Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion
Background In patients with recurrent pleural effusion, therapeutic thoracentesis is one way of relief. Correct prediction of which patients will experience relief following drainage may support the management of these patients. This study aimed to assess the association between ultrasound (US) char...
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Taylor & Francis Group
2024-12-01
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| Series: | European Clinical Respiratory Journal |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/20018525.2024.2337446 |
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| author | Katrine Fjaellegaard Jesper Koefod Petersen Gitte Alstrup Søren Skaarup Paul Frost Clementsen Christian B. Laursen Rahul Bhatnagar Uffe Bodtger |
| author_facet | Katrine Fjaellegaard Jesper Koefod Petersen Gitte Alstrup Søren Skaarup Paul Frost Clementsen Christian B. Laursen Rahul Bhatnagar Uffe Bodtger |
| author_sort | Katrine Fjaellegaard |
| collection | DOAJ |
| description | Background In patients with recurrent pleural effusion, therapeutic thoracentesis is one way of relief. Correct prediction of which patients will experience relief following drainage may support the management of these patients. This study aimed to assess the association between ultrasound (US) characteristics and a relevant improvement in dyspnoea immediately following drainage.Methods In a prospective, observational study, patients with recurrent unilateral pleural effusion underwent US evaluation of effusion characteristics and diaphragm movement measured by M-mode and the Area method before and right after drainage. The level of dyspnoea was assessed using the modified Borg scale (MBS). A minimal important improvement in dyspnoea was defined as delta MBS ≥ 1.Results In the 104 patients included, 53% had a minimal important improvement in dyspnoea following thoracentesis. We found no association between US-characteristics, including diaphragm shape or movement (M-mode or the Area method), and a decrease in dyspnoea following drainage. Baseline MBS score ≥ 4 and a fully drained effusion were significant correlated with a minimal important improvement in dyspnoea (OR 3.86 (1.42–10.50), p = 0.01 and 2.86 (1.03–7.93), p = 0.04, respectively).Conclusions In our study population, US-characteristics including assessment of diaphragm movement or shape was not associated with a minimal important improvement in dyspnoea immediately following thoracentesis. |
| format | Article |
| id | doaj-art-33f8d1888c3e4c6c8d0616f06271ba3d |
| institution | Kabale University |
| issn | 2001-8525 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Clinical Respiratory Journal |
| spelling | doaj-art-33f8d1888c3e4c6c8d0616f06271ba3d2024-11-27T18:28:18ZengTaylor & Francis GroupEuropean Clinical Respiratory Journal2001-85252024-12-0111110.1080/20018525.2024.2337446Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusionKatrine Fjaellegaard0Jesper Koefod Petersen1Gitte Alstrup2Søren Skaarup3Paul Frost Clementsen4Christian B. Laursen5Rahul Bhatnagar6Uffe Bodtger7Pulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, DenmarkPulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, DenmarkPulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, DenmarkDepartment of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, DenmarkCopenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, DenmarkDepartment of Respiratory Medicine, Odense University Hospital, Odense, DenmarkOdense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, Odense, DenmarkPulmonary Research Unit Zealand, PLUZ, Department of Respiratory Medicine, Zealand University Hospital, Roskilde and Næstved, DenmarkBackground In patients with recurrent pleural effusion, therapeutic thoracentesis is one way of relief. Correct prediction of which patients will experience relief following drainage may support the management of these patients. This study aimed to assess the association between ultrasound (US) characteristics and a relevant improvement in dyspnoea immediately following drainage.Methods In a prospective, observational study, patients with recurrent unilateral pleural effusion underwent US evaluation of effusion characteristics and diaphragm movement measured by M-mode and the Area method before and right after drainage. The level of dyspnoea was assessed using the modified Borg scale (MBS). A minimal important improvement in dyspnoea was defined as delta MBS ≥ 1.Results In the 104 patients included, 53% had a minimal important improvement in dyspnoea following thoracentesis. We found no association between US-characteristics, including diaphragm shape or movement (M-mode or the Area method), and a decrease in dyspnoea following drainage. Baseline MBS score ≥ 4 and a fully drained effusion were significant correlated with a minimal important improvement in dyspnoea (OR 3.86 (1.42–10.50), p = 0.01 and 2.86 (1.03–7.93), p = 0.04, respectively).Conclusions In our study population, US-characteristics including assessment of diaphragm movement or shape was not associated with a minimal important improvement in dyspnoea immediately following thoracentesis.https://www.tandfonline.com/doi/10.1080/20018525.2024.2337446Thoracic ultrasounddiaphragm movementdiaphragm shapepleural effusiontherapeutic thoracentesisdyspnoea |
| spellingShingle | Katrine Fjaellegaard Jesper Koefod Petersen Gitte Alstrup Søren Skaarup Paul Frost Clementsen Christian B. Laursen Rahul Bhatnagar Uffe Bodtger Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion European Clinical Respiratory Journal Thoracic ultrasound diaphragm movement diaphragm shape pleural effusion therapeutic thoracentesis dyspnoea |
| title | Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion |
| title_full | Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion |
| title_fullStr | Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion |
| title_full_unstemmed | Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion |
| title_short | Ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion |
| title_sort | ultrasound in predicting improvement in dyspnoea after therapeutic thoracentesis in patients with recurrent unilateral pleural effusion |
| topic | Thoracic ultrasound diaphragm movement diaphragm shape pleural effusion therapeutic thoracentesis dyspnoea |
| url | https://www.tandfonline.com/doi/10.1080/20018525.2024.2337446 |
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