Ultrasound Assessment of Diaphragmatic Excursion in Patients with Chronic Obstructive Pulmonary Disease as a Predictor for Disease Severity | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Volume 100, Issue 1, July 2025 PDF (498.55 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.449623 | ||||
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| Abstract | ||||
| Background: Out of all the primary causes of death and morbidity globally, chronic obstructive pulmonary disease (COPD) ranks third. Possible causes of dyspnea and exercise intolerance in COPD patients include disruptions in the load-capacity ratio of the respiratory muscles. Objective: This study aimed to use ultra-sonographic (U/S) techniques to assess diaphragmatic excursion at tidal and maximal lung volumes in patients with different degrees of COPD severity and its relation to the severity of the disease. Patients and methods: A Case-control study was carried out on 80 subjects, 60 individuals undergoing follow-up treatment at The Outpatient Clinic of The Chest Department at Kafr El- Sheikh University Hospitals for clinically stable COPD, and twenty healthy individuals serving as a control group. The patients in this COPD group were identified and categorized into three equal (20 patient each) groups based on GOLD 2023 criteria (groups A, B & E COPD). Results: There was a decrease in diaphragmatic excursion in COPD patients compared to increasing severity. Conclusions: Ultrasound is a noninvasive, simple, bedside valuable diagnostic tool for the severity examination of COPD patients. | ||||
| Keywords | ||||
| Ultrasound; Diaphragmatic excursion; Chronic obstructive pulmonary disease | ||||
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