Elderly Dyspnea diaphragmatic dysfunction Elderly Dyspnea diaphragmatic dysfunction
Conditions
Interventions
Age more than 65 years
Presenting to ED with any chief complaint
Diagnostic
elderly patients
Sponsors
Chavin Triganjananun
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age more than 65 years presenting to ED with any chief complaint
Exclusion criteria
Exclusion criteria: 1.Pregnancy 2.Immediate need for intubation, HFNC, or NIV on arrival 3.Conditions interfering with ultrasound (pneumothorax, major chest trauma) 4.Prior known diaphragmatic injury or upper abdominal/thoracic surgery 5.Poor ultrasound window or patient withdrawal 6.Significant discomfort during the procedure 7.Time >20 minutes required for ultrasound
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of diaphragmatic dysfunction 6 hr at emergency arrival diaphargmatic excusion, thickness | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of diaphragmatic ultrasound parameters (excursion and thickening fraction) between bedbound and non-bedbound elderly patients 6 hr at emergency arrival diaphragmatic excursion, thickness,Association between diaphragmatic dysfunction and clinical severity 6 hr at emergency arrival dyspnea scale,Clinical outcomes related to diaphragmatic dysfunction 24 hr Need for respiratory support within 24 hours (HFNC, NIV, or invasive ventilation) ,mortality 28 days death,Duration of respiratory support Hospital length of stay duration of admission and respiratory support duration | — |
Countries
Thailand
Contacts
Public ContactChavin Triganjananun
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed