Perioperative medicine & outcomes
Ultrasound-detected postoperative diaphragmatic dysfunction and its association with pulmonary complications. A systematic review and meta-analysis
Pooled result · PPCsResult — go to the resultOdds ratio 2.99 95 % CI 2.01–4.45Authors' conclusion
Ultrasound-assessed postoperative diaphragmatic dysfunction is significantly associated with higher odds of postoperative pulmonary complications, including pneumonia, highlighting its clinical relevance at the bedside.
Study context
- Population
- Adults undergoing cardiac, thoracic or abdominal surgery19 studies
- Comparison
- Ultrasound-detected postoperative diaphragmatic dysfunction (PDD) vs no PDD
- Outcome
- Association between PDD and PPCs
Methodological detailsPRISMA, Methodological Index for Nonrandomized Studies (MINORS) quality assessment
- PRISMA
- MINORS quality assessment
Pooled result
PPCs
Odds ratio
2.99
95 % CI 2.01–4.45
PDD vs No PDD
OR 2.99 (95 % CI 2.01–4.45)
As reported in the abstract
Further pooled results
| Outcome | OR (95 % CI) | |
|---|---|---|
| PneumoniaLow heterogeneity | 5.41 (2.36–12.42) | |
| 0.050.21520Odds ratio (log scale) |
Original publication
Ultrasound-detected postoperative diaphragmatic dysfunction and its association with pulmonary complications. A systematic review and meta-analysis. J Clin Anesth. Published 1 October 2025. doi:10.
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