Lung India最新文献_第2页

Haemodynamics and post-exercise recovery response in COPD-PH and ILD-PH: An appraisal. COPD-PH和ILD-PH的血流动力学和运动后恢复反应：评估。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_213_24

Sayoni Sengupta, Parthasarathi Bhattacharyya, Aniruddha De, Sayanti Karmakar, Wrick Chakraborty, Dipanjan Saha

{"title":"Haemodynamics and post-exercise recovery response in COPD-PH and ILD-PH: An appraisal.","authors":"Sayoni Sengupta, Parthasarathi Bhattacharyya, Aniruddha De, Sayanti Karmakar, Wrick Chakraborty, Dipanjan Saha","doi":"10.4103/lungindia.lungindia_213_24","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_213_24","url":null,"abstract":"Background: Chronic lung disease (CLD) from either airway obstruction or parenchymal affections can lead to secondary pulmonary hypertension. It may be interesting to compare the two types of CLD-PH.Methods: Subjects of CLD were first evaluated for the primary category of disease with chest X-ray, HRCT chest, spirometry, and DLCO (diffusion capacity) and then for the presence of PH through exercise of the institutional clinic-radio-echocardiographic algorithm. Those qualifying as either unmixed restrictive (ILD) or COPD (chronic obstructive airway disease) with PH underwent two-chair test for assessment of post-exercise recovery response. The two groups were compared on available parameters.Results: The patients with COPD-PH were significantly older with similar FVC and DLCO compared to ILD-PH. In two-chair test, the maximum pulse rate and the desat-max were significantly worse (108.68 ± 1 5.46 vs 101.33 ± 12.62, P = 0.002, and - 5.68 ± 4.78 vs - 3.71 ± 2.73, P = 0.006) for the ILD-PH patients. The ILD-PH sufferers also demonstrated a lower TAPSE (21.16 ± 3.11 vs 22.59 ± 2.71; P-0.001) and a higher calculated mean pulmonary artery pressure (32.00 ± 7.54 vs 30.64 ± 4.22 vs, P = 0.05) compared to the subjects with COPD-PH. The other right ventricular systolic functional parameters [systolic excursion velocity (S-prime), right ventricular free wall global longitudinal strain, systolic pulmonary arterial pressure, tricuspid regurgitation jet velocity] supported the trend.Conclusion: The ILD-PH patients show relatively higher PH with lower right ventricular systolic function than COPD-PH.","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"225-230"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lung herniation after cardiopulmonary resuscitation. 心肺复苏后肺疝。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_77_25

Paulo Galego, Bianca F F de Franca, Edson Marchiori

引用次数: 0

Lung ultrasound score versus HACOR score as a predictor for weaning outcome in patients at high risk for extubation failure. 肺超声评分与HACOR评分作为拔管失败高危患者脱机结果的预测因子

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_583_24

M Rathish, M K Renuka, Nvsn Prasant, Baby Sailaja

{"title":"Lung ultrasound score versus HACOR score as a predictor for weaning outcome in patients at high risk for extubation failure.","authors":"M Rathish, M K Renuka, Nvsn Prasant, Baby Sailaja","doi":"10.4103/lungindia.lungindia_583_24","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_583_24","url":null,"abstract":"Background: Pulmonary complications from mechanical ventilation are a significant concern in intensive care. Reducing the duration of respiratory support is vital to minimize these risks. Extubation, the final step in the weaning process, is critical. Most weaning indices rely on complex ventilatory parameters. This study aimed to evaluate the utility of the heart rate, acidosis, Glasgow Coma Scale, oxygenation, respiratory rate (HACOR) score, and Lung Ultrasound Score (LUS) as predictors of weaning outcomes in the intensive care unit.Methods: This prospective observational study was conducted in the Department of Critical Care Medicine at Sri Ramachandra Institute of Higher Education and Research, involving 100 patients aged 18 years and above. Both the HACOR score and LUS were assessed at the 30th minute during a 60-minute spontaneous breathing trial (SBT).Results: Of the 100 patients, 65 (65%) were successfully weaned, while 35 (35%) experienced weaning failure. The median HACOR score was 3 (interquartile range: 0-3) in the successful group and 6 (IQR: 5-8) in the failed group. The median LUS was 10 (IQR: 8-10) in the successful group and 16 (IQR: 13-16) in the failed group. A HACOR score ≥5 predicted weaning failure with a sensitivity of 87.7%, specificity of 77.1%, and area under the curve of 0.824. The LUS had an area under curve of 0.831, sensitivity of 86.2%, specificity of 80% at a threshold of ≥13 for failure.Conclusion: A HACOR score of ≥5 and a Lung Ultrasound Score of ≥13 are excellent predictors of weaning failure and can be incorporated into ICU weaning strategies.","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"211-217"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Smartphone delivered social media-based rehabilitation for people with COPD in Thar Desert, India: A feasibility study. 智能手机为印度塔尔沙漠COPD患者提供基于社交媒体的康复：可行性研究。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_455_24

Shrikant Dixit, S Suseendar, Neeti Rustagi, Naveen Dutt

{"title":"Smartphone delivered social media-based rehabilitation for people with COPD in Thar Desert, India: A feasibility study.","authors":"Shrikant Dixit, S Suseendar, Neeti Rustagi, Naveen Dutt","doi":"10.4103/lungindia.lungindia_455_24","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_455_24","url":null,"abstract":"Background: Pulmonary telerehabilitation offers an accessible and cost-effective therapy option for patients with chronic respiratory diseases. In the Thar Desert, home to 16.6 million people with a population density of 83 persons per square kilometre, transportation barriers to tertiary care increase the demand for telerehabilitation services.Objective: To assess the feasibility of smartphone and social media-based rehabilitation for COPD patients in the Thar Desert, India.Methods: COPD patients were recruited from a tertiary hospital's outpatient department. Rehabilitation videos in Hindi were provided through smartphones via social media. Key assessments included the COPD Assessment Test (CAT), EQ-5D-3L, mMRC dyspnoea scale, 6-minute walk test and 30-second sit-to-stand test at baseline and 8 weeks. Usability, acceptability and adherence were measured using the System Usability Scale (SUS) and Technology Acceptance Model (TAM) at 8 weeks, with follow-up on exercise adherence after 1 year.Results: Of the 54 COPD patients assessed, 45 were recruited (mean age 64.18, 86.7% male). Statistically significant improvements (P < 0.05) were observed in mMRC, EQ-5D-3L, CAT and 6-minute walk test scores. High acceptability was noted, with a mean SUS score of 81.5/100 and TAM score of 93.93/128. After 8 weeks, 75.5% of participants were exercising, with 58% maintaining routines 1 year later.Conclusion: Smartphone-based pulmonary telerehabilitation is feasible for COPD patients in the Thar Desert, demonstrating high acceptability even in low-literacy populations. Further trials in diverse settings are recommended.","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"191-198"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing standard treatment of moderate to severe obstructive sleep apnoea to add-on acetazolamide treatment: An open-label randomised controlled trial. 比较中度至重度阻塞性睡眠呼吸暂停的标准治疗与附加乙酰唑胺治疗：一项开放标签随机对照试验

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_57_25

Swapnil Deshmukh, Sneha Deore

引用次数: 0

Correlation of mean platelet volume and red blood cell distribution width with obstructive sleep apnoea syndrome severity. 平均血小板体积和红细胞分布宽度与阻塞性睡眠呼吸暂停综合征严重程度的相关性。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_422_24

Kyriaki Cholidou, Nektarios Anagnostopoulos, Konstantinos Bartziokas, Konstantinos Vafeiadis, Agamemnon Bakakos, Aggelos Vontetsianos, Vasiliki Gogou, Zoi Sotiropoulou, Christina Anagnostopoulou, Anna Papasarantou, Paschalis Steiropoulos, Petros Bakakos, Andriana I Papaioannou

{"title":"Correlation of mean platelet volume and red blood cell distribution width with obstructive sleep apnoea syndrome severity.","authors":"Kyriaki Cholidou, Nektarios Anagnostopoulos, Konstantinos Bartziokas, Konstantinos Vafeiadis, Agamemnon Bakakos, Aggelos Vontetsianos, Vasiliki Gogou, Zoi Sotiropoulou, Christina Anagnostopoulou, Anna Papasarantou, Paschalis Steiropoulos, Petros Bakakos, Andriana I Papaioannou","doi":"10.4103/lungindia.lungindia_422_24","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_422_24","url":null,"abstract":"Introduction: Mean platelet volume (MPV) and red blood cll distribution width (RDW) have been assosiated with sleep apnea syndrome severity.Objective: To investigate the correlation of mean platelet volume and red blood cell distribution width with obesity sleep apnoea syndrome (OSAS) severity.Methods: Ninety patients underwent PSG. Patients with an apnoea-hypopnoea index (AHI) <5 were used as controls. Patients with AHI >5 were divided into mild: 5 ≤ AHI <15, moderate: 15≤ AHI <30 and severe OSAS: AHI ≥30. Patients >65 years, with body mass index (BMI) >40, central sleep apnoea syndrome, cardiovascular or other significant comorbidities were excluded. Blood sample collection occurred one day before polysomnography (PSG).Results: Sixty-four patients were included in our study. Fifty-seven (89.1%) had OSAS (16% mild, 25% moderate and 48.4% severe) while the remaining 7 (10.1%) were used as controls. MPV was similar among groups [8.1 (7.1, 9.2) vs 7.9 (6.8, 10.1) vs 8.5 (7.4, 9.1) vs 8.4 (7.6, 9.7), P = .930 for control, mild, moderate and severe OSAS, respectively]. RDW did not differ between OSAS patients and control [median (IQR) 14.4 (13.4, 15.3) vs 14.0 (13.5, 16.7), P = .950], while there was no significant difference among different stages of OSAS severity [14.0 (13.5, 16.7) vs 13.9 (11.4, 14.8) vs 14.4 (14.0, 15.3) vs 14.4 (13.3, 15.6), P = .517] for control, mild, moderate and severe OSAS, respectively.Conclusion: OSAS patients have elevated levels of RDW and MPV compared to controls; however, there was no association between OSAS severity and MPV or RDW.","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 3","pages":"179-185"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Forty-steps desaturation test does not have prognostic value in COVID-19 due to omicron variant. 由于组粒变异，40步去饱和试验对COVID-19无预后价值。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_7_25

Balamugesh Thangakunam, Barney Isaac, Rajasekar Sekar, Kundavaram Paul Prabhakar Abhilash, Mathew Varghese Nellimootil, Hema Paul, Devasahayam Jesudas Christopher

引用次数: 0

Human papilloma virus vaccine induced Kikuchi-Fujimoto disease: A case report. 人乳头瘤病毒疫苗致菊池-藤本病1例报告。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_557_24

Benhur Joel Shadrach, Lexmi Priya Raju, Asma Bibi, Kunal Deokar, Priyanka Gaikwad, Jinish Doshi

引用次数: 0

Pleural fluid refractometry. 胸膜液验光。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_30_25

René A Flores-Franco, David R Flores-Aguilar

引用次数: 0

Histoplasmosis presenting as fibrosing mediastinitis and superior vena cava obstruction. 组织胞浆菌病表现为纤维化性纵隔炎和上腔静脉阻塞。

IF 1.3

Lung India Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.4103/lungindia.lungindia_485_24

Sagar Poudel, Sanjeev Kumar, Saurabh Mittal, Preyas Sethi, Karan Madan

引用次数: 0