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Table 3 Clinical factors associated with the change in diaphragm thickness during assisted mechanical ventilation

From: Assisted mechanical ventilation promotes recovery of diaphragmatic thickness in critically ill patients: a prospective observational study

 

Unchanged during AMV (n = 33)

Recovery of thickness during AMV (n = 28)

p

Age (years)

53.2 ± 15.8

58.4 ± 14.4

0.187

Body weight (kg)

76.4 ± 12.6

74.3 ± 13

0.524

BMI (kg/cm2)

25.8 ± 3.3

25.4 ± 3.9

0.681

Chronic obstructive pulmonary disease, n (%)

2/33 (6.1%)

3/28 (10.7%)

0.509

Diabetes, n (%)

2/33 (6.1%)

5/28 (17.9%)

0.150

ARDS, n (%)

14/33 (42.4%)

11/28 (39.3%)

0.804

Septic shock, n (%)

3/33 (9.1%)

7/28 (25.0%)

0.094

NMBA (days)

2 [0, 5.5]

2 [0, 5]

0.774

NMBA days on CMV days (%)

28.6 [0, 75.7]

30.4 [0, 85.6]

0.803

Median SOFA during ICU admission

4.6 [3.2, 5.9]

4.3 [3.4, 5.3]

0.606

TV/kg of ideal body weight

6.9 [6.1, 7.8]

7.4 [6.4, 8.5]

0.152

Respiratory rate during AMV (bpm)

19.2 ± 4

16.7 ± 3.2

0.019

Rapid Shallow Breathing Index (RR/TV, breaths/min/l)

44 ± 13

37 ± 11

0.029

Peak pressure during AMV (cmH2O)

17.9 ± 4.1

17.1 ± 4.1

0.441

Pressure support level (cmH2O)

8.4 ± 2.4

7.6 ± 2.4

0.163

PEEP during AMV (cmH2O)

8.9 ± 2.5

8.9 ± 2.4

0.984

Plateau pressure during AMV (cmH2O)

20.1 ± 3.1

18.9 ± 3.9

0.225

Driving pressure during AMV (cmH2O)

10.2 ± 2.6

9.5 ± 3

0.459

Compliance of respiratory system during AMV (cmH2O)

52.5 ± 17.4

54.8 ± 14.4

0.618

Negative inspiratory force (cmH2O)

− 15.5 [− 21.8, − 8.4]

− 16.8 [− 26.5, − 11.5]

0.451

Pressure Muscle Index (cmH2O)

0.4 [0, 1.9]

2 [0.5, 3]

0.024

P0.1 (cmH2O)

1.2 ± 0.8

1.8 ± 1.5

0.064

Thickening fraction (%)

15 [8, 23.8]

19.1 [9.2, 25.7]

0.397

P/F during AMV

242.3 ± 51

270 ± 82.1

0.159

pH during AMV

7.46 [7.44, 7.48]

7.45 [7.43, 7.48]

0.397

Total water balance during AMV

− 5759 [− 9632, − 1348]

− 4884 [− 10742, − 2460]

0.869

Prealbumin (mg/dl)

18.8 [13.5, 26]

22.5 [18.9, 24.4]

0.438

  1. BMI body mass index, ARDS acute respiratory distress syndrome, NMBA neuromuscular blocking agents, CMV controlled mechanical ventilation, SOFA Sequential Organ Failure Assessment, TV tidal volume, AMV assisted mechanical ventilation, PEEP positive end-expiratory pressure