Evidence map›Paper›PMID 35199229›Full record

ArticleLung2022

Ventilation Rates Achieved in Eucapnic Voluntary Hyperpnea Challenge and Exercise-Induced Bronchoconstriction Diagnosis in Young Patients with Asthma.

José Ângelo Rizzo, Laienne Carla Barbosa de Barros Albuquerque, Décio Medeiros, Claudio Gonsalves de Albuquerque, Edil de Albuquerque Rodrigues Filho, Marcos André de Moura Santos, Steve Hunter, Nadia Gaua, Marco Aurélio Valois de Correia Junior

Abstract read
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In one paragraph

Article in Lung, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 35% 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.

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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

9 authors at 4 institutions in 2 countries.

José Ângelo RizzoPostgraduate Program in Child and Adolescent Health, Universidade Federal de Pernambuco, Recife, Brazil.
Laienne Carla Barbosa de Barros AlbuquerqueCenter for Research in Allergy and Clinical Immunology, Hospital das Clínicas, Universidade Federal de Pernambuco, Rua Luiz Guimarães, 411, apto 301-a, CEP-52061-160, Poço da Panela, Recife, Brazil.
Décio MedeirosPostgraduate Program in Child and Adolescent Health, Universidade Federal de Pernambuco, Recife, Brazil.
Claudio Gonsalves de AlbuquerquePostgraduate Program in Child and Adolescent Health, Universidade Federal de Pernambuco, Recife, Brazil.
Edil de Albuquerque Rodrigues FilhoPostgraduate Program in Child and Adolescent Health, Universidade Federal de Pernambuco, Recife, Brazil.
Marcos André de Moura SantosPostgraduate Program in Hebiatrics, Universidade de Pernambuco, Recife, Brazil.
Steve HunterSport and Exercise Science Research Centre, School of Applied Sciences, London South Bank University, London, UK.
Nadia GauaSport and Exercise Science Research Centre, School of Applied Sciences, London South Bank University, London, UK.
Marco Aurélio Valois de Correia JuniorCenter for Research in Allergy and Clinical Immunology, Hospital das Clínicas, Universidade Federal de Pernambuco, Rua Luiz Guimarães, 411, apto 301-a, CEP-52061-160, Poço da Panela, Recife, Brazil. marcovalois@gmail.com.ORCID 0000-0003-0386-5256
Universidade Federal de Pernambuco · BRLondon South Bank University · GBUniversidade Federal da Paraíba · BRHospital das Clínicas da Universidade Federal de Pernambuco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeExercise-induced bronchoconstriction (EIB) affects approximately 50% of young asthma patients, impairing their participation in sports and physical activities. Eucapnic voluntary hyperpnea (EVH) is an approved surrogate challenge to exercise for objective EIB diagnosis, but the required minimum target hyperventilation rates remain unexplored in this population. This study aimed to evaluate the association between the achieved ventilation rates (VRs) during a challenge and EIB-compatible response (EIB-cr) in young asthma patients.

methodsThis cross-sectional study included 72 asthma patients aged 10-20 years. Forced expiratory volume in the first second (FEV1) was measured before and 5, 15, and 30 min after the EVH. The target VR was set at 21 times the individual's baseline FEV1. A decrease of > 10% in FEV1 after the challenge was considered an EIB-cr. The challenge was repeated after 48-72 h in those without an EIB-cr.

resultsThirty-six individuals had an EIB-cr at initial evaluation. The median VRs achieved was not different between individuals with and without an EIB-cr (19.8 versus 17.9; p = 0.619). The proportion of individuals with an EIB-cr was nor different comparing those who achieved (12/25) or not (24/47) the calculated target VRs (p = 0.804). At the repeated EVH challenge an EIB-cr was observed in 14/36 individuals with a negative response in the first evaluation, with no differences in achieved VRs between the two tests (p = 0.463).

conclusionIrrespective of the achieved VR, an EIB-compatible response after an EVH challenge must be considered relevant for clinical and therapeutic judgment and negative tests should be repeated.

Indexed as

AsthmaAsthma, Exercise-InducedBronchoconstrictionCross-Sectional StudiesHumansHyperventilationAsthmaEucapnic voluntary hyperpneaExercise-induced bronchoconstrictionLung function

Identifiers

PMID35199229
OpenAlexW4213442157

What OpenQuestion holds

Textmetadata
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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.