metricas
covid
Buscar en
Revista Española de Anestesiología y Reanimación (English Edition)
Toda la web
Inicio Revista Española de Anestesiología y Reanimación (English Edition) Inter-rater reliability of the measurement of diaphragmatic excursion and fracti...
Journal Information
Vol. 69. Issue 9.
Pages 536-543 (November 2022)
Share
Share
Download PDF
More article options
Visits
3
Vol. 69. Issue 9.
Pages 536-543 (November 2022)
Original article
Inter-rater reliability of the measurement of diaphragmatic excursion and fraction of diaphragmatic thickening by ultrasonography in healthy volunteers
Confiabilidad interevaluador de la medición de la excursión diafragmática y fracción de engrosamiento diafragmático mediante ultrasonografía en voluntarios sanos
Visits
3
E.C. Wilches-Lunaa,
Corresponding author
, F.E. Pabón-Muñozb, J.M. Arias-Campoa, A.F. Caballero-Lozadab
a Escuela de Rehabilitación Humana, Facultad de Salud, Universidad del Valle, Cali, Colombia
b Departamento de Anestesiología y Reanimación, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia
Highlights

  • Acceptable inter-rater reliability of diaphragmatic US among non-physicians.

  • Substantial agreement in DE measurement in splenic and hepatic windows.

  • Slight agreement in measuring DTf in the hepatic window.

  • Fair concordance in measurement of DTf in 2D mode in the splenic window.

This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Abstract
Background and objective

To determine the inter-rater reliability in the ultrasonographic (US) measurement of the diaphragmatic excursion (DE) and the diaphragm thickness fraction (DTF) performed by non-medical health professionals in healthy people.

Participants and methods

Prospective observational study in a third level hospital in Cali, Colombia. Measurements were made to 30 healthy volunteers chosen by convenience sampling, without a history of lung diseases, with ages between 18–60 years. A pilot test was previously carried out with 8 healthy volunteers. US measurements of DE, and DTF were based on previously published protocols. Each assessor independently observed several cycles of normal quiet breathing for 3min to establish a baseline. The Intraclass Correlation Index (ICC) was used to evaluate the inter-rater reliability in the measurements of DE and DTF, with 95% confidence intervals and a p<0.05.

Results

Substantial agreement was identified in the measurement of DE in the splenic and hepatic windows because the ICC was greater than 0.6 (p<0.05). The measurement of the DTF in the hepatic window showed slight agreement in both 2D and M modes (p>0.05). In the splenic window, the measurement of the DTF in the 2D mode was found to be moderate agreement and for the M mode a slight agreement was found (p>0.05).

Conclusions

The diaphragmatic US constitutes a reproducible method with acceptable inter-rater reliability for the measurement of inspiratory/expiratory thickness, and with little reliability for the measurement of DTF.

Keywords:
Ultrasonography
Diaphragm
Diaphragmatic excursion
Diaphragmatic thickening fraction
Reliability
Healthy volunteers
Resumen
Antecedentes y objetivo

Determinar la confiabilidad inter-evaluador en la medición ultrasonográfica (US) de la excursión diafragmática (ED) y la fracción de engrosamiento diafragmático (FED) realizada por profesionales de salud no médicos en voluntarios sanos.

Participantes y métodos

Estudio observacional prospectivo en un Hospital de tercer nivel en Cali, Colombia. Se realizaron mediciones a 30 voluntarios sanos escogidos mediante muestreo a conveniencia, sin antecedentes de enfermedades pulmonares, con edades entre los 18–60 años. Previamente se realizó una prueba piloto con 8 voluntarios sanos. Las mediciones US de ED, y FED se basaron en protocolos publicados anteriormente. Cada evaluador observaba independientemente varios ciclos de respiración tranquila normal durante 3 minutos para establecer una línea de base. Para evaluar la confiabilidad inter-evaluador en las mediciones de ED y FED se utilizó el Índice de Correlación Intraclase (ICC), con intervalos de confianza del 95% y un p<0,05.

Resultados

Se identificó concordancia sustancial en la medición de la ED en las ventanas esplénica y hepática debido a que el ICC fueron mayores a 0,6 (p<0,05). La medición de la FED en la ventana hepática mostró concordancia leve tanto en el modo 2D como en el modo M (p>0,05). En la ventana esplénica, la medición de la FED en el modo 2D se identificó concordancia regular y para el modo M se encontró una concordancia leve (p>0,05).

Conclusiones

La US diafragmática constituye un método reproducible con aceptable confiabilidad inter-evaluador, para la medición del grosor inspiratorio/espiratorio, y con confiabilidad pobre para la medición de FED.

Palabras clave:
Ultrasonografía
Diafragma
Excursión diafragmática
Fracción de engrosamiento diafragmático
Confiabilidad
Voluntarios sanos

Article

These are the options to access the full texts of the publication Revista Española de Anestesiología y Reanimación (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Española de Anestesiología y Reanimación (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Quizás le interese:
10.1016/j.redare.2022.01.003
No mostrar más