دورية أكاديمية

The Use of Ultrasound as a Tool to Evaluate Pulmonary Disease in Cystic Fibrosis.

التفاصيل البيبلوغرافية
العنوان: The Use of Ultrasound as a Tool to Evaluate Pulmonary Disease in Cystic Fibrosis.
المؤلفون: Peixoto AO; Department of Pediatrics andressa_op@hotmail.com fernando.marson@usf.edu.br.; Laboratory of Pulmonary Physiology, Center for Pediatrics Investigation.; Urgent and Emergency Care Unit, Hospital de Clínicas., Marson FA; Department of Pediatrics andressa_op@hotmail.com fernando.marson@usf.edu.br.; Laboratory of Pulmonary Physiology, Center for Pediatrics Investigation.; Department of Medical Genetics and Genomic Medicine, University of Campinas, Campinas, São Paulo, Brazil and Laboratory of Medical and Human Genetics, Post Graduate Program in Health Science, São Francisco University, São Paulo, Brazil., Dertkigil SS; Department of Radiology., Dertkigil RP; Department of Radiology., Souza TH; Department of Pediatrics.; Pediatric Intensive Care Unit, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil., Fraga AM; Department of Pediatrics.; Urgent and Emergency Care Unit, Hospital de Clínicas., Ribeiro AF; Department of Pediatrics., Toro AA; Department of Pediatrics.; Laboratory of Pulmonary Physiology, Center for Pediatrics Investigation., Ribeiro JD; Department of Pediatrics.; Laboratory of Pulmonary Physiology, Center for Pediatrics Investigation.; Urgent and Emergency Care Unit, Hospital de Clínicas.
المصدر: Respiratory care [Respir Care] 2020 Mar; Vol. 65 (3), pp. 293-303. Date of Electronic Publication: 2019 Oct 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Daedalus Enterprises for the American Association for Respiratory Therapy Country of Publication: United States NLM ID: 7510357 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1943-3654 (Electronic) Linking ISSN: 00201324 NLM ISO Abbreviation: Respir Care Subsets: MEDLINE
أسماء مطبوعة: Publication: <1983-> : Dallas, TX : Daedalus Enterprises for the American Association for Respiratory Therapy
Original Publication: Philadelphia : Lippincott, c1971-
مواضيع طبية MeSH: Cystic Fibrosis/*diagnostic imaging , Lung/*diagnostic imaging, Adolescent ; Child ; Female ; Forced Expiratory Volume ; Humans ; Linear Models ; Male ; Respiratory Function Tests ; Spirometry ; Tomography, X-Ray Computed ; Ultrasonography ; Young Adult
مستخلص: Background: Lung ultrasound is an examination that allows the assessment of pulmonary involvement by analyzing artifacts. Our primary aim was to correlate our lung ultrasound findings with pulmonary function and the modified Bhalla score in patients with cystic fibrosis.
Methods: Subjects with cystic fibrosis were evaluated based on the results of lung ultrasound, pulmonary function exams (ie, spirometry before and after the use of a bronchodilator and S pO 2 ), and the modified Bhalla score. The partial correlation set by age between lung ultrasound, pulmonary function, and modified Bhalla score was carried out. Lung ultrasound was graded according to a new score, ranging from 0 to 36, with a higher score being associated with a greater degree of involvement. We performed Bland-Altman and linear regression analysis to identify bias between lung ultrasound and modified Bhalla score. Alpha = 0.05.
Results: 18 subjects with cystic fibrosis were included. In partial correlation controlled by age, we observed significant ultrasound score values with weight (partial correlation = -0.579), body mass index (partial correlation = -0.609), S pO 2 (partial correlation = -0.728), FVC% (pre-bronchodilator: partial correlation = -0.538; post-bronchodilator: partial correlation = -0.560), FEV 1 % (pre-bronchodilator: partial correlation = -0.536; post-bronchodilator: partial correlation = -0.546), and modified Bhalla score (partial correlation = 0.607). We did not identify bias between lung ultrasound and modified Bhalla score measured by z -score.
Conclusions: Lung ultrasound seems to be effective and corroborates with high-resolution computed tomography when evaluated by the modified Bhalla score. At the same time, lung ultrasound had significant correlation with pulmonary function and nutritional status.
(Copyright © 2020 by Daedalus Enterprises.)
فهرسة مساهمة: Keywords: CFTR; cystic fibrosis; diagnostic imaging; pulmonary disease; tomography; ultrasonic diagnosis; ultrasound
تواريخ الأحداث: Date Created: 20191010 Date Completed: 20201223 Latest Revision: 20201223
رمز التحديث: 20240628
DOI: 10.4187/respcare.07038
PMID: 31594833
قاعدة البيانات: MEDLINE
الوصف
تدمد:1943-3654
DOI:10.4187/respcare.07038