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September 16, 2022
A key threat to pneumonia could be a reduction in diaphragm muscle mass. For one study, researchers looked at whether measurements of diaphragm thickness and density by thoracic computed tomography (CT) were similar to clinical outcomes and mortality in adult patients admitted to the emergency room. branch with coronavirus disease 2019 (COVID-19).
Between September 1 and November 1, 2020, another 404 people with pneumonia symptoms were retrospectively evaluated on a chest CT scan and a COVID-19-positive polymerase chain reaction test. At the site of origin of the celiac artery, bilateral DT measurements were made and the overall mean diaphragm thickness (TDG) was calculated. At the origin of the celiac artery, the density of the hemidiaphragm was evaluated. Logistic regression analyses were used to read about the link between demographic traits, comorbidities, TMDT, mean hemidiaphragm density (MHD), and clinical outcomes. Intraclass correlation analyses were used to assess the accuracy of measurements made through the two observers.
According to intraclass correlation studies, the agreement between observers for TMDT and MHD is almost perfectly consistent. The correlation between having a thinner diaphragm and death is statistically significant (P<0. 001). Patients who died or had severe disease had minimal density in the bilateral diaphragm (P < 0. 001). The TMDT cut-off values for predicting ICU admission and death were 3. 67 mm and 3. 47 mm, respectively. , age and MHD (OR: 0. 920, 95% CI: 0. 883-0. 959) were independent predictors of disease. 0. 942) were also independent death threat points.
Research has shown that in other people with COVID-19, low values of diaphragm thickness and density can be signs of poor prognosis because they were related to severe illness.
Reference: sciencedirect. com/science/article/pii/S0735675722005320