Assessing cough effectiveness, using Cough Peak Flow, is crucial for patients with Neuromuscular Diseases, such as Amyotrophic Lateral Sclerosis. Impaired cough function can contribute to respiratory decline and failure. The goal of the study is to determine the correlation between diaphragmatic excursion and cough expiratory phase, potentially utilizing ultrasonographic indices to estimate Cough Peak Flow in these patients. Twenty-two patients were enrolled in this study. The upward displacement of the diaphragm was measured with ultrasonography during voluntary cough expiration and Cough Peak Flow was simultaneously measured. A multivariable linear regression model was built to quantify the association between Cough Peak Flow and diaphragm expiratory excursion. There is significative relationship between Cough Peak Flow and diaphragm excursion with a Pearson's r coefficient of 0.86 observed in the patients group. Multiple linear regression analysis for Cough Peak Flow (Adjusted R-2 = 0.86) revealed significant associations between Cough Peak Flow and expiratory excursion (adjusted beta-coefficient: 64.78, 95 %, CI: 51.50-78.07, p<0.001) and sex (adjusted beta-coefficient: -69.06; 95 % CI: -109.98 to -28.15, p=0.001). Our results predict the cough effectiveness by using M-mode diaphragmatic sonography with a potentially significant impact on therapeutic choices.

Prediction of cough effectiveness in amyotrophic lateral sclerosis patients assessed by ultrasuond of the diaphragm during the cough expiration phase / Viccaro, F.; Lecci, A.; Baccolini, V.; Sciurti, A.; Piamonti, D.; Inghilleri, M.; D'Antoni, L.; Palange, P.. - In: RESPIRATORY PHYSIOLOGY & NEUROBIOLOGY. - ISSN 1878-1519. - 327:(2024), pp. 1-5. [10.1016/j.resp.2024.104299]

Prediction of cough effectiveness in amyotrophic lateral sclerosis patients assessed by ultrasuond of the diaphragm during the cough expiration phase

Viccaro F.;Lecci A.
;
Baccolini V.;Sciurti A.;Piamonti D.;Inghilleri M.;Palange P.
2024

Abstract

Assessing cough effectiveness, using Cough Peak Flow, is crucial for patients with Neuromuscular Diseases, such as Amyotrophic Lateral Sclerosis. Impaired cough function can contribute to respiratory decline and failure. The goal of the study is to determine the correlation between diaphragmatic excursion and cough expiratory phase, potentially utilizing ultrasonographic indices to estimate Cough Peak Flow in these patients. Twenty-two patients were enrolled in this study. The upward displacement of the diaphragm was measured with ultrasonography during voluntary cough expiration and Cough Peak Flow was simultaneously measured. A multivariable linear regression model was built to quantify the association between Cough Peak Flow and diaphragm expiratory excursion. There is significative relationship between Cough Peak Flow and diaphragm excursion with a Pearson's r coefficient of 0.86 observed in the patients group. Multiple linear regression analysis for Cough Peak Flow (Adjusted R-2 = 0.86) revealed significant associations between Cough Peak Flow and expiratory excursion (adjusted beta-coefficient: 64.78, 95 %, CI: 51.50-78.07, p<0.001) and sex (adjusted beta-coefficient: -69.06; 95 % CI: -109.98 to -28.15, p=0.001). Our results predict the cough effectiveness by using M-mode diaphragmatic sonography with a potentially significant impact on therapeutic choices.
2024
amyotrophic lateral sclerosis; cough effectiveness; diaphragmatic ultrasound; peak cough flow
01 Pubblicazione su rivista::01a Articolo in rivista
Prediction of cough effectiveness in amyotrophic lateral sclerosis patients assessed by ultrasuond of the diaphragm during the cough expiration phase / Viccaro, F.; Lecci, A.; Baccolini, V.; Sciurti, A.; Piamonti, D.; Inghilleri, M.; D'Antoni, L.; Palange, P.. - In: RESPIRATORY PHYSIOLOGY & NEUROBIOLOGY. - ISSN 1878-1519. - 327:(2024), pp. 1-5. [10.1016/j.resp.2024.104299]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1724315
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