Evidence map›Paper›PMID 26222814›Full record

Observational studyClinics (Sao Paulo, Brazil)2015

Within-breath respiratory impedance and airway obstruction in patients with chronic obstructive pulmonary disease.

Karla Kristine Dames da Silva, Alvaro Camilo Dias Faria, Agnaldo José Lopes, Pedro Lopes de Melo

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Clinics (Sao Paulo, Brazil), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01888705 (Complexity of the Airflow at Different Levels of Bronchial Obstruction of COPD.), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01888705 unknown statusnot on this map

Complexity of the Airflow at Different Levels of Bronchial Obstruction of COPD.

Typeobservational_patient_registrySponsorRio de Janeiro State UniversityRan2010 to 2013Enrolled90ConditionsCOPD
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Clinical significance and applications of oscillometry.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Brazilian studies on pulmonary function in COPD patients: what are the gaps?International journal of chronic obstructive pulmonary disease · 2016
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Karla Kristine Dames da SilvaBiomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Alvaro Camilo Dias FariaBiomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Agnaldo José LopesPulmonary Function Testing Laboratory, Discipline of Pneumology, Faculty of Medical Sciences, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Pedro Lopes de MeloBiomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering and Laboratory of Clinical and Experimental Research in Vascular Biology, Biomedical Center, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Universidade do Estado do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecent work has suggested that within-breath respiratory impedance measurements performed using the forced oscillation technique may help to noninvasively evaluate respiratory mechanics. We investigated the influence of airway obstruction on the within-breath forced oscillation technique in smokers and chronic obstructive pulmonary disease patients and evaluated the contribution of this analysis to the diagnosis of chronic obstructive pulmonary disease.

methodsTwenty healthy individuals and 20 smokers were assessed. The study also included 74 patients with stable chronic obstructive pulmonary disease. We evaluated the mean respiratory impedance (Zm) as well as values for the inspiration (Zi) and expiration cycles (Ze) at the beginning of inspiration (Zbi) and expiration (Zbe), respectively. The peak-to-peak impedance (Zpp=Zbe-Zbi) and the respiratory cycle dependence (ΔZrs=Ze-Zi) were also analyzed. The diagnostic utility was evaluated by investigating the sensitivity, the specificity and the area under the receiver operating characteristic curve. ClinicalTrials.gov: NCT01888705.

resultsAirway obstruction increased the within-breath respiratory impedance parameters that were significantly correlated with the spirometric indices of airway obstruction (R=-0.65, p<0.0001). In contrast to the control subjects and the smokers, the chronic obstructive pulmonary disease patients presented significant expiratory-inspiratory differences (p<0.002). The adverse effects of moderate airway obstruction were detected based on the Zpp with an accuracy of 83%. Additionally, abnormal effects in severe and very severe patients were detected based on the Zm, Zi, Ze, Zbe, Zpp and ΔZrs with a high degree of accuracy (>90%).

conclusionsWe conclude the following: (1) chronic obstructive pulmonary disease introduces higher respiratory cycle dependence, (2) this increase is proportional to airway obstruction, and (3) the within-breath forced oscillation technique may provide novel parameters that facilitate the diagnosis of respiratory abnormalities in chronic obstructive pulmonary disease.

Indexed as

AgedAirway ResistanceCase-Control StudiesCross-Sectional StudiesElectric ImpedanceExhalationForced Expiratory VolumeHumansInhalationMiddle AgedPulmonary Disease, Chronic ObstructiveRespiratory Function TestsSensitivity and Specificity

Identifiers

PMID26222814
PMCPMC4496751
OpenAlexW1556896821

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.