We hypothesized that diaphragm thickness is concerned in acute respiratory failure of COVID19 patients and its ultrasound measure at the begining of hospitalisation is a good predictor of poor outcome. A prospective observational non intervention study is designed.
To answer our hypothesis we will perform diaphragm ultrasound in the first 24hr hospitalized COVID19 patients. In the ultrasound exploration we will assess diaphragm movility and thickness. We will also assess other clinical, biochemistry and radiological variables. The main outcome we want to analyze is the destination on discharge: home, respiratory intermediate critical unit or exitus.
Study Type
OBSERVATIONAL
Enrollment
171
Diaphragmatic echography
Javier Lázaro Sierra
Zaragoza, Spain
Early diaphragm ultrasound as a predictor factor for invasive and non invasive ventilation and death
This is the main outcome of our study given that it has a important clinical implications. If we confirm our hypothesis diaphragm ultrasound could prove to be a useful prognosis tool for COVID19 patients.
Time frame: From date of inclusion until discharge date (lenght of hospitalization)
Diaphragm thickness rate as a predictor factor for invasive and non invasive ventilation and death
Diaphragm strenght is directly related to thickness. The impact of COVID19 infection on this specific measure can predict patient evolution.
Time frame: From date of inclusion until discharge date (lenght of hospitalization)
Diaphragm movility rate as a predictor factor for invasive and non invasive ventilation and death
Diaphragm fatigability is directly related to movility. The impact of COVID19 infection on this specific measure can predict patient evolution.
Time frame: From date of inclusion until discharge date (lenght of hospitalization)
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