Prevalence of diaphragm dysfunction in patients with interstitial lung disease (ILD): The role of diaphragmatic ultrasound

Diaphragm ultrasound (DUS) has been extensively used in critically ill patients while data on outpatients with interstitial lung disease (ILD) are limited. We hypothesized that diaphragm function, assessed by ultrasound, could be impaired in patients with ILD, considering both Idiopathic Pulmonary F...

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Published in:Respiratory medicine 2023-09, Vol.216, p.107293-107293, Article 107293
Main Authors: Bernardinello, Nicol, Cocconcelli, Elisabetta, Boscolo, Annalisa, Castelli, Gioele, Sella, Nicolò, Giraudo, Chiara, Zanatta, Elisabetta, Rea, Federico, Saetta, Marina, Navalesi, Paolo, Spagnolo, Paolo, Balestro, Elisabetta
Format: Article
Language:English
Subjects:
Connective tissue disease
Connective Tissue Diseases - complications
Diaphragm - diagnostic imaging
Diaphragm ultrasound
Dyspnea - complications
Dyspnea - etiology
Humans
Idiopathic pulmonary fibrosis
Idiopathic Pulmonary Fibrosis - complications
Idiopathic Pulmonary Fibrosis - diagnostic imaging
Idiopathic Pulmonary Fibrosis - epidemiology
Interstitial lung disease
Lung Diseases, Interstitial - complications
Lung Diseases, Interstitial - diagnostic imaging
Lung Diseases, Interstitial - epidemiology
Prevalence
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Summary:Diaphragm ultrasound (DUS) has been extensively used in critically ill patients while data on outpatients with interstitial lung disease (ILD) are limited. We hypothesized that diaphragm function, assessed by ultrasound, could be impaired in patients with ILD, considering both Idiopathic Pulmonary Fibrosis (IPF) and Connective Tissue Disease (CTD-ILD), compared to healthy subjects. Moreover, this impairment could impact clinical and functional parameters. All consecutive CTD-ILD and IPF patients followed in our center (March–October 2020) were screened. Diaphragm displacement (DD), inspiratory thickness (Ti), expiratory thickness (Te), thickening fraction (TF), and respiratory functional parameters were collected. The prevalence of diaphragmatic dysfunction (TF
ISSN:0954-6111
1532-3064
DOI:10.1016/j.rmed.2023.107293