Study of correlation between forced vital capacity and demand for healthcare services in severe asthmatics.

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Multidisciplinary Respiratory Medicine Pub Date : 2015-07-22 eCollection Date: 2015-01-01 DOI:10.1186/s40248-015-0020-5

J F Castelluccio, R Stirbulov, E A Perez, J C M Oliveira, C F Donner, L V F Oliveira, Z Rasslan

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引用次数: 1

Abstract

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.

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重症哮喘患者用力肺活量与医疗服务需求的相关性研究。

背景:小气道的累及可能与严重程度的增加和对卫生保健服务需求的增加以及私人或医疗保健系统的高成本有关。由此引起的恶性通货膨胀减少了肺体积，如FVC、FEV1和SVC。本研究旨在探讨重症哮喘患者FVC、FEV1和SVC预测值与医疗服务需求的相关性。方法:回顾性分析98例危重期重症哮喘第4步治疗患者的病历资料，将患者最后一次呼吸量测定前一年就诊次数(以急诊、ICU和住院次数为代表)与FVC、FEV1和SVC的预测值相关联，按到达时间的先后顺序进行回顾性分析。结果:我们的样本显示FVC、FEV1和SVC预测值与医疗服务需求呈显著负相关。结论:对于这个样本，我们得出结论，肺活量的降低与哮喘严重程度相关，这是由急诊室、ICU和医院病房对护理的更大需求所定义的，在女性中更为明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multidisciplinary Respiratory Medicine Medicine-Pulmonary and Respiratory Medicine

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期刊介绍： Multidisciplinary Respiratory Medicine is the official journal of the Italian Respiratory Society - Società Italiana di Pneumologia (IRS/SIP). The journal publishes on all aspects of respiratory medicine and related fields, with a particular focus on interdisciplinary and translational research. The interdisciplinary nature of the journal provides a unique opportunity for researchers, clinicians and healthcare professionals across specialties to collaborate and exchange information. The journal provides a high visibility platform for the publication and dissemination of top quality original scientific articles, reviews and important position papers documenting clinical and experimental advances.