Artigo Original/Original Article
Correlação dos achados clínicos com os parâmetros funcionais em idosos portadores de asma
Correlation of clinical findings with functional parameters in elderly asthma patients
Thais Emanuele Leite Ribeiro1, Eduardo Costa de Freitas Silva2, Sara Lucia Silveira de Meneses3, Agnaldo José Lopes4,
Corresponding author
phel.lop@uol.com.br
Correspondência/Correspondence to: Agnaldo José Lopes Rua José do Patrocínio, 290/405, Grajaú, CEP 20560-160, Rio de Janeiro, RJ, Brasil, Tel: (+55 21) 2576-2030.
Correspondência/Correspondence to: Agnaldo José Lopes Rua José do Patrocínio, 290/405, Grajaú, CEP 20560-160, Rio de Janeiro, RJ, Brasil, Tel: (+55 21) 2576-2030.
1 Médica pneumologista do Hospital Universitário Pedro Ernesto. Pós-graduada em Alergia pelo Curso de Pós-graduação em Alergia e Imunologia Clínica da Universidade do Estado do Rio de Janeiro/Pulmonologist, Hospital Universitário Pedro Ernesto. Allergy post-graduate, Allergy and Clinical Immunology post-graduate course, Clínica da Universidade do Estado do Rio de Janeiro
2 Coordenador do Curso de Pós-graduação em Alergia e Imunologia Clínica da Universidade do Estado do Rio de Janeiro/Course coordinator, Allergy and Clinical Immunology post-graduate course, Universidade do Estado do Rio de Janeiro
3 Professora Adjunta da Universidade Federal do Rio de Janeiro (UFRJ). Grupo de Pesquisa em Fisioterapia do Centro Universitário Augusto Motta (UNISUAM)/Assistant Professor, Universidade Federal do Rio de Janeiro (UFRJ). Physiotherapy Research Group, Centro Universitário Augusto Motta (UNISUAM)
4 Professor Adjunto da Disciplina de Pneumologia e Tisiologia da Faculdade de Ciências Médicas da Universidade do Estado do Rio de Janeiro. Grupo de Pesquisa em Fisioterapia do Centro Universitário Augusto Motta (UNISUAM)/Assistant Professor, Pulmonology and Tysiology, Medical Science Faculty, Universidade do Estado do Rio de Janeiro. Physiotherapy Research Group, Centro Universitário Augusto Motta (UNISUAM)
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Pós-graduada em Alergia pelo Curso de Pós-graduação em Alergia e Imunologia Clínica da Universidade do Estado do Rio de Janeiro/Pulmonologist, Hospital Universitário Pedro Ernesto. Allergy post-graduate, Allergy and Clinical Immunology post-graduate course, Clínica da Universidade do Estado do Rio de Janeiro" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Coordenador do Curso de Pós-graduação em Alergia e Imunologia Clínica da Universidade do Estado do Rio de Janeiro/Course coordinator, Allergy and Clinical Immunology post-graduate course, Universidade do Estado do Rio de Janeiro" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Professora Adjunta da Universidade Federal do Rio de Janeiro (UFRJ). Grupo de Pesquisa em Fisioterapia do Centro Universitário Augusto Motta (UNISUAM)/Assistant Professor, Universidade Federal do Rio de Janeiro (UFRJ). Physiotherapy Research Group, Centro Universitário Augusto Motta (UNISUAM)" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Professor Adjunto da Disciplina de Pneumologia e Tisiologia da Faculdade de Ciências Médicas da Universidade do Estado do Rio de Janeiro. Grupo de Pesquisa em Fisioterapia do Centro Universitário Augusto Motta (UNISUAM)/Assistant Professor, Pulmonology and Tysiology, Medical Science Faculty, Universidade do Estado do Rio de Janeiro. Physiotherapy Research Group, Centro Universitário Augusto Motta (UNISUAM)" "etiqueta" => "4" "identificador" => "af0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "Correspondência/Correspondence to: Agnaldo José Lopes Rua José do Patrocínio, 290/405, Grajaú, CEP 20560-160, Rio de Janeiro, RJ, Brasil, Tel: (+<span class="elsevierStyleHsp" style=""></span>55 21) 2576-2030." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Correlation of clinical findings with functional parameters in elderly asthma patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-02" "fechaAceptado" => "2009-05-18" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570331" "palabras" => array:3 [ 0 => "Asma" 1 => "idoso" 2 => "testes de função respiratória" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570332" "palabras" => array:3 [ 0 => "Asthma" 1 => "elderly" 2 => "respiratory function tests" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> A idade avançada é factor de risco para má percepção de sintomas, gravidade e mortalidade devido à asma. Entretanto, na literatura, existem poucos trabalhos onde a relação entre sintomas respiratórios e função pulmonar é analisada especificamente nos idosos asmáticos.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos:</span> Avaliar o percentual de dissociação entre a classificação clínica e a funcional da asma no idoso, bem como caracterizar os subgrupos de doentes com maior risco de dissociação clinicofuncional.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e métodos:</span> Foi realizado um estudo de corte transversal, em que foram avaliados 41 doentes idosos (60 anos ou mais) com diagnóstico de asma. Foram recolhidos dados como idade, sexo, nível de escolaridade, tabagismo, tempo desde o diagnóstico da doença e peso, e realizadas a classificação clínica, a medida do pico de fluxo expiratório e a espirometria.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> Dos 41 doentes estudados, 33 eram mulheres, com média de idade de 68,2 anos. Houve correlação positiva do volume expiratório forçado no primeiro segundo (VEF<span class="elsevierStyleInf">1</span>) com os demais parâmetros funcionais, assim como correlação negativa do VEF<span class="elsevierStyleInf">1</span> com o tempo desde o diagnóstico da doença. A taxa do grupo com dissociação clinicofuncional foi de 73,2%, sendo que o sexo feminino e os doentes com baixa escolaridade apresentaram, respectivamente, risco 8,6 e 9,3 vezes maior.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusão:</span> A alta taxa de dissociação clinicofuncional no idoso com asma mostra a obrigatoriedade da realização de medidas funcionais para a classificação da sua gravidade.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (6): 1029-1041</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Advanced age is a risk factor for a blunted perception of the symptoms, severity and mortality of asthma. There are only a few studies in the literature on the relationship between respiratory symptoms and pulmonary function in elderly asthmatics.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims:</span> To evaluate the divergence between clinical and functional classification of asthma in the elderly and to characterise subgroups of patients at greater risk of clinico-functional divergence.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods:</span> A cross-sectional study evaluating 41 elderly asthmatics (60<span class="elsevierStyleHsp" style=""></span>years old or over; 33 female; mean age 68.2<span class="elsevierStyleHsp" style=""></span>years old). Data on age, gender, educational level, smoking, time since diagnosis of the disease and weight were obtained. Clinical classification, peak expiratory flow measurement and spirometry were performed.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> We found that forced expiratory volume in one second (FEV<span class="elsevierStyleInf">1</span>) correlated positively with the other functional parameters, and FEV<span class="elsevierStyleInf">1</span> correlated negatively with time since diagnosis of the disease. The percentage of clinico-functional divergence was 73.2%. Female patients and those with lower levels of schooling had an 8.6 and 9.3 risk of clinico-functional divergence respectively.</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion:</span> The great clinico-functional divergence in elderly asthmatics shows the need to establish functional measurements as markers of asthma severity.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (6): 1029-1041</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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