Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000300216 |
Resumo: | Objective: to correlate the findings of high resolution computed tomography of the chest based on the Bhalla score with the clinical data and spirometry in children and adolescents with cystic fibrosis, and to study the concordance between two radiologists for the Bhalla score and its categories. Methods: we evaluated the medical records of 23 patients from the outpatient clinic. The items evaluated included age, weight, height, height/age Z-score, weight/age Z-score, body mass index (BMI), O2 saturation, spirometry and Bhalla score. Results: the patients had a mean age of 17.4 years ± 5.7 years, with fifteen females and eight males. There was good correlation between Bhalla score and spirometry (FVC-r =0.718, p<0.001; FEV1-r=0.830, p<0.001; FEF25-75%-r =0.786, p<0.001; FEV1/FVC-r=0.714, p<0.001). It was also noted that some patients with FEF25-75%> 70% already had changes in their final Bhalla score. In the analysis of the concordance between the examiners a Kappa coefficient of 0.81 (p <0.001) was found, and an intraclass correlation coefficient of 0.98. Conclusion: a good correlation between Bhalla scores with spirometry confirmed its usefulness in evaluating and monitoring patients with cystic fibrosis, given it can be used both in patients who are unable to perform spirometry as well as for a pooled analysis of the two examinations since the HRCT scans show early changes in patients with normal function tests. |
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Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosiscystic fibrosistomographyspirometrychildadolescent Objective: to correlate the findings of high resolution computed tomography of the chest based on the Bhalla score with the clinical data and spirometry in children and adolescents with cystic fibrosis, and to study the concordance between two radiologists for the Bhalla score and its categories. Methods: we evaluated the medical records of 23 patients from the outpatient clinic. The items evaluated included age, weight, height, height/age Z-score, weight/age Z-score, body mass index (BMI), O2 saturation, spirometry and Bhalla score. Results: the patients had a mean age of 17.4 years ± 5.7 years, with fifteen females and eight males. There was good correlation between Bhalla score and spirometry (FVC-r =0.718, p<0.001; FEV1-r=0.830, p<0.001; FEF25-75%-r =0.786, p<0.001; FEV1/FVC-r=0.714, p<0.001). It was also noted that some patients with FEF25-75%> 70% already had changes in their final Bhalla score. In the analysis of the concordance between the examiners a Kappa coefficient of 0.81 (p <0.001) was found, and an intraclass correlation coefficient of 0.98. Conclusion: a good correlation between Bhalla scores with spirometry confirmed its usefulness in evaluating and monitoring patients with cystic fibrosis, given it can be used both in patients who are unable to perform spirometry as well as for a pooled analysis of the two examinations since the HRCT scans show early changes in patients with normal function tests. Associação Médica Brasileira2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000300216Revista da Associação Médica Brasileira v.60 n.3 2014reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.60.03.009info:eu-repo/semantics/openAccessPereira,Flavia Fajardo LinharesIbiapina,Cassio da CunhaAlvim,Cristina GonçalvesCamargos,Paulo Augusto MoreiraFigueiredo,ReginaldoPedrosa,Jesiana Ferreiraeng2014-07-01T00:00:00Zoai:scielo:S0104-42302014000300216Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2014-07-01T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis |
title |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis |
spellingShingle |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis Pereira,Flavia Fajardo Linhares cystic fibrosis tomography spirometry child adolescent |
title_short |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis |
title_full |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis |
title_fullStr |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis |
title_full_unstemmed |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis |
title_sort |
Correlation between Bhalla score and spirometry in children and adolescents with Cystic Fibrosis |
author |
Pereira,Flavia Fajardo Linhares |
author_facet |
Pereira,Flavia Fajardo Linhares Ibiapina,Cassio da Cunha Alvim,Cristina Gonçalves Camargos,Paulo Augusto Moreira Figueiredo,Reginaldo Pedrosa,Jesiana Ferreira |
author_role |
author |
author2 |
Ibiapina,Cassio da Cunha Alvim,Cristina Gonçalves Camargos,Paulo Augusto Moreira Figueiredo,Reginaldo Pedrosa,Jesiana Ferreira |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pereira,Flavia Fajardo Linhares Ibiapina,Cassio da Cunha Alvim,Cristina Gonçalves Camargos,Paulo Augusto Moreira Figueiredo,Reginaldo Pedrosa,Jesiana Ferreira |
dc.subject.por.fl_str_mv |
cystic fibrosis tomography spirometry child adolescent |
topic |
cystic fibrosis tomography spirometry child adolescent |
description |
Objective: to correlate the findings of high resolution computed tomography of the chest based on the Bhalla score with the clinical data and spirometry in children and adolescents with cystic fibrosis, and to study the concordance between two radiologists for the Bhalla score and its categories. Methods: we evaluated the medical records of 23 patients from the outpatient clinic. The items evaluated included age, weight, height, height/age Z-score, weight/age Z-score, body mass index (BMI), O2 saturation, spirometry and Bhalla score. Results: the patients had a mean age of 17.4 years ± 5.7 years, with fifteen females and eight males. There was good correlation between Bhalla score and spirometry (FVC-r =0.718, p<0.001; FEV1-r=0.830, p<0.001; FEF25-75%-r =0.786, p<0.001; FEV1/FVC-r=0.714, p<0.001). It was also noted that some patients with FEF25-75%> 70% already had changes in their final Bhalla score. In the analysis of the concordance between the examiners a Kappa coefficient of 0.81 (p <0.001) was found, and an intraclass correlation coefficient of 0.98. Conclusion: a good correlation between Bhalla scores with spirometry confirmed its usefulness in evaluating and monitoring patients with cystic fibrosis, given it can be used both in patients who are unable to perform spirometry as well as for a pooled analysis of the two examinations since the HRCT scans show early changes in patients with normal function tests. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000300216 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000300216 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.60.03.009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.60 n.3 2014 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
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