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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 1/2022

01-02-2022 | Central Nervous System Trauma | Original Article

Effects of diaphragm thickness on rehabilitation outcomes in post-ICU patients with spinal cord and brain injury

Authors: Sukran Guzel, Ebru Umay, Ibrahım Gundogdu, Zeynep Tuba Bahtiyarca, Damla Cankurtaran

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2022

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Abstract

Background

Intensive care unit (ICU) complications affect outcomes but it remains unknown if the diaphragm thickness affects rehabilitation outcomes after ICU. We conducted a pilot study to evaluate the effect of diaphragm thickness on rehabilitation outcomes of post-ICU patients with spinal cord injury (SCI) and traumatic brain injury (TBI) and to evaluate factors that may be associated with diaphragm atrophy.

Materials and methods

Fifty-one patients (26 SCI, 25 TBI) who admitted to the rehabilitation clinic from the ICU included in this study. All demographic data were recorded. All participants underwent diaphragmatic ultrasonography evaluation before and after 12 weeks of neurologic rehabilitation program. The diaphragm thickness and outcome parameters were compared in all patient groups and in each patient subgroups. Evaluation parameters of patients before and after treatment were compared in patient subgroups.

Results

Diaphragm atrophy was found in 14 patients (64%) in TBI group and 12 patients (46%) in SCI group. The diaphragm thickness negatively correlated with the ICU length of stay and positively correlated with the before/after rehabilitation functional scores and the change in functional independence measure scores (p < 0.05). According to the regression analysis; the change in functional independence measure scores was found to be affected by the diaphragm thickness (p < 0.05).

Conclusions

The diaphragm thickness may be an effective factor on the rehabilitation process.
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Metadata
Title
Effects of diaphragm thickness on rehabilitation outcomes in post-ICU patients with spinal cord and brain injury
Authors
Sukran Guzel
Ebru Umay
Ibrahım Gundogdu
Zeynep Tuba Bahtiyarca
Damla Cankurtaran
Publication date
01-02-2022
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 1/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-020-01426-w

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