Evidence map›Paper›PMID 29563783›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2018

Changes in ventilation-perfusion during and after an COPD exacerbation: an assessment using fluid dynamic modeling.

Bita Hajian, Jan De Backer, Wim Vos, Wouter H van Geffen, Paul De Winter, Omar Usmani, Tony Cahn, Huib Am Kerstjens, Massimo Pistolesi, Wilfried De Backer

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Thoracic Imaging at Exacerbation of Chronic Obstructive Pulmonary Disease: A Systematic Review.International journal of chronic obstructive pulmonary disease · 2020
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Respiratory virus infections and adenovirus characteristics during acute exacerbation of chronic obstructive pulmonary disease.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
    Article
  7. CT-Based Commercial Software Applications: Improving Patient Care Through Accurate COPD Subtyping.International journal of chronic obstructive pulmonary disease · 2022
    Review
  8. Review
  9. Article
  10. 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

10 authors.

Bita HajianDepartment of Respiratory Medicine, University Hospital Antwerp, Edegem, Belgium.
Jan De BackerFLUIDDA nv, Kontich, Belgium.
Wim VosFLUIDDA nv, Kontich, Belgium.
Wouter H van GeffenDepartment of Respiratory Medicine, University Medical Center Groningen, Groningen, the Netherlands.
Paul De WinterDepartment of Respiratory Medicine, University Hospital Antwerp, Edegem, Belgium.
Omar UsmaniDepartment of Pulmonology, Brompton Hospital, London, UK.
Tony CahnGSK, London, UK.
Huib Am KerstjensDepartment of Respiratory Medicine, University Medical Center Groningen, Groningen, the Netherlands.
Massimo PistolesiDepartment of Pulmonary Diseases, University of Firenze, Florence, Italy.
Wilfried De BackerDepartment of Respiratory Medicine, University Hospital Antwerp, Edegem, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Severe exacerbations associated with chronic obstructive pulmonary disease (COPD) that require hospitalization significantly contribute to morbidity and mortality. Definitions for exacerbations are very broad, and it is unclear whether there is one predominant underlying mechanism that leads to them. Functional respiratory imaging (FRI) with modeling provides detailed information about airway resistance, hyperinflation, and ventilation-perfusion (V/Q) mismatch during and following an acute exacerbation. Materials and methods: Forty-two patients with COPD participating in a multicenter study were assessed by FRI, pulmonary function tests, and self-reported outcome measures during an acute exacerbation and following resolution. Arterial blood gasses and lung function parameters were measured. Results: A significant correlation was found between alveolar-arterial gradient and image-based V/Q (iV/Q), suggesting that iV/Q represents V/Q mismatch during an exacerbation ( Conclusion: Recovery of an exacerbation is due to decreased (mainly distal) airway resistance (

Indexed as

Airway ResistancePatient-Specific ModelingTomography, X-Ray ComputedVentilation-Perfusion RatioAgedBlood Gas AnalysisDisease ProgressionEuropeFemaleForced Expiratory VolumeHumansLungMaleMiddle AgedPerfusion ImagingPredictive Value of Testsacute exacerbationairway resistancefunctional respiratory imaginghigh-resolution computed tomographyventilation–perfusion

Identifiers

PMID29563783
PMCPMC5846311

What OpenQuestion holds

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Registered trials

None linked

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.