Study on to assess pulmonary function test changes in asthmatic child using spirometry and its diagnostic and prognostic value

Background: Asthma is a disease that has become increasingly common over the last century making it now one of the commonest chronic disorders in the world. Spirometric lung function tests are playing a key role in the diagnosis and management of asthma in children. Considering the usefulness of spirometer in the diagnosis of asthma and scarcity of the literature regarding the role of spirometer in the diagnosis of Asthma especially in Indian context, the present study was undertaken to assess pulmonary function test changes in asthmatic child using spirometry and its diagnostic and prognostic value.Methods: The present study was conducted at Department of Paediatrics, Ashwini Rural Medical College, Hospital and Research Centre, Kumbhari during the study period of 2015 to 2016. Children presenting symptoms suggestive of asthma were included in the study.Results: In the present study, the commonest presentations included cough, breathing difficulty and recurrent wheeze in all the children (100%) followed by chest tightness (23%) and fever (11%). In the present study, the clinical and spirometry diagnosis of moderate asthma showed total positive correlation (100%). The positive correlation of mild persistent and intermittent asthma was limited to 97.30% and 91.18%. Severe persistent asthma positively correlated in 76.77%.Conclusions: It may be concluded that, the spirometry is not only helps to diagnose the asthma accurately, but also helps in assessing the severity which has the key role in the successful management.

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A clinical study of hyperreactive airway disease with wheeze in children aged five to twelve years with special reference to pulmonary function test

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20191499 ◽

2019 ◽

Vol 6 (3) ◽

pp. 1027

Author(s):

Arjun Reddy ◽

Abhishek Patel ◽

Sanjeev Chetty

Keyword(s):

Pulmonary Function ◽

Pulmonary Function Test ◽

Cost Effective ◽

Airway Disease ◽

Age Group ◽

Medical College ◽

Function Test ◽

Before And After ◽

Group 5 ◽

Marginal Improvement

Background: Pulmonary function test is the easiest and most cost-effective method to evaluate respiratory functions. PFT can be measured by a simple instrument spirometer. Measuring PFT has been suggested as an important tool in understanding HRAD and its complications and management by all international guidelines. The objectives of this study were to clinically diagnose the hyperreactive airway disease in children coming to Navodaya Medical College, Raichur, of age group 5 to 12 years. And to perform pulmonary function test before and after the use of a bronchodilator.Methods: PFT was measured in 100 children who came with HRAD with wheeze using Spiro lab III spirometer. The child was given then nebulization with salbutamol and PFT was performed again after 30 min.Results: A total of 100 clinically diagnosed cases of HRAD of age group 5 to 12 years of both the gender was taken into the study, of which more than 44% of the children showed more than 20% improvement in parameters FEV1, PEF, FVC and marginal improvement in EV1/FVC post bronchodilator compared to their prebronchodilator parameters. The young children of both the gender showed better improvement than elder children.Conclusions: Spirometry is the best tool to assess HRAD even in younger children, early diagnosis and regular follow up with PFT helps to understand and prevent the progression of the disease with prompt treatment.

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P0981 GASTROESOPHAGEAL REFLUX IN CHILDREN WITH PERSISTENT ASTHMA: CORRELATION WITH PULMONARY FUNCTION TEST

Journal of Pediatric Gastroenterology and Nutrition ◽

10.1097/00005176-200406001-01105 ◽

2004 ◽

Vol 39 (Supplement 1) ◽

pp. S430-S431

Author(s):

H. A. S. Goldani ◽

L. Dalle Molle ◽

S. Canani ◽

V. Vieira ◽

S. Menna Barreto ◽

...

Keyword(s):

Gastroesophageal Reflux ◽

Pulmonary Function ◽

Pulmonary Function Test ◽

Persistent Asthma ◽

Function Test

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A STUDY TO EVALUATE THE PROFILE OF PATIENTS ATTENDING FOR PULMONARY FUNCTION TEST EVALUATION IN A MEDICAL COLLEGE

10.36106/ijsr/8229447 ◽

2021 ◽

pp. 30-31

Author(s):

Bibhore Sengupta ◽

Suman Sarkar ◽

Nirmalya Roy ◽

Ankan Pathak ◽

Nikhil Sonthalia ◽

...

Keyword(s):

Pulmonary Function ◽

Pulmonary Function Test ◽

Respiratory Symptoms ◽

Pulmonary Function Tests ◽

Chronic Obstructive Lung Disease ◽

Respiratory Muscles ◽

Clinical History ◽

Chronic Obstructive ◽

Medical College ◽

Function Test

Pulmonary Function Tests are one of the prime tool to evaluate respiratory symptoms and diagnose disease. It is also used for functionality and preoperative risk evaluation.Many organizations, including the National Asthma Education and Prevention Program, Global Initiative for Chronic Obstructive Lung Disease (GOLD), and American Thoracic Society (ATS), recommend using these tests.(1–3)When added to correlate with clinical history. Pulmonary Function Test have an high accuracy in predicting the diagnosis and further management of the patient. Pulmonary function test assesses the integrated mechanical function of the lung, chest wall, respiratory muscles, and airways and is valuable tool in evaluating patients with respiratory symptoms

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Correlation of Height Parameter and Pulmonary Function Test with Grade of Allergic Rhinitis and Asthma in Children

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol05-i08/937 ◽

2020 ◽

Vol 5 (08) ◽

pp. 349-352

Author(s):

Sadaf Choudhary ◽

Keya Rani Lahiri ◽

Fehmida Najmuddin

Keyword(s):

Allergic Rhinitis ◽

Pulmonary Function ◽

Pulmonary Function Test ◽

Pulmonary Function Tests ◽

Persistent Asthma ◽

P Value ◽

Function Tests ◽

Function Test

Introduction: Allergic Rhinitis and Asthma adversely affects height in children and it could be considered as an objective tool to assess severity, compliance and lung functions in children. We studied the correlation between height and pulmonary function tests with classification of allergic rhinitis and asthma. Aims & Objectives: 1) To study the height parameter with the grade of asthma and allergic rhinitis 2) To evaluate the pulmonary function test with the severity of asthma and allergic rhinitis 3) To correlate height and pulmonary function test with the classification of asthma and allergic rhinitis. Material and Methods: A prospective study including 30 patients in the age group of 5-12 years diagnosed with allergic rhinitis (AR) and bronchial asthma was conducted in a private tertiary care hospital in Navi Mumbai. History was entered in a pre-designed proforma and height was measured using a calibrated stadiometer along with pulmonary function tests recorded at the initial and two visits, 3 months apart. Results: Height increased significantly in patients without AR (p-value<0.01), with mild intermittent (p-value=0.02) and mild persistent AR (p-value<0.01) on subsequent visits. Patients with intermittent, mild persistent and moderate persistent asthma showed a statistically significant increase in height (p-value<0.01) with subsequent assessments. No significant increase in height was noted in patients with moderate persistent AR (p-value=0.14) and severe persistent asthma (p-value=0.16). At baseline, the height correlated significantly with FEV1 (p value<0.01), FVC (p value<0.01), Pre and Post-PEFR (p value<0.01, each). This trend continued at the first follow up. At the second follow-up, height correlated significantly with all parameters of pulmonary function tests (p value<0.01 for FEV1, FVC, FEV1/FVC ratio and PEFR). Conclusion: Height correlation with classification of AR and Asthma along with pulmonary function test has emerged as a simple, safe, cost-effective method in assessing control and monitoring the disease.

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The Effect of Maternal Pulmonary Function Test Parameters on Umbilical Cord Blood Gas and the Duration of Labor

Zeitschrift für Geburtshilfe und Neonatologie ◽

10.1055/a-1288-1765 ◽

2020 ◽

Author(s):

Melike Demir Çaltekin ◽

Taylan Onat ◽

Demet Aydogan Kırmızı ◽

Emre Baser ◽

Yavuz Selim İntepe ◽

...

Keyword(s):

Pulmonary Function ◽

Cord Blood ◽

Umbilical Cord ◽

Umbilical Cord Blood ◽

Pulmonary Function Test ◽

Significant Positive Correlation ◽

Ph Value ◽

Apgar Scores ◽

Positive Correlation ◽

Function Test

Abstract Objective To evaluate the relationship between the maternal pulmonary function test (PFT) and the Apgar score of the newborn, umbilical cord blood (UCB) gas values and the duration of delivery. Material and Methods The present study included 41 volunteer nulliparous pregnant women who presented to our obstetrics clinic and PFTs were performed by using spirometry. Results A significant positive correlation was observed between 5th-minute Apgar scores and maternal FEV1 (forced expiratory volume in the first second) (lt), FEV1%, FVC (lt), FVC% (r=0.509, p=0.003; r=0.47, p=0.007; r=0.434, p=0.013; r=0.417, p=0.017; respectively). A significant positive correlation was observed between UCB pH value and maternal FEV1 (lt), FVC (lt) (r=0.515, p=0.003; r=0.351, p=0.049; respectively). Conclusion Our results showed that FEV1 and FVC values, which indicate maternal respiratory functions, may affect Apgar scores of the newborn and UCB gas values.

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Correlation and Predicted Equations of MIP/MEP from the Pulmonary Function, Demographics and Anthropometrics in Healthy Thai Participants aged 19 to 50 Years

Clinical Medicine Insights Circulatory Respiratory and Pulmonary Medicine ◽

10.1177/11795484211004494 ◽

2021 ◽

Vol 15 ◽

pp. 117954842110044

Author(s):

Thanyaluck Sriboonreung ◽

Jirakrit Leelarungrayub ◽

Araya Yankai ◽

Rungthip Puntumetakul

Keyword(s):

Pulmonary Function ◽

Negative Correlation ◽

Pulmonary Function Test ◽

Significant Positive Correlation ◽

Pearson Correlation ◽

Forced Expiratory Volume ◽

Positive Correlation ◽

Function Test ◽

Expiratory Flow ◽

Pressure Meter

Objective: To identify the correlations and possible predicted equations of maximal inspiratory (MIP) and expiratory mouth pressure (MEP) values from pulmonary function test (PFT), demographics, and anthropometrics. Methods: This study involved 217 healthy participants (91 males and 126 females) aged 19 to 50 years. The PFT (forced vital capacity; FVC, forced expiratory volume in 1 second; FEV1, maximal mid-expiratory flow; MMEF, and peak expiratory flow; PEF) was performed by spirometry, whereas MIP and MEP were evaluated by a respiratory pressure meter. Pearson correlation and multiple linear regression, with the stepwise method, were used for statistical analysis. Results: The MIP and MEP had a significant positive correlation with weight, height, body mass index (BMI), and waist circumference. MIP had a significant positive correlation with FVC (%) and PEF (L/s and %), as well as a negative correlation with FEV1/FVC (ratio and %) and MMEF (%). Whereas, MEP showed a significant positive correlation with PEF (L/s and %) and negative correlation with FEV1/FVC (ratio and %) and MMEF (L/s). Finally, the predicted MIP and MEP equations were 103.988−97.70 × FEV1/FVC + 31.292 × Sex (male = 1 and female = 0) + 0.662 × PEF (%) and 47.384 + 3.603 × PEF (L/s)−9.514 × MMEF(L/s) + 30.458 × Sex (male = 1 and female = 0) + 0.534 × PEF (%), respectively. Conclusion: The respiratory muscle strengths can be predicted from the pulmonary function test, and gender data.

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SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i5.1143 ◽

2020 ◽

Vol 4 (5) ◽

Author(s):

Monika Kushwaha ◽

Sanjeev Narang

Keyword(s):

Preterm Birth ◽

Comparative Study ◽

Pregnancy Outcome ◽

Neonatal Morbidity ◽

Research Centre ◽

College Hospital ◽

Cross Sectional ◽

Chorionic Villi ◽

Term Birth ◽

Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

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