The role of diaphragm and rectus abdominis muscle thickness in predicting mortality, morbidity, and weaning success from mechanical ventilation in ICU patients

İsmail Hakkı Akbudak; Almıla Üyük; Çağla Erdoğan

Makale detayları

The role of diaphragm and rectus abdominis muscle thickness in predicting mortality, morbidity, and weaning success from mechanical ventilation in ICU patients

Yazarlar:

İsmail Hakkı Akbudak | Almıla Üyük | Çağla Erdoğan

Yayıncı:

Pamukkale University

Ana Başlıklar:

İç Hastalıkları

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.877-885

Belge Tipi:

Makale

Yayın Tarihi:

1/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341013

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: This study aimed to evaluate the relationship between diaphragm and rectus abdominis RA muscle thickness and mortality, morbidity, and weaning success from mechanical ventilation in intensive care unit ICU patients. Materials and methods: A total of 87 adult ICU patients were included. Diaphragm and RA muscle thicknesses were measured via ultrasound on the 1st, 3rd, 7th, and discharge days of ICU stay. Clinical data, including mechanical ventilation status, weaning outcome, infections, and the use of sedation, inotropes, and steroids, were recorded. Results: Invasive mechanical ventilation IMV was applied in 82.7 of patients. Weaning was successful in only 15.2 of IMV patients. On the discharge day, diaphragm and RA thicknesses were significantly lower in the IMV group than in the non-IMV group p0.029, p0.004, respectively. RA thickness was significantly higher on day 1 in the successfully weaned group p0.03. Diaphragm thickness showed a weak positive correlation with BMI. A weak negative correlation was found between RA thickness and NUTRIC score. No correlation was observed between muscle thicknesses and age, APACHE-II or SOFA scores. Conclusion: Monitoring diaphragm and RA muscle thickness may guide the assessment of weaning and mortality risk in ICU patients. Particularly, RA thickness may serve as a potential biomarker for predicting weaning success.

 Purpose: This study aimed to evaluate the relationship between diaphragm and rectus abdominis RA muscle thickness and mortality, morbidity, and weaning success from mechanical ventilation in intensive care unit ICU patients. Materials and methods: A total of 87 adult ICU patients were included. Diaphragm and RA muscle thicknesses were measured via ultrasound on the 1st, 3rd, 7th, and discharge days of ICU stay. Clinical data, including mechanical ventilation status, weaning outcome, infections, and the use of sedation, inotropes, and steroids, were recorded. Results: Invasive mechanical ventilation IMV was applied in 82.7 of patients. Weaning was successful in only 15.2 of IMV patients. On the discharge day, diaphragm and RA thicknesses were significantly lower in the IMV group than in the non-IMV group p0.029, p0.004, respectively. RA thickness was significantly higher on day 1 in the successfully weaned group p0.03. Diaphragm thickness showed a weak positive correlation with BMI. A weak negative correlation was found between RA thickness and NUTRIC score. No correlation was observed between muscle thicknesses and age, APACHE-II or SOFA scores. Conclusion: Monitoring diaphragm and RA muscle thickness may guide the assessment of weaning and mortality risk in ICU patients. Particularly, RA thickness may serve as a potential biomarker for predicting weaning success.

 Purpose: This study aimed to evaluate the relationship between diaphragm and rectus abdominis RA muscle thickness and mortality, morbidity, and weaning success from mechanical ventilation in intensive care unit ICU patients. Materials and methods: A total of 87 adult ICU patients were included. Diaphragm and RA muscle thicknesses were measured via ultrasound on the 1st, 3rd, 7th, and discharge days of ICU stay. Clinical data, including mechanical ventilation status, weaning outcome, infections, and the use of sedation, inotropes, and steroids, were recorded. Results: Invasive mechanical ventilation IMV was applied in 82.7 of patients. Weaning was successful in only 15.2 of IMV patients. On the discharge day, diaphragm and RA thicknesses were significantly lower in the IMV group than in the non-IMV group p0.029, p0.004, respectively. RA thickness was significantly higher on day 1 in the successfully weaned group p0.03. Diaphragm thickness showed a weak positive correlation with BMI. A weak negative correlation was found between RA thickness and NUTRIC score. No correlation was observed between muscle thicknesses and age, APACHE-II or SOFA scores. Conclusion: Monitoring diaphragm and RA muscle thickness may guide the assessment of weaning and mortality risk in ICU patients. Particularly, RA thickness may serve as a potential biomarker for predicting weaning success.

 Amaç: Bu çalışmada, yoğun bakım ünitesine kabul edilen hastalarda diyafram ve rektus abdominis RA kas kalınlıklarının mortalite, morbidite ve mekanik ventilatörden ayırma weaning başarısı ile ilişkisi değerlendirilmiştir. Gereç ve yöntem: Çalışmaya 87 erişkin yoğun bakım hastası dahil edildi. Hastaların diyafram ve RA kas kalınlıkları, yatışın 1., 3., 7. ve çıkış günlerinde ultrasonografi ile ölçüldü. Klinik veriler, mekanik ventilatör ihtiyacı, weaning durumu, enfeksiyon gelişimi, sedasyon, inotrop ve steroid kullanımı ile birlikte kaydedildi. Bulgular: Çalışmaya dahil edilen hastaların 82,7sinde invaziv mekanik ventilasyon İMV uygulandı. Weaning başarısı yalnızca 15,2 oranında sağlandı. Çıkış gününde İMV uygulanan hastalarda diyafram ve RA kalınlıkları, uygulanmayanlara göre anlamlı derecede daha düşüktü sırasıyla p0,029, p0,004. RA kalınlığı ile weaning başarısı arasında anlamlı ilişki saptandı p0,03. Diyafram kalınlığı ile BKİ arasında pozitif yönde zayıf korelasyon mevcuttu. NUTRIC skoru ile RA kalınlığı arasında zayıf negatif korelasyon bulundu. Kas kalınlıkları ile yaş, APACHE-II ve SOFA skorları arasında korelasyon izlenmedi. Sonuç: Diyafram ve RA kas kalınlıklarının takibi, yoğun bakım hastalarında ventilatörden ayırma süreci ve mortalite riski açısından yol gösterici olabilir. Özellikle RA kalınlığı, weaning başarısının öngörülmesinde potansiyel bir biyobelirteç olarak değerlendirilebilir.

Makale detayları

The role of diaphragm and rectus abdominis muscle thickness in predicting mortality, morbidity, and weaning success from mechanical ventilation in ICU patients

Yazarlar:

İsmail Hakkı Akbudak | Almıla Üyük | Çağla Erdoğan

Yayıncı:

Pamukkale University

Ana Başlıklar:

İç Hastalıkları

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.877-885

Belge Tipi:

Makale

Yayın Tarihi:

1/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341013

pISSN:

1308-0865

Diaphragm

rectus abdominis

muscle ultrasoundDiyafram

rektus abdominis

kas ultrasonografisi

Sayı

Makale detayları

The role of diaphragm and rectus abdominis muscle thickness in predicting mortality, morbidity, and weaning success from mechanical ventilation in ICU patients

Yazarlar: İsmail Hakkı Akbudak | Almıla Üyük | Çağla Erdoğan

Yayıncı: Pamukkale University

Ana Başlıklar: İç Hastalıkları

Dergi: Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.877-885

Belge Tipi: Makale

Yayın Tarihi: 1/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001341013

pISSN: 1308-0865

Diaphragm

rectus abdominis

muscle ultrasoundDiyafram

rektus abdominis

kas ultrasonografisi

Sayı

Yazarlar:

İsmail Hakkı Akbudak | Almıla Üyük | Çağla Erdoğan

Yayıncı:

Pamukkale University

Ana Başlıklar:

İç Hastalıkları

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 4, pp.877-885

Belge Tipi:

Makale

Yayın Tarihi:

1/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001341013

pISSN:

1308-0865