Lídia Gomes, Samuel Pereira, Bernardo Sousa-Pinto, Cidália Rodrigues
{"title":"Performance of risk scores in patients with acute exacerbations of COPD.","authors":"Lídia Gomes, Samuel Pereira, Bernardo Sousa-Pinto, Cidália Rodrigues","doi":"10.36416/1806-3756/e20230032","DOIUrl":"10.36416/1806-3756/e20230032","url":null,"abstract":"<p><strong>Objective: </strong>Acute exacerbations of COPD (AECOPD) are common causes of hospitalization. Various scoring systems have been proposed to classify the risk of clinical deterioration or mortality in hospitalized patients with AECOPD. We sought to investigate whether clinical deterioration and mortality scores at admission can predict adverse events occurring during hospitalization and after discharge of patients with AECOPD.</p><p><strong>Methods: </strong>We performed a retrospective study of patients admitted with AECOPD. The National Early Warning Score 2 (NEWS2), the NEWS288-92%, the Dyspnea, Eosinopenia, Consolidation, Acidemia, and atrial Fibrillation (DECAF) score, and the modified DECAF (mDECAF) score were calculated at admission. We assessed the sensitivity, specificity, and overall performance of the scores for the following outcomes: in-hospital mortality; need for invasive mechanical ventilation or noninvasive ventilation (NIV); long hospital stays; hospital readmissions; and future AECOPD.</p><p><strong>Results: </strong>We included 119 patients admitted with AECOPD. The median age was 75 years, and 87.9% were male. The NEWS288-92% was associated with an 8.9% reduction in the number of individuals classified as requiring close, continuous observation, without an increased risk of death in the group of individuals classified as being low-risk patients. The NEWS288-92% and NEWS2 scores were found to be adequate in predicting the need for acute NIV and longer hospital stays. The DECAF and mDECAF scores were found to be better at predicting in-hospital mortality than the NEWS2 and NEWS288-92%.</p><p><strong>Conclusions: </strong>The NEWS288-92% safely reduces the need for clinical monitoring in patients with AECOPD when compared with the NEWS2. The NEWS2 and NEWS288-92% appear to be good predictors of the length of hospital stay and need for NIV, but they do not replace the DECAF and mDECAF scores as predictors of mortality.</p>","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10759966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71423823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Flavia Fonseca Fernandes1,2,3, Juliana Carvalho Ferreira1,4, Cecilia Maria Patino1,5
{"title":"Twelve tips to manage a research project—advice for the young investigator","authors":"Flavia Fonseca Fernandes1,2,3, Juliana Carvalho Ferreira1,4, Cecilia Maria Patino1,5","doi":"10.36416/1806-3756/e20230336","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230336","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136234009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adriana V B Faiçal1,2, Edna L Souza2, Regina Terse-Ramos2
{"title":"Family perception of a telehealth program for people with cystic fibrosis during the COVID-19 pandemic in northeastern Brazil","authors":"Adriana V B Faiçal1,2, Edna L Souza2, Regina Terse-Ramos2","doi":"10.36416/1806-3756/e20230242","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230242","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136316492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Alberto Neder1, Danilo Cortozi Berton2, Denis E O’Donnell1
{"title":"The role of the pulmonary function laboratory to assist in disease management: interstitial lung disease","authors":"José Alberto Neder1, Danilo Cortozi Berton2, Denis E O’Donnell1","doi":"10.36416/1806-3756/e20230312","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230312","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unveiling the great mimicker: a rare case of sarcoidosis","authors":"Mariana Argel1, Carla António1, Jorge Vale1","doi":"10.36416/1806-3756/e20230251","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230251","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fabio Eiti Nishibe Minamoto1,2, Guilherme Falleiros Mendes1, José Ribas Milanez de Campos1,2, Rodrigo Gobbo Garcia1, Ricardo Mingarini Terra1,2
{"title":"Robot-assisted thoracoscopic surgery resection of a ground-glass nodule in the right middle lobe","authors":"Fabio Eiti Nishibe Minamoto1,2, Guilherme Falleiros Mendes1, José Ribas Milanez de Campos1,2, Rodrigo Gobbo Garcia1, Ricardo Mingarini Terra1,2","doi":"10.36416/1806-3756/e20230150","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230150","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135169887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eduardo da Costa Herter1, Luiza Fernandes Xavier1, Paula Barros de Barros1, Sofia Prates da Cunha de Azevedo1, Magali Santos Lumertz1,2, Leonardo Araujo Pinto1,2
{"title":"Management of bronchiolitis and recurrent wheezing in preschoolers","authors":"Eduardo da Costa Herter1, Luiza Fernandes Xavier1, Paula Barros de Barros1, Sofia Prates da Cunha de Azevedo1, Magali Santos Lumertz1,2, Leonardo Araujo Pinto1,2","doi":"10.36416/1806-3756/e20230298","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230298","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135218547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeadran Malagón-Rojas1, Yesith Toloza1, Alvaro J. Idrovo2, Jürg Niederbacher-Velazquez3
{"title":"Initial insights on vaping-associated illnesses in Colombia: evidence for action","authors":"Jeadran Malagón-Rojas1, Yesith Toloza1, Alvaro J. Idrovo2, Jürg Niederbacher-Velazquez3","doi":"10.36416/1806-3756/e20230130","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230130","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135569588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jose Daniel Gómez-Olivas1, Grace Oscullo1, Miguel Ángel Martínez-García1,2
{"title":"Idiopathic bronchiectasis. What are we talking about?","authors":"Jose Daniel Gómez-Olivas1, Grace Oscullo1, Miguel Ángel Martínez-García1,2","doi":"10.36416/1806-3756/e20230249","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230249","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135728678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Questionnaires and risk scores: how to transform research projects into practical tools","authors":"Frederico Leon Arrabal Fernandes1","doi":"10.36416/1806-3756/e20230302","DOIUrl":"https://doi.org/10.36416/1806-3756/e20230302","url":null,"abstract":"","PeriodicalId":14845,"journal":{"name":"Jornal Brasileiro De Pneumologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135728565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}