{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T02:29:06Z","timestamp":1793413746336,"version":"4.5.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pulm Med"],"DOI":"10.1186\/s12890-025-03567-3","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:26:10Z","timestamp":1760700370000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Predictive value analysis of diaphragmatic ultrasound evaluation for mechanical ventilation outcomes in patients with acute exacerbation of chronic obstructive pulmonary disease"],"prefix":"10.1186","volume":"25","author":[{"given":"Leilei","family":"Qu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenping","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiping","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"issue":"14","key":"3567_CR1","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1001\/jama.2019.11982","volume":"322","author":"H Aboumatar","year":"2019","unstructured":"Aboumatar H, Naqibuddin M, Chung S, et al. Effect of a Hospital-Initiated program combining transitional care and Long-term Self-management support on outcomes of patients hospitalized with chronic obstructive pulmonary disease: A randomized clinical trial. JAMA. 2019;322(14):1371\u201380.","journal-title":"JAMA"},{"issue":"10","key":"3567_CR2","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.1164\/rccm.202303-0505OC","volume":"208","author":"SL Pollard","year":"2023","unstructured":"Pollard SL, Siddharthan T, Hossen S, et al. Chronic obstructive pulmonary disease Self-Management in three Low- and Middle-Income countries: A pilot randomized trial. Am J Respir Crit Care Med. 2023;208(10):1052\u201362.","journal-title":"Am J Respir Crit Care Med"},{"issue":"20","key":"3567_CR3","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.1001\/jama.2022.20206","volume":"328","author":"M Ekstr\u00f6m","year":"2022","unstructured":"Ekstr\u00f6m M, Ferreira D, Chang S, et al. Effect of regular, Low-Dose, Extended-release morphine on chronic breathlessness in chronic obstructive pulmonary disease: the BEAMS randomized clinical trial. JAMA. 2022;328(20):2022\u201332.","journal-title":"JAMA"},{"issue":"23","key":"3567_CR4","doi-asserted-by":"publisher","first-page":"2275","DOI":"10.1001\/jama.2023.22295","volume":"330","author":"S Jabbour","year":"2023","unstructured":"Jabbour S, Fouhey D, Shepard S, et al. Measuring the impact of AI in the diagnosis of hospitalized patients: A randomized clinical vignette survey study. JAMA. 2023;330(23):2275\u201384.","journal-title":"JAMA"},{"issue":"1","key":"3567_CR5","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1186\/s12906-023-04238-8","volume":"23","author":"L Jiang","year":"2023","unstructured":"Jiang L, Li P, Shi J, et al. Effects of pulmonary-based qigong exercise in stable patients with chronic obstructive pulmonary disease: a randomized controlled trial. BMC Complement Med Ther. 2023;23(1):418.","journal-title":"BMC Complement Med Ther"},{"issue":"6","key":"3567_CR6","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1001\/jama.2024.8771","volume":"332","author":"G Devereux","year":"2024","unstructured":"Devereux G, Cotton S, Nath M, et al. Bisoprolol in patients with chronic obstructive pulmonary disease at high risk of exacerbation: the BICS randomized clinical trial. JAMA. 2024;332(6):462\u201370.","journal-title":"JAMA"},{"issue":"10","key":"3567_CR7","doi-asserted-by":"publisher","first-page":"1306","DOI":"10.1001\/jamainternmed.2020.3134","volume":"180","author":"CA Verberkt","year":"2020","unstructured":"Verberkt CA, Van Beuken-Van Everdingen D, Schols MHJ. Effect of Sustained-Release morphine for refractory breathlessness in chronic obstructive pulmonary disease on health status: A randomized clinical trial. JAMA Intern Med. 2020;180(10):1306\u201314.","journal-title":"JAMA Intern Med"},{"issue":"11","key":"3567_CR8","doi-asserted-by":"publisher","first-page":"2078","DOI":"10.1002\/ejhf.3000","volume":"25","author":"JH Butt","year":"2023","unstructured":"Butt JH, Lu H, Kondo T, et al. Heart failure, chronic obstructive pulmonary disease and efficacy and safety of Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction: insights from DELIVER. Eur J Heart Fail. 2023;25(11):2078\u201390.","journal-title":"Eur J Heart Fail"},{"issue":"5","key":"3567_CR9","doi-asserted-by":"publisher","first-page":"2361","DOI":"10.1002\/jcsm.13048","volume":"13","author":"J De Brandt","year":"2022","unstructured":"De Brandt J, Derave W, Vandenabeele F, et al. Efficacy of 12 weeks oral beta-alanine supplementation in patients with chronic obstructive pulmonary disease: a double-blind, randomized, placebo-controlled trial. J cachexia Sarcopenia Muscle. 2022;13(5):2361\u201372.","journal-title":"J cachexia Sarcopenia Muscle"},{"issue":"5","key":"3567_CR10","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1164\/rccm.202212-2287OC","volume":"208","author":"JP Allinson","year":"2023","unstructured":"Allinson JP, Vlies BH, Brill SE, et al. A Double-Blind, randomized, Placebo-controlled trial of Long-Term Doxycycline therapy on exacerbation rate in patients with stable chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2023;208(5):549\u201358.","journal-title":"Am J Respir Crit Care Med"},{"issue":"6","key":"3567_CR11","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1016\/j.chest.2022.07.026","volume":"162","author":"A Frei","year":"2022","unstructured":"Frei A, Radtke T, Dalla Lana K, et al. Effectiveness of a Long-term Home-Based exercise training program in patients with COPD after pulmonary rehabilitation: A multicenter randomized controlled trial. Chest. 2022;162(6):1277\u201386.","journal-title":"Chest"},{"key":"3567_CR12","doi-asserted-by":"publisher","first-page":"101418","DOI":"10.1016\/j.ctcp.2021.101418","volume":"44","author":"S Saka","year":"2021","unstructured":"Saka S, Gurses HN, Bayram M. Effect of inspiratory muscle training on dyspnea-related kinesiophobia in chronic obstructive pulmonary disease: A randomized controlled trial. Complement Ther Clin Pract. 2021;44:101418.","journal-title":"Complement Ther Clin Pract"},{"key":"3567_CR13","doi-asserted-by":"publisher","first-page":"102977","DOI":"10.1016\/j.ctim.2023.102977","volume":"78","author":"W Liu","year":"2023","unstructured":"Liu W, Liu XM, Huang YL, et al. Tai Chi as a complementary exercise for pulmonary rehabilitation in chronic obstructive pulmonary disease: A randomised controlled trial. Complement Ther Med. 2023;78:102977.","journal-title":"Complement Ther Med"},{"issue":"11","key":"3567_CR14","doi-asserted-by":"publisher","first-page":"1288","DOI":"10.1016\/S2213-2600(21)00167-3","volume":"9","author":"KF Rabe","year":"2021","unstructured":"Rabe KF, Celli BR, Wechsler ME, et al. Safety and efficacy of Itepekimab in patients with moderate-to-severe COPD: a genetic association study and randomised, double-blind, phase 2a trial. Lancet Respiratory Med. 2021;9(11):1288\u201398.","journal-title":"Lancet Respiratory Med"},{"issue":"5","key":"3567_CR15","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/S2213-2600(21)00556-7","volume":"10","author":"AJ Yousuf","year":"2022","unstructured":"Yousuf AJ, Mohammed S, Carr L, et al. Astegolimab, an anti-ST2, in chronic obstructive pulmonary disease (COPD-ST2OP): a phase 2a, placebo-controlled trial. Lancet Respiratory Med. 2022;10(5):469\u201377.","journal-title":"Lancet Respiratory Med"},{"issue":"12","key":"3567_CR16","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.1056\/NEJMoa2013219","volume":"383","author":"Y Lacasse","year":"2020","unstructured":"Lacasse Y, S\u00e9RI\u00e8S F, Corbeil F, et al. Randomized trial of nocturnal oxygen in chronic obstructive pulmonary disease. N Engl J Med. 2020;383(12):1129\u201338.","journal-title":"N Engl J Med"},{"issue":"13","key":"3567_CR17","doi-asserted-by":"publisher","first-page":"1173","DOI":"10.1056\/NEJMoa2204752","volume":"387","author":"MK Han","year":"2022","unstructured":"Han MK, Ye W, Wang D, et al. Bronchodilators in Tobacco-Exposed persons with symptoms and preserved lung function. N Engl J Med. 2022;387(13):1173\u201384.","journal-title":"N Engl J Med"},{"issue":"4","key":"3567_CR18","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1164\/rccm.201204-0596PP","volume":"187","author":"J Vestbo","year":"2013","unstructured":"Vestbo J, Hurd SS, Agust\u00ed AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2013;187(4):347\u201365.","journal-title":"Am J Respir Crit Care Med"},{"key":"3567_CR19","doi-asserted-by":"crossref","unstructured":"Rochwerg B, Brochard L, Elliott MW et al. Official ERS\/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J, 2017, 50(2).","DOI":"10.1183\/13993003.02426-2016"},{"issue":"1","key":"3567_CR20","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/S0895-4356(98)00140-1","volume":"52","author":"DO Clark","year":"1999","unstructured":"Clark DO, Kroenke K, Callahan CM, et al. Validity and utility of patient-reported health measures on hospital admission. J Clin Epidemiol. 1999;52(1):65\u201371.","journal-title":"J Clin Epidemiol"},{"issue":"22","key":"3567_CR21","doi-asserted-by":"publisher","first-page":"2061","DOI":"10.1056\/NEJMoa2401389","volume":"390","author":"SD Aaron","year":"2024","unstructured":"Aaron SD, Vandemheen KL, Whitmore GA, et al. Early diagnosis and treatment of COPD and Asthma - A randomized, controlled trial. N Engl J Med. 2024;390(22):2061\u201373.","journal-title":"N Engl J Med"},{"issue":"2","key":"3567_CR22","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1093\/ajcn\/nqac083","volume":"116","author":"R Rafiq","year":"2022","unstructured":"Rafiq R, Aleva FE, Schrumpf JA, et al. Vitamin D supplementation in chronic obstructive pulmonary disease patients with low serum vitamin D: a randomized controlled trial. Am J Clin Nutr. 2022;116(2):491\u20139.","journal-title":"Am J Clin Nutr"},{"issue":"4","key":"3567_CR23","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1111\/crj.13486","volume":"16","author":"Y Buran Cirak","year":"2022","unstructured":"Buran Cirak Y, Yilmaz Yelvar GD, Durustkan Elbasi N. Effectiveness of 12-week inspiratory muscle training with manual therapy in patients with COPD: A randomized controlled study. Clin Respir J. 2022;16(4):317\u201328.","journal-title":"Clin Respir J"},{"issue":"19\u201320","key":"3567_CR24","doi-asserted-by":"publisher","first-page":"3632","DOI":"10.1111\/jocn.14960","volume":"28","author":"FL Lin","year":"2019","unstructured":"Lin FL, Yeh ML, Lai YH, et al. Two-month breathing-based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study. J Clin Nurs. 2019;28(19\u201320):3632\u201340.","journal-title":"J Clin Nurs"},{"issue":"5","key":"3567_CR25","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1136\/thoraxjnl-2019-214246","volume":"75","author":"H Hansen","year":"2020","unstructured":"Hansen H, Bieler T, Beyer N, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax. 2020;75(5):413\u201321.","journal-title":"Thorax"},{"issue":"7","key":"3567_CR26","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1136\/thoraxjnl-2021-216934","volume":"77","author":"NS Cox","year":"2022","unstructured":"Cox NS, Mcdonald CF, Mahal A, et al. Telerehabilitation for chronic respiratory disease: a randomised controlled equivalence trial. Thorax. 2022;77(7):643\u201351.","journal-title":"Thorax"},{"issue":"12","key":"3567_CR27","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1164\/rccm.201911-2207OC","volume":"201","author":"DA Lipson","year":"2020","unstructured":"Lipson DA, Crim C, Criner GJ, et al. Reduction in All-Cause mortality with fluticasone Furoate\/Umeclidinium\/Vilanterol in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2020;201(12):1508\u201316.","journal-title":"Am J Respir Crit Care Med"},{"key":"3567_CR28","doi-asserted-by":"crossref","unstructured":"Gupta S. 8: Ultrasonographic assessment of diaphragmatic parameters for predicting weaning outcome in patients on mechanical ventilation in the intensive care unit setting. Indian Journal of Anaesthesia, 2022, 66(Suppl 1): S72-S73.","DOI":"10.4103\/0019-5049.340660"},{"issue":"9","key":"3567_CR29","doi-asserted-by":"publisher","first-page":"e021189","DOI":"10.1136\/bmjopen-2017-021189","volume":"8","author":"Z Qian","year":"2018","unstructured":"Qian Z, Yang M, Li L, et al. Ultrasound assessment of diaphragmatic dysfunction as a predictor of weaning outcome from mechanical ventilation: a systematic review and meta-analysis. BMJ Open. 2018;8(9):e021189.","journal-title":"BMJ Open"},{"issue":"5","key":"3567_CR30","doi-asserted-by":"publisher","first-page":"1213","DOI":"10.1016\/j.chest.2018.01.007","volume":"153","author":"A Palkar","year":"2018","unstructured":"Palkar A, Narasimhan M, Greenberg H, et al. Diaphragm excursion-time index: a new parameter using ultrasonography to predict extubation outcome. Chest. 2018;153(5):1213\u201320.","journal-title":"Chest"}],"container-title":["BMC Pulmonary Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12890-025-03567-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12890-025-03567-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12890-025-03567-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:26:12Z","timestamp":1760700372000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpulmmed.biomedcentral.com\/articles\/10.1186\/s12890-025-03567-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,17]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3567"],"URL":"https:\/\/doi.org\/10.1186\/s12890-025-03567-3","relation":{},"ISSN":["1471-2466"],"issn-type":[{"value":"1471-2466","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,17]]},"assertion":[{"value":"26 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the First People\u2019s Hospital of Baiyin City (GS-BY-009). Written informed consent was waived because of the retrospective design and the use of de-identified data.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable (no identifying images or personal data requiring individual consent).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"478"}}