Turkish Thoracic Journal最新文献

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Evaluation of Treatment Efficacy of Tyrosine Kinase Inhibitors in Rare Single EGFR Exon 21 L861Q Mutation: Single Center Experience. 评价酪氨酸激酶抑制剂治疗罕见的EGFR外显子21 L861Q突变的疗效:单中心经验。
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-07-01 DOI: 10.5152/TurkThoracJ.2022.21270
Pınar Gürsoy, Burcu Çakar, Sercan Ön, Erdem Göker, Deniz Nart
{"title":"Evaluation of Treatment Efficacy of Tyrosine Kinase Inhibitors in Rare Single EGFR Exon 21 L861Q Mutation: Single Center Experience.","authors":"Pınar Gürsoy,&nbsp;Burcu Çakar,&nbsp;Sercan Ön,&nbsp;Erdem Göker,&nbsp;Deniz Nart","doi":"10.5152/TurkThoracJ.2022.21270","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2022.21270","url":null,"abstract":"<p><strong>Objective: </strong>Epidermal growth factor receptor mutations are the second most common oncogenic driver event in non-small cell lung cancer. We aimed to compare the first generation erlotinib treatment with the second generation afatinib treatment in patients with non- small cell lung cancer with epidermal growth factor receptor exon 21 L861Q mutation.</p><p><strong>Material and methods: </strong>Progression-free survival and overall survival of 30 non-small cell lung cancer patients treated with erlo- tinib or afatinib due to single epidermal growth factor receptor L861Q positivity were compared retrospectively. The number of patients included in the first, second, and third treatment line was 15 (50.0%), 11 (36.7%), and 4 (13.3%), respectively.</p><p><strong>Results: </strong>There were 23 patients in the erlotinib arm and 7 patients in the afatinib arm. Median progression-free survival was 12.8 months in the erlotinib group and 9.3 months in the afatinib group. Median overall survival in erlotinib and afatinib groups was 77.9 months and 30.3 months, respectively. No statistically significant difference was found in the comparison of these survival times.</p><p><strong>Conclusion: </strong>Survival times of erlotinib and afatinib treatment are similar in patients with a single epidermal growth factor receptor L861Q mutation. In patients receiving tyrosine kinase inhibitors treatment, the female gender has a positive effect on progression-free survival, and being a non-smoker has a positive effect on overall survival. In patients with rare mutation exon 21 L861Q positivity, both first-generation and second-generation tyrosine kinase inhibitors should be considered.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 4","pages":"290-295"},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/f1/ttj-23-4-290.PMC9361298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40617842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is obesity paradox valid for critically-ill COVID-19 patients with respiratory failure? 肥胖悖论是否适用于伴有呼吸衰竭的COVID-19危重患者?
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-07-01 DOI: 10.5152/TurkThoracJ.2022.21139
Havva Sezer, Hande Bulut Canbaz, Fatma Yurdakul, Boğaç Özserezli, Dilek Yazıcı
{"title":"Is obesity paradox valid for critically-ill COVID-19 patients with respiratory failure?","authors":"Havva Sezer,&nbsp;Hande Bulut Canbaz,&nbsp;Fatma Yurdakul,&nbsp;Boğaç Özserezli,&nbsp;Dilek Yazıcı","doi":"10.5152/TurkThoracJ.2022.21139","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2022.21139","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to analyze the association between body mass index and mortality in patients with coronavirus disease 2019 induced acute respiratory distress syndrome.</p><p><strong>Material and methods: </strong>In this retrospective cohort study, we analyzed 108 consecutive patients admitted in the intensive care unit for coronavirus disease 2019-induced lung disease in a single center between March 2020 and February 2021. Coronavirus disease 2019 infection was confirmed by real-time reverse transcription-polymerase chain reaction assay of nasal swabs or lower respiratory tract samples. Acute respiratory distress syndrome was defined using Berlin criteria. Acute respiratory distress syndrome severity was assessed with partial pressure of arterial oxygen/fraction of inspired oxygen ratio. We categorized patients according to the body mass index as underweight, <18.5 kg/m2; normal weight, from 18.5 kg/m2 to <25 kg/m2; overweight, from 25 kg/m2 to <30 kg/m2; obese, ≥30 kg/m2. Clinical characteristics and mortality were compared among groups. Demographic and clinical data were collected from electronic medical records of the hospital system.</p><p><strong>Results: </strong>The mean age was 67.3 ± 13.3 years. Study participants were predominantly males (66.7%). The mean BMI was 28.2 ± 5.6 kg/m2. There were 2 patients (2%), 28 (26%), 42 (39%), and 36 patients (33%) in the underweight, normal-weight, overweight, and obese groups, respectively. The hospital mortality was 40.7%. There was no association between body mass index and mortality (P = .09). In multivariate analysis, mortality was associated with the presence of cancer [odds ratio = 7.338 (1.636-32.914), P = .009], and time between diagnosis and intubation [odds ratio = 1.318 (1.150-1.509), P ≤ .001].</p><p><strong>Conclusion: </strong>Neither acute respiratory distress syndrome severity nor mortality was higher in patients with higher body mass index compared to the ones with normal body mass index.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 4","pages":"268-276"},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/75/ttj-23-4-268.PMC9361167.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40594897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Diagnostic Value of Radiographic Characteristics of Mediastinal and Hilar Lymph Nodes in Sarcoidosis. 纵隔及肺门淋巴结影像学特征对结节病的诊断价值。
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-07-01 DOI: 10.5152/TurkThoracJ.2022.21254
Olcay Ayçiçek, Yılmaz Bülbül, Funda Öztuna, Tevfik Özlu, Selçuk Akkaya
{"title":"Diagnostic Value of Radiographic Characteristics of Mediastinal and Hilar Lymph Nodes in Sarcoidosis.","authors":"Olcay Ayçiçek,&nbsp;Yılmaz Bülbül,&nbsp;Funda Öztuna,&nbsp;Tevfik Özlu,&nbsp;Selçuk Akkaya","doi":"10.5152/TurkThoracJ.2022.21254","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2022.21254","url":null,"abstract":"<p><strong>Objective: </strong>In this study, it was aimed to investigate the diagnostic value of thorax computed tomography, which is a non-invasive method, in diagnosing sarcoidosis.</p><p><strong>Materials and methods: </strong>In our Faculty of Medicine, Department of Chest Diseases between January 1, 2013, and July 1, 2019, the data of 816 patients who underwent endobronchial ultrasonography for mediastinal lymph node sampling and other sampling methods, such as mediastinoscopy, thoracotomy, etc., if the histopathological diagnosis could not be reached, were retrospectively screened and 192 patients (sarcoidosis: 62, non-sarcoidosis: 130 patients) who met the inclusion criteria were included in the study. Patients diagnosed with sarcoidosis and patients diagnosed with non-sarcoidosis were compared in terms of thorax computed tomography findings (medi- astinal lymph nodes and lung parenchymal involvement).</p><p><strong>Results: </strong>Right upper paratracheal (72.6 vs. 46.9%, P = .001) and paraaortic lymph node involvement (79.0% vs. 60.8%, P = .01), hilar symmetry (88.5 vs. 58.3%, P < .001), and homogeneity in lymph nodes (80.6% vs. 56.9%, P = .001) were found to be significantly higher in the sarcoidosis group. Lymph node sizes were smaller in the sarcoidosis group and the mean density (51.3 Hounsfield unit vs. 44.1 Hounsfield unit, P = .002) was significantly higher. In the multivariate logistic regression analysis, the presence of homogeneity in the lymph nodes is 4.3-fold more likely to increase sarcoidosis, the presence of hilar symmetry 9.1-fold, the involvement of the right lower paratracheal lymph node 2.7-fold, the mean lymphadenopathy density >48 Hounsfield unit 4.3-fold, the maximum diameter of lymphadenopathy less than 27.5 mm 4.7-fold.</p><p><strong>Conclusion: </strong>This study revealed that the localization, size, density, and homogeneity of mediastinal lymph nodes will help clinicians to diagnose patients with sarcoidosis without using invasive methods.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 4","pages":"284-289"},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/2d/ttj-23-4-284.PMC9361305.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40617841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum. 勘误表。
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-07-01 DOI: 10.5152/TurkThoracJ.2022.1
{"title":"Erratum.","authors":"","doi":"10.5152/TurkThoracJ.2022.1","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2022.1","url":null,"abstract":"","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 4","pages":"306"},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/44/ttj-23-4-306.PMC9361301.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40617844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening for Subclinical Interstitial Lung Disease in Rheumatoid Arthritis Patients: Functional and Radiological Methods. 类风湿关节炎患者亚临床间质性肺疾病的筛查:功能和放射学方法。
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-07-01 DOI: 10.5152/TurkThoracJ.2022.21263
Heba Wagih Abdelwahab, Nesrein M Shalabi, Mahitab Mohamed Rashad Ghoneim, Nesrine Saad Farrag, Fatma Hamdy, Fatma Elhoseiny, Raed Elmetwally Ali
{"title":"Screening for Subclinical Interstitial Lung Disease in Rheumatoid Arthritis Patients: Functional and Radiological Methods.","authors":"Heba Wagih Abdelwahab,&nbsp;Nesrein M Shalabi,&nbsp;Mahitab Mohamed Rashad Ghoneim,&nbsp;Nesrine Saad Farrag,&nbsp;Fatma Hamdy,&nbsp;Fatma Elhoseiny,&nbsp;Raed Elmetwally Ali","doi":"10.5152/TurkThoracJ.2022.21263","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2022.21263","url":null,"abstract":"<p><strong>Objective: </strong>Interstitial lung disease is the most frequent lung symptom of rheumatoid arthritis and is a significant contributor to morbid- ity. As a result, the target of this research was to measure the frequency of radiological and functional abnormalities in rheumatoid arthritis patients who did not have any respiratory symptoms.</p><p><strong>Material and methods: </strong>This study consists of 30 patients diagnosed with rheumatoid arthritis. All involved cases were exposed to entire history taking and clinical examination. All patients were examined by high-resolution computed tomography and pulmonary function tests.</p><p><strong>Results: </strong>According to the computed tomography visual score, 73.3% showed interstitial lung disease. The most common abnormalities were reticular patterns (46.7%) followed by nodular patterns (40%) and septal lines (23.3%). However, 36% of the patients had a normal pulmonary function, while 32% had a small airway affection, 20% had restrictive lung disease, and 12% had obstructive lung disease. A significant association was found between supine expiratory volume and computed tomography visual score. Results showed no associa- tion between interstitial lung disease and all lung function test parameters.</p><p><strong>Conclusion: </strong>Subclinical interstitial lung disease is frequent among rheumatoid arthritis patents. A combination of pulmonary func- tion tests with computed tomography is essential to enhance the recognition of subclinical interstitial lung disease as normal pulmonary function alone cannot exclude its presence.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 4","pages":"261-267"},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/3f/ttj-23-4-261.PMC9361088.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40594896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit. 三级儿科重症监护病房重症儿童机械通气不良事件的发生率。
IF 0.8
Turkish Thoracic Journal Pub Date : 2022-07-01 DOI: 10.5152/TurkThoracJ.2022.21253
Capan Konca, Mehmet Tekin, Ahmet Kucuk
{"title":"Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit.","authors":"Capan Konca, Mehmet Tekin, Ahmet Kucuk","doi":"10.5152/TurkThoracJ.2022.21253","DOIUrl":"10.5152/TurkThoracJ.2022.21253","url":null,"abstract":"<p><strong>Objective: </strong>Despite the clinical use of mechanical ventilation having well-documented benefits, it can be associated with complica- tions and adverse physiological effects that can impact mortality rates. There are few studies that examine complications associated with mechanical ventilation in children and the factors associated with complications in detail. This study aimed to investigate adverse events associated with mechanical ventilation in pediatric patients and to compare the epidemiology of complications associated with mechanical ventilation.</p><p><strong>Material and methods: </strong>The medical records of patients in a tertiary care pediatric intensive care unit who were mechanically ventilated between January 1, 2013, and July 31, 2017, were evaluated.</p><p><strong>Results: </strong>A total of 187 patients were included in the study, 105 boys (56.1%) and 82 girls (43.9%), and 45 (24.1%) patients experienced complications. The total number of mechanical ventilation days was 1100. Atelectasis (12.3%), post-extubation stridor (8.5%), ventilator- associated pneumonia (5.4%), and pneumothorax (5.4%) were most commonly observed complications.</p><p><strong>Conclusion: </strong>Complications of mechanical ventilation in the pediatric population still occur frequently. In this study, the incidence of atelectasis was high, and also, incidences of ventilator-associated pneumonia and pneumothorax were low.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 4","pages":"277-283"},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/33/9b/ttj-23-4-277.PMC9361204.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40617840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coexistence of Multiple Pulmonary Sclerosing Pneumocytoma and Scleroderma-Rheumatoid Arthritis Overlap Syndrome: A Case Report. 多发性肺硬化性肺细胞瘤与硬皮病-类风湿关节炎重叠综合征共存1例报告。
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-07-01 DOI: 10.5152/TurkThoracJ.2022.21273
Hülya Abalı, Fatma Tokgöz Akyıl, Seda Tural Önür, Neslihan Akanıl Fener, Aysun Ölçmen
{"title":"Coexistence of Multiple Pulmonary Sclerosing Pneumocytoma and Scleroderma-Rheumatoid Arthritis Overlap Syndrome: A Case Report.","authors":"Hülya Abalı,&nbsp;Fatma Tokgöz Akyıl,&nbsp;Seda Tural Önür,&nbsp;Neslihan Akanıl Fener,&nbsp;Aysun Ölçmen","doi":"10.5152/TurkThoracJ.2022.21273","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2022.21273","url":null,"abstract":"<p><p>Pulmonary sclerosing pneumocytoma is a rare, low-grade pulmonary tumor observed as unilateral or bilateral multiple nodules at a rate of 4%-5%. Among the autoimmune connective tissue disorders, those most commonly associated with lung malignancies are sclero- derma and rheumatoid arthritis. In this study, we report a rare case of a 55-year-old middle-aged Asian woman with slow-growing bilat- eral multiple pulmonary sclerosing pneumocytoma and scleroderma-rheumatoid arthritis overlap syndrome. The autoimmune disorders and pulmonary fibrosis of this case might have led to the development of PSP.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 4","pages":"302-305"},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2e/24/ttj-23-4-302.PMC9361127.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40613990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Lifestyle Changes and Exacerbation Frequency of COPD in Times of the Pandemic. 大流行时期生活方式的改变与慢性阻塞性肺病的恶化频率。
IF 0.8
Turkish Thoracic Journal Pub Date : 2022-05-01 DOI: 10.5152/TurkThoracJ.2022.21165
Fatma Tokgöz Akyıl, Seda Tural Önür, Sinem Sökücü, Hülya Abalı, Neslihan Boyracı, Elif Çayır, Sedat Altın
{"title":"Lifestyle Changes and Exacerbation Frequency of COPD in Times of the Pandemic.","authors":"Fatma Tokgöz Akyıl, Seda Tural Önür, Sinem Sökücü, Hülya Abalı, Neslihan Boyracı, Elif Çayır, Sedat Altın","doi":"10.5152/TurkThoracJ.2022.21165","DOIUrl":"10.5152/TurkThoracJ.2022.21165","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to analyze chronic obstructive pulmonary disease exacerbation rates and the effect of patients' behavioral changes on the exacerbations during the pandemic.</p><p><strong>Material and methods: </strong>This study was conducted in a reference hospital for chest diseases and patients who were hospitalized with an exacerbation of chronic obstructive pulmonary disease between March 11, 2019, and March 11, 2020, were designated. Patients' chronic obstructive pulmonary disease exacerbations requiring emergency department visits and/or hospitalization were com- pared between the pre-pandemic and pandemic periods. Each patient was surveyed with 25 questions using telemedicine.</p><p><strong>Results: </strong>Of all the 256 patients, 203 (79%) were male and the mean age was 66 ± 10 years. Compared to the previous year, emer- gency department visits and hospitalizations in our hospital were significantly lower and less frequent (P < .0001, for both). Smoking habits decreased in 9% of patients, and 60% had hardly spent time outdoors. Only 3 patients reported to spend time indoors. The household mask-use rate while contacting the patient was 50%. As a chronic obstructive pulmonary disease patient, 33% expressed themselves as \"feeling better.\" Overall, 92(36%) patients were recorded not to have any exacerbation, and 34 (13%) to have no attacks of worsening were managed at home. Novel exacerbation risk was found to independently correlate with younger age (odds ratio: 0.944, CI: 0.904-0.986, P = .010) and having more frequent episodes of exacerbation in the pre-pandemic period (odds ratio: 1.2, CI: 1.025-1.405, P = .023).</p><p><strong>Conclusion: </strong>Chronic obstructive pulmonary disease patients specifically benefited from confinements, restrictions, and lifestyle changes. Further studies are needed to better identify the most critical factors leading to these positive outcomes. A permanent patient management guideline for chronic obstructive pulmonary disease patients could be formulated where the weight of lifestyle factors is elevated.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 3","pages":"210-217"},"PeriodicalIF":0.8,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/33/ttj-23-3-210.PMC9450222.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Predictive Role of Psychological Status and Disease Severity Indexes on Quality of Life Among Patients with Non-CF Bronchiectasis. 心理状态及疾病严重程度指标对非cf支气管扩张患者生活质量的预测作用。
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-01-01 DOI: 10.5152/TurkThoracJ.2021.21142
Berrin Ceyhan, Melahat Bekir, Derya Kocakaya, Sehnaz Olgun Yildizeli, Semiha Emel Eryuksel
{"title":"The Predictive Role of Psychological Status and Disease Severity Indexes on Quality of Life Among Patients with Non-CF Bronchiectasis.","authors":"Berrin Ceyhan,&nbsp;Melahat Bekir,&nbsp;Derya Kocakaya,&nbsp;Sehnaz Olgun Yildizeli,&nbsp;Semiha Emel Eryuksel","doi":"10.5152/TurkThoracJ.2021.21142","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2021.21142","url":null,"abstract":"<p><strong>Objective: </strong>Bronchiectasis is a chronic suppurative lung disease that significantly impacts the patients' quality of life. Aim of this study is to evaluate the relationship between life of quality and patient's psychological status and bronchiectasis disease severity indexes in patients with non-Cystic Fibrosis (CF) bronchiectasis. We also aimed to investigate the validity and reliability of Turkish version of Quality-of-Life Questionnaire-Bronchiectasis (QoL-B V3.1) in Turkish adult bronchiectatic patients.</p><p><strong>Material and methods: </strong>90 stable non-CF bronchiectatic adult patients were enrolled into this study. At baseline, dyspnea score, BMI, lung function tests, sputum cultures, number of exacerbations and hospital admissions, disease severity indexes were recorded. All of the participants underwent quality of life assessment using both QoL-B V3.1 and of Short-Form (SF)-36 questionnaires, psychological status was evaluated by using HADS (Hospital Anxiety and Depression Scale).</p><p><strong>Results: </strong>In all study participants, anxiety was diagnosed in 27/90 (30%) of patients and depression was diagnosed in 37/90 (41%) of patients. Patients with anxiety and depression had lower quality of life scores in various domains (p:0.026-p:0.001) and HADS scores negatively correlated with several quality-of-life domains (r=-0.216 - r=- 0.343). Female patients had higher risk for depression (55% vs 22%, p:0.002) and worse quality of life than males (p:0.016-p:0.038). Several life quality scores of both instruments were worse in patients with moderate-severe disease severity indexes when compared with those of mild groups. Moreover, Turkish version of newly described QoL-B V3.1 questionnaire was found to be reliable and valid instrument to evaluate the quality of life.</p><p><strong>Conclusion: </strong>These results emphasize the importance of mental health and disease severity as significant determinants of the life quality in patients particularly female patients with non-CF bronchiectasis.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 1","pages":"17-24"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/77/ttj-23-1-17.PMC9450191.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39881561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case of Prolonged Viral Shedding: Chronic, Intermittan COVID-19? 长期病毒脱落病例:慢性间歇性COVID-19?
IF 0.9
Turkish Thoracic Journal Pub Date : 2022-01-01 DOI: 10.5152/TurkThoracJ.2022.21141
Bilkay Serez Kaya, İlker Yılmam, Ebru Çakır Edis, Derya Karabulut, Tülin Elmaslar Mert, Canan Eryıldız, Muzaffer Demir
{"title":"Case of Prolonged Viral Shedding: Chronic, Intermittan COVID-19?","authors":"Bilkay Serez Kaya,&nbsp;İlker Yılmam,&nbsp;Ebru Çakır Edis,&nbsp;Derya Karabulut,&nbsp;Tülin Elmaslar Mert,&nbsp;Canan Eryıldız,&nbsp;Muzaffer Demir","doi":"10.5152/TurkThoracJ.2022.21141","DOIUrl":"https://doi.org/10.5152/TurkThoracJ.2022.21141","url":null,"abstract":"<p><p>COVID-19 is a pandemic that has been affecting the entire world and has caused the death of approximately 2.8 million people. Although the duration of viral shedding varies, an average of 7-10 days is accepted. It is still unclear whether prolonged viral shedding means prolonged contagious period and whether COVID-19 will become chronic or not. This article presents a case with hematological malignancy (lymphoma) with the longest polymerase chain reaction positivity that we could find in the literature (110 days in total).</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"23 1","pages":"85-88"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/3b/ttj-23-1-85.PMC9450004.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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