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Change in diaphragm and intercostal muscle thickness in mechanically ventilated patients : a prospective observational ultrasonography study
https://tokushima-u.repo.nii.ac.jp/records/2007479
https://tokushima-u.repo.nii.ac.jp/records/20074792bbeb6bd-b7ff-4515-980d-1c90d33fd8ad
| 名前 / ファイル | ライセンス | アクション |
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jintcare_7_56.pdf (950 KB)
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| Item type | 文献 / Documents(1) | |||||||||||||||||||||||||||||
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| 公開日 | 2020-12-07 | |||||||||||||||||||||||||||||
| アクセス権 | ||||||||||||||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||||||
| 出版社版DOI | ||||||||||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1186/s40560-019-0410-4 | |||||||||||||||||||||||||||||
| 言語 | ja | |||||||||||||||||||||||||||||
| 関連名称 | 10.1186/s40560-019-0410-4 | |||||||||||||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||||||||
| タイトル | Change in diaphragm and intercostal muscle thickness in mechanically ventilated patients : a prospective observational ultrasonography study | |||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
| 著者 |
中西, 信人
× 中西, 信人
× 大藤, 純
WEKO
1193
× 上野, 義豊
WEKO
947
× 中瀧, 恵実子× 板垣, 大雅× 西村, 匡司
WEKO
1227
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| 抄録 | ||||||||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||||||||
| 内容記述 | Background: Diaphragm atrophy is observed in mechanically ventilated patients. However, the atrophy is not investigated in other respiratory muscles. Therefore, we conducted a two-center prospective observational study to evaluate changes in diaphragm and intercostal muscle thickness in mechanically ventilated patients. Methods: Consecutive adult patients who were expected to be mechanically ventilated longer than 48 h in the ICU were enrolled. Diaphragm and intercostal muscle thickness were measured on days 1, 3, 5, and 7 with ultrasonography. The primary outcome was the direction of change in muscle thickness, and the secondary outcomes were the relationship of changes in muscle thickness with patient characteristics. Results: Eighty patients (54 males and 26 females; mean age, 68 ± 14 years) were enrolled. Diaphragm muscle thickness decreased, increased, and remained unchanged in 50 (63%), 15 (19%), and 15 (19%) patients, respectively. Intercostal muscle thickness decreased, increased, and remained unchanged in 48 (60%), 15 (19%), and 17 (21%) patients, respectively. Decreased diaphragm or intercostal muscle thickness was associated with prolonged mechanical ventilation (median difference (MD), 3 days; 95% CI (confidence interval), 1–7 and MD, 3 days; 95% CI, 1–7, respectively) and length of ICU stay (MD, 3 days; 95% CI, 1–7 and MD, 3 days; 95% CI, 1–7, respectively) compared with the unchanged group. After adjusting for sex, age, and APACHE II score, they were still associated with prolonged mechanical ventilation (hazard ratio (HR), 4.19; 95% CI, 2.14–7.93 and HR, 2.87; 95% CI, 1.53–5.21, respectively) and length of ICU stay (HR, 3.44; 95% CI, 1.77–6.45 and HR, 2.58; 95% CI, 1.39–4.63, respectively) compared with the unchanged group. Conclusions: Decreased diaphragm and intercostal muscle thickness were frequently seen in patients under mechanical ventilation. They were associated with prolonged mechanical ventilation and length of ICU stay. |
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| 言語 | en | |||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||||||
| 主題 | Diaphragm | |||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||||||
| 主題 | Intercostal muscle | |||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||||||
| 主題 | Atrophy | |||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||||||
| 主題 | Ultrasonography | |||||||||||||||||||||||||||||
| 書誌情報 |
en : Journal of Intensive Care 巻 7, p. 56, 発行日 2019-12-02 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||||||||
| 収録物識別子 | 20520492 | |||||||||||||||||||||||||||||
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| 出版者 | BioMed Central | |||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
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| 出版者 | Springer Nature | |||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
| 権利情報 | ||||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||||
| 権利情報 | © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |||||||||||||||||||||||||||||
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| 識別子 | 361091 | |||||||||||||||||||||||||||||
| 識別子タイプ | URI | |||||||||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||||||||
