重度哮喘患者用力肺活量与医疗服务需求之间的相关性研究。
Study of correlation between forced vital capacity and demand for healthcare services in severe asthmatics.
作者信息
Castelluccio J F, Stirbulov R, Perez E A, Oliveira J C M, Donner C F, Oliveira L V F, Rasslan Z
机构信息
Assistant Professor Internal Medicine Department, Santa Casa School of Medicine and Hospitals of São Paulo, São Paulo (SP), Brazil.
Associate Professor Internal Medicine Department - Pneumology, Santa Casa School of Medicine and Hospitals of São Paulo, São Paulo (SP), Brazil.
出版信息
Multidiscip Respir Med. 2015 Jul 22;10(1):22. doi: 10.1186/s40248-015-0020-5. eCollection 2015.
BACKGROUND
Involvement of the small airways may be related to increased severity and increased demand for health care services and incurring in high costs, private or for the healthcare system. The hyperinflation consequent to this involvement reduces lung volumes, such as FVC, FEV1 and SVC. The aim of this study was to evaluate the correlation between the predicted values of FVC, FEV1 and SVC with the demand for healthcare services by severe asthmatics.
METHODS
We retrospectively evaluated in order of arrival, the medical records of 98 patients with severe asthma, in step 4 treatment in the intercritical period of the disease, correlating the number of times each patient sought health care services represented by admissions to the ER, ICU and hospital wards due to asthma, in the year before the last spirometry and the predicted values of FVC, FEV1 and SVC.
RESULTS
Our sample showed a clear and significant negative correlation between the predicted values of FVC, FEV1 and SVC and demand for healthcare services.
CONCLUSION
For this sample we conclude, that reduced forced vital capacity correlated with asthma severity, defined by greater demand for care in the ER, ICU and hospital ward and was more evident in women.
背景
小气道受累可能与病情严重程度增加、医疗服务需求增加以及高昂的私人或医疗系统成本有关。这种受累导致的肺过度充气会降低肺容积，如用力肺活量（FVC）、第1秒用力呼气容积（FEV1）和慢肺活量（SVC）。本研究的目的是评估重度哮喘患者FVC、FEV1和SVC的预测值与医疗服务需求之间的相关性。
方法
我们回顾性地按就诊顺序评估了98例重度哮喘患者在疾病缓解期第4步治疗时的病历，将每位患者因哮喘到急诊室、重症监护病房（ICU）和医院病房住院所代表的寻求医疗服务的次数，与最后一次肺功能检查前一年的FVC、FEV1和SVC预测值进行关联。
结果
我们的样本显示FVC、FEV1和SVC的预测值与医疗服务需求之间存在明显且显著的负相关。
结论
对于该样本，我们得出结论，用力肺活量降低与哮喘严重程度相关，哮喘严重程度由在急诊室、ICU和医院病房更高的护理需求定义，且在女性中更明显。
Zotero 插件