Influence of pulmonary rehabilitation in patients with Chronic Obstructive Pulmonary Disease exacerbator phenotype
Conclusion Patients with COPD exacerbator phenotype had a greater magnitude of response to PRP (36 meters) when compared to non-exacerbator phenotype regardless the severity of airflow obstruction, also showing improvement in prognosis measured by the BODE index. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - July 15, 2020 Category: Respiratory Medicine Source Type: research

Which is the best protocol and cut-off point in the 4-metre gait speed test to discriminate exercise capacity in COPD?
Conclusion The 4MGS 4m-maximum test can be used to discriminate preserved exercise capacity in patients with COPD and correlates with the 6MWT. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - July 15, 2020 Category: Respiratory Medicine Source Type: research

Evaluation of the left ventricle in patients with COPD and nocturnal hypoxemia
Conclusion We observed association between severe REM sleep hypoxemia and echocardiographic parameters indicating increased LV mass in individuals with COPD and significant nocturnal hypoxemia. This suggests that this subgroup of individuals may benefit from an echocardiographic eva luation of the left ventricle. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - July 15, 2020 Category: Respiratory Medicine Source Type: research

Characterization of the severity of dyspnea in patients with bronchiectasis: correlation with clinical, functional, and tomographic aspects
Conclusions: Patients with bronchiectasis and dyspnea that was more severe had greater functional impairment. The measurement of lung volumes complemented the spirometry data. Because bronchiectasis is a complex, heterogeneous condition, a single variable does not seem to be sufficient to provide an overall characterization of the clinical condition.RESUMO Objetivo: Caracterizar uma popula ção de portadores de bronquiectasias e correlacionar aspectos clínicos, radiológicos e funcionais com a gravidade da dispneia. Métodos: Estudo transversal realizado em adultos, portadores de bronquiectasias confirmadas por TCAR, c...
Source: Jornal Brasileiro de Pneumologia - June 16, 2020 Category: Respiratory Medicine Source Type: research

Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation
Conclusions: We developed a competency-based test to assess knowledge of MV among residents before and after an rotation in a respiratory ICU. Resident performance increased significantly after the rotation, as did their confidence in caring for patients on MV.RESUMO Objetivo: Desenvolver e aplicar um teste baseado em compet ências para avaliar o aprendizado de residentes de clínica médica em estágio na UTI respiratória de um hospital universitário. Métodos: Desenvolvemos um teste com 19 questões de múltipla escolha sobre conhecimento em ventilação mecânica (VM) e 4 questões de autoavaliação sobre o nív e...
Source: Jornal Brasileiro de Pneumologia - June 16, 2020 Category: Respiratory Medicine Source Type: research

Smoking history: relationships with inflammatory markers, metabolic markers, body composition, muscle strength, and cardiopulmonary capacity in current smokers
Conclusions: In this sample of smokers, smoking history correlated positively with the triglyceride level, the monocyte count, and waist circumference. The prevalence of metabolic disease was highest in those who smoked more than 20 cigarettes/day.RESUMO Objetivo: Verificar a rela ção da carga tabágica com marcadores inflamatórios, marcadores metabólicos, composição corporal, força muscular e capacidade cardiorrespiratória em tabagistas. Métodos: Estudo transversal com 65 tabagistas de ambos os sexos (idade: 18-60 anos). Todos os participantes foram avaliados em tr ês dias não consecutivos quanto ao históric...
Source: Jornal Brasileiro de Pneumologia - June 16, 2020 Category: Respiratory Medicine Source Type: research

High resolution computed tomography patterns in interstitial lung disease (ILD): prevalence and prognosis
Conclusion IPF, CHP, and CTD-ILD were the main differential diagnoses in patients with HRCT patterns of typical, probable and indeterminate UIP. Patients with HRCT typical UIP pattern were m ore likely to die or had lung transplantation in the follow-up. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 9, 2020 Category: Respiratory Medicine Source Type: research

Azithromycin administered for acute bronchiolitis may have a protective effect on subsequent wheezing
Conclusion Azithromycin significantly reduces the risk of subsequent wheezing between 0 and 3 months after hospital admission due to acute bronchiolitis irrespective of the presence of respiratory syncytial virus. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - March 2, 2020 Category: Respiratory Medicine Source Type: research

Symptom variability over the course of the day in patients with stable COPD in Brazil: a real-world observational study
Conclusions: Dyspnea was more common in the morning than at night. Having morning or nighttime symptoms was associated with greater daytime symptom severity. Symptom intensity was strongly associated with poor quality of life and with the frequency of exacerbations, although it was weakly associated with airflow limitation.RESUMO Objetivo: Analisar os sintomas em diferentes momentos do dia em pacientes com DPOC. M étodos: Estudo observacional multicêntrico de corte transversal em oito centros brasileiros. Foram avaliados os sintomas matinais, diurnos e noturnos em pacientes com DPOC estável. Resultados: Foram incluÃ...
Source: Jornal Brasileiro de Pneumologia - December 20, 2019 Category: Respiratory Medicine Source Type: research

Influence of a heat and moisture exchanger with a microbiological filter on measurements of maximal respiratory pressures and vital capacity in patients with COPD
Conclusions: Robotic pulmonary resection proved to be a safe treatment for lung cancer. Longer follow-up periods are required in order to assess long-term survival.RESUMO Objetivo: Descrever morbidade, mortalidade e completude da ressec ção associadas à cirurgia robótica para o tratamento de câncer de pulmão não pequenas células no Brasil, assim como sobrevida global e sobrevida livre de doença. Métodos: Estudo retrospectivo incluindo pacientes com diagnóstico de carcinoma pulmonar de células não pequenas submetidos à ressecção anatômica por cirurgia robótica em seis hospitais brasileiros entre feverei...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Performance of instruments aimed at detecting obstructive sleep apnea syndrome among individuals in Chile
Conclusions: Robotic pulmonary resection proved to be a safe treatment for lung cancer. Longer follow-up periods are required in order to assess long-term survival.RESUMO Objetivo: Descrever morbidade, mortalidade e completude da ressec ção associadas à cirurgia robótica para o tratamento de câncer de pulmão não pequenas células no Brasil, assim como sobrevida global e sobrevida livre de doença. Métodos: Estudo retrospectivo incluindo pacientes com diagnóstico de carcinoma pulmonar de células não pequenas submetidos à ressecção anatômica por cirurgia robótica em seis hospitais brasileiros entre feverei...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Robotic thoracic surgery for non-small cell lung cancer: initial experience in Brazil
Conclusions: Robotic pulmonary resection proved to be a safe treatment for lung cancer. Longer follow-up periods are required in order to assess long-term survival.RESUMO Objetivo: Descrever morbidade, mortalidade e completude da ressec ção associadas à cirurgia robótica para o tratamento de câncer de pulmão não pequenas células no Brasil, assim como sobrevida global e sobrevida livre de doença. Métodos: Estudo retrospectivo incluindo pacientes com diagnóstico de carcinoma pulmonar de células não pequenas submetidos à ressecção anatômica por cirurgia robótica em seis hospitais brasileiros entre feverei...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

The Brazilian Portuguese-language version of the Manchester Respiratory Activities of Daily Living questionnaire: construct validity, reliability, and measurement error
Conclusions: In patients with COPD in Brazil, this version of the MRADL shows satisfactory construct validity, satisfactory inter-rater/test-retest reliability, and indeterminate inter-rater/test-retest measurement error.RESUMO Objetivo: Testar a validade de construto, a confiabilidade e o erro de medida da vers ão em português do Brasil do questionário Manchester Respiratory Activities of Daily Living (MRADL) em pacientes com DPOC. Métodos: Avaliamos 50 pacientes com DPOC, 30 dos quais eram homens. A média de idade foi de 64 ± 8 anos, e a mediana do VEF1 em porcentagem do previsto (VEF1%previsto) fo i de 38,4% (in...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Robotic thoracic surgery for resection of thymoma and tumors of the thymus: technical development and initial experience
Conclusion s: Robotic thoracic surgery for resection of tumors of the thymus has been shown to be feasible and safe, with a low risk of complications and with postoperative outcomes comparable to those of other techniques.RESUMO Objetivo: Avaliar os resultados da ressec ção de tumores tímicos por cirurgia torácica robótica, verificando a radicalidade da ressecção, complicações pós-operatórias, tempo de cirurgia e tempo de internação. Métodos: Estudo retrospectivo a partir de um banco de dados envolvendo pacientes com diagnóstico de tumor tímico e s ubmetidos à cirurgia torácica robótica em sete hospita...
Source: Jornal Brasileiro de Pneumologia - December 14, 2019 Category: Respiratory Medicine Source Type: research

Assessment of theoretical and practical knowledge of asthma among guardians of children treated in primary care
Conclusions: Patients with COPD employ negative RC more often than do healthy individuals. Exercise capacity and depressive symptoms are associated with negative RC.RESUMO Objetivo: Comparar o coping religioso (CR) entre pacientes portadores de DPOC e indiv íduos saudáveis e investigar associações entre CR e características demográficas, qualidade de vida, depressão e gravidade da doença nesses pacientes. Métodos: Estudo transversal realizado entre 2014 e 2016 com pacientes ambulatoriais com DPOC moderada a grave de dois hospitais em Fortalez a (CE) e controles saudáveis pareados por sexo e idade. A escala Brie...
Source: Jornal Brasileiro de Pneumologia - October 18, 2019 Category: Respiratory Medicine Source Type: research