. Intra-observer reproducibility: the intraclass correlation coefficient (ICC) was 0.95 (95% confidence interval [95% CI] 0.86-0.98). Interobserver reproducibility with novel operator had an ICC of 0.42 (95% CI -0.74 to 0.81), and with a more experienced operator improved to 0.76 (95% CI 0.27-0.92). Both intra- and interobserver agreement were high.
Conclusions: Asymptomatic TN and PTN have similar DSF values in the first 24 hours of life. The intra- and interobserver agreement is high. Reproducibility is acceptable, but intensive training is necessary to perform adequate DU.
(© 2020 Wiley Periodicals LLC.)

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