非COPD慢性呼吸道疾病的功能性措施:系统性审查
Camile Ludovico Zamboti1,2, Heloise Angélico Pimpão1,2, Larissa Dragonetti Bertin1,3
1Laboratory of Research in Respiratory Physiotherapy (LFIP), Department of Physiotherapy, Londrina State University (UEL), Londrina 86038-3500, Brazil.
Journal of clinical medicine
|November 27, 2024
概括
为非COPD慢性呼吸道疾病 (CRD) 选择功能性表现 (FP) 工具是一项挑战. 本综述总结了FP仪器,它们的特性和临床相关性,有助于明智选择工具以获得更好的患者结果.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 临床测量 临床测量
背景情况:
- 在慢性呼吸道疾病 (CRD) 之外,选择适当的功能性能 (FP) 仪器是很困难的,因为现有的各种各样.
- 需要进行系统审查,以整合有关FP仪器的信息,其测量特性和非COPDCRD的临床实用性.
研究的目的:
- 系统地审查和总结非COPDCRD中使用的FP工具.
- 评估这些仪器的测量特性和临床上重要的最小差异.
- 探索FP措施与CRD课程相关事件或预后之间的关联.
主要方法:
- 在PubMed,PEDro,Embase和Cochrane图书馆数据库中进行系统的文献搜索.
- 在非COPD的CRD中使用患者报告或基于绩效的仪器,包括评估FP的研究.
- 排除COPD专项研究和仅进行运动能力测试;使用已建立的检查清单进行偏差风险评估.
主要成果:
- 包括7个CRD类别 (例如喘,ILD,PAH) 的216项研究,确定了33个FP仪器.
- 物理功能领域的SF-36是最常见的患者报告的工具;1分钟的坐立测试是最受研究的基于表现的测量.
- 与临床事件的关联是罕见的,主要是将ILD和PAH的死亡率联系起来.
结论:
- 关于许多用于非COPDCRD的FP仪器的测量特性和临床影响的数据有限.
- 本综述提供了综合证据总结,以指导非COPD CRD 的FP 工具的选择.
- 更好地了解FP仪器特性可以提高临床决策和患者管理.
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