FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4311698899> ?p ?o ?g. }

• W4311698899 abstract "<h3>Introduction</h3> A number of series have reported on the use of minimally invasive diaphragmatic plication (MI-DP), but very little is reported on patients with diaphragmatic paralysis who do not undergo surgery. We reviewed all patients referred to us for consideration of MI-DP to gain insight into the epidemiology and natural history of the disease, and how this may influence surgical decision-making. <h3>Methods</h3> We retrospectively reviewed all patients referred for consideration of MIS-DP from April 2017 to May 2022 to analyse demographic, clinical and radiographic data. In all cases, before surgery was performed, there was a minimum 18-month observation policy from first documented evidence of paralysis. <h3>Results</h3> 58 patients were referred and screened. Demographics, aetiology, symptoms, physiological and radiological aspects are summarised in table 1. Radiological and/or symptomatic evidence of diaphragmatic paralysis was present for a median of 20 months (3–134) from onset to first surgical assessment. 15 patients (26%) underwent MIS-DP (M:F 8:7, median age 56, 22–77); symptomatic improvement was achieved in 14 (98%). 15 patients (26%) remained under review. 28 patients (48%) were rejected for surgery (reasons also reported in table 1). Of these, 8 were rejected due to symptomatic improvement, while 5 showed spontaneous recovery at a later stage after being turned down. In this subgroup (n=13, 22%), median time from onset to recovery was 32 months (21–68). Patients were more predominantly male (84%), younger (median 52), had slightly higher FEV1 (median 74%) and FVC (median 78%). Despite VC drop >15% being more frequent (46%), presence of paradoxical movement was less likely (23% only). The proportion of patients with severe symptoms was however similar, as it was radiological severity on CXR, laterality and distribution of aetiology. <h3>Conclusion</h3> Diaphragmatic paralysis is a complex condition for which spontaneous recovery is not uncommon and surgery is indicated in select cases. A multidimensional assessment is required as no single aspect alone seems able to predict evolution. Our results support the continuation of a judicious 18-month minimum observation policy, which could merit extension for certain patients." @default.
• W4311698899 created "2022-12-28" @default.
• W4311698899 creator A5053827480 @default.
• W4311698899 creator A5081115394 @default.
• W4311698899 date "2022-11-01" @default.
• W4311698899 modified "2023-10-17" @default.
• W4311698899 title "P110 The untold tale of diaphragmatic paralysis: epidemiology, natural history and decision-making for surgical repair" @default.
• W4311698899 doi "https://doi.org/10.1136/thorax-2022-btsabstracts.246" @default.
• W4311698899 hasPublicationYear "2022" @default.
• W4311698899 type Work @default.
• W4311698899 citedByCount "0" @default.
• W4311698899 crossrefType "proceedings-article" @default.
• W4311698899 hasAuthorship W4311698899A5053827480 @default.
• W4311698899 hasAuthorship W4311698899A5081115394 @default.
• W4311698899 hasConcept C107130276 @default.
• W4311698899 hasConcept C126322002 @default.
• W4311698899 hasConcept C137627325 @default.
• W4311698899 hasConcept C141071460 @default.
• W4311698899 hasConcept C142724271 @default.
• W4311698899 hasConcept C144024400 @default.
• W4311698899 hasConcept C149923435 @default.
• W4311698899 hasConcept C163276114 @default.
• W4311698899 hasConcept C167135981 @default.
• W4311698899 hasConcept C187212893 @default.
• W4311698899 hasConcept C190892606 @default.
• W4311698899 hasConcept C20463939 @default.
• W4311698899 hasConcept C204787440 @default.
• W4311698899 hasConcept C2776970450 @default.
• W4311698899 hasConcept C2779618896 @default.
• W4311698899 hasConcept C2780084366 @default.
• W4311698899 hasConcept C71924100 @default.
• W4311698899 hasConceptScore W4311698899C107130276 @default.
• W4311698899 hasConceptScore W4311698899C126322002 @default.
• W4311698899 hasConceptScore W4311698899C137627325 @default.
• W4311698899 hasConceptScore W4311698899C141071460 @default.
• W4311698899 hasConceptScore W4311698899C142724271 @default.
• W4311698899 hasConceptScore W4311698899C144024400 @default.
• W4311698899 hasConceptScore W4311698899C149923435 @default.
• W4311698899 hasConceptScore W4311698899C163276114 @default.
• W4311698899 hasConceptScore W4311698899C167135981 @default.
• W4311698899 hasConceptScore W4311698899C187212893 @default.
• W4311698899 hasConceptScore W4311698899C190892606 @default.
• W4311698899 hasConceptScore W4311698899C20463939 @default.
• W4311698899 hasConceptScore W4311698899C204787440 @default.
• W4311698899 hasConceptScore W4311698899C2776970450 @default.
• W4311698899 hasConceptScore W4311698899C2779618896 @default.
• W4311698899 hasConceptScore W4311698899C2780084366 @default.
• W4311698899 hasConceptScore W4311698899C71924100 @default.
• W4311698899 hasLocation W43116988991 @default.
• W4311698899 hasOpenAccess W4311698899 @default.
• W4311698899 hasPrimaryLocation W43116988991 @default.
• W4311698899 hasRelatedWork W1971284532 @default.
• W4311698899 hasRelatedWork W1993502338 @default.
• W4311698899 hasRelatedWork W2002869193 @default.
• W4311698899 hasRelatedWork W2023294910 @default.
• W4311698899 hasRelatedWork W2043315439 @default.
• W4311698899 hasRelatedWork W2099809880 @default.
• W4311698899 hasRelatedWork W2333879843 @default.
• W4311698899 hasRelatedWork W4254049566 @default.
• W4311698899 hasRelatedWork W4311698899 @default.
• W4311698899 hasRelatedWork W78669680 @default.
• W4311698899 isParatext "false" @default.
• W4311698899 isRetracted "false" @default.
• W4311698899 workType "article" @default.