Brazilian studies on pulmonary function in COPD patients: what are the gaps?
Agnaldo José Lopes,1,2 Pedro Lopes de Melo3 1Pulmonary Function Laboratory, State University of Rio de Janeiro, 2Pulmonary Rehabilitation Laboratory, Augusto Motta University Center, 3Biomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering, State University...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-07-01
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| Series: | International Journal of COPD |
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| Online Access: | https://www.dovepress.com/brazilian-studies-on-pulmonary-function-in-copd-patients-what-are-the--peer-reviewed-article-COPD |
| _version_ | 1818143033129959424 |
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| author | Lopes AJ Melo PL |
| author_facet | Lopes AJ Melo PL |
| author_sort | Lopes AJ |
| collection | DOAJ |
| description | Agnaldo José Lopes,1,2 Pedro Lopes de Melo3 1Pulmonary Function Laboratory, State University of Rio de Janeiro, 2Pulmonary Rehabilitation Laboratory, Augusto Motta University Center, 3Biomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering, State University of Rio de Janeiro, Rio de Janeiro, BrazilBackground: COPD is a major cause of death and morbidity worldwide, and is characterized by persistent airflow obstruction. The evaluation of obstruction is critically dependent on sensitive methods for lung-function testing. A wide body of knowledge has been accumulated in recent years showing that these methods have been significantly refined and seems promising for detection of early disease.Objectives: This review focuses on research on pulmonary function analysis in COPD performed in Brazil during this century.Materials and methods: The literature was searched using a systematic search strategy limited to English language studies that were carried out in Brazil from the year 2000 onward, with study objectives that included a focus on lung function.Results: After we applied our inclusion and exclusion criteria, 94 articles addressed our stated objectives. Among the new methods reviewed are the forced-oscillation technique and the nitrogen-washout test, which may provide information on small-airway abnormalities. Studies investigating the respiratory muscles and thoracoabdominal motion are also discussed, as well as studies on automatic clinical decision-support systems and complexity measurements. We also examined important gaps in the present knowledge and suggested future directions for the cited research fields.Conclusion: There is clear evidence that improvements in lung-function methods allowed us to obtain new pathophysiological information, contributing to improvement in our understanding of COPD. In addition, they may also assist in the diagnosis and prevention of COPD. Further investigations using prospective and longitudinal design may be of interest to elucidate the use of these new methods in the diagnosis and prevention of COPD.Keywords: COPD, dynamic lung hyperinflation, thoracoabdominal motion, oscillation mechanics, automatic clinical decision-support systems, complexity measurements |
| first_indexed | 2024-12-11T11:25:14Z |
| format | Article |
| id | doaj.art-5bcfc70447894185a320418e7963cf45 |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-12-11T11:25:14Z |
| publishDate | 2016-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-5bcfc70447894185a320418e7963cf452022-12-22T01:09:02ZengDove Medical PressInternational Journal of COPD1178-20052016-07-012016Issue 11553156727826Brazilian studies on pulmonary function in COPD patients: what are the gaps?Lopes AJMelo PLAgnaldo José Lopes,1,2 Pedro Lopes de Melo3 1Pulmonary Function Laboratory, State University of Rio de Janeiro, 2Pulmonary Rehabilitation Laboratory, Augusto Motta University Center, 3Biomedical Instrumentation Laboratory, Institute of Biology and Faculty of Engineering, State University of Rio de Janeiro, Rio de Janeiro, BrazilBackground: COPD is a major cause of death and morbidity worldwide, and is characterized by persistent airflow obstruction. The evaluation of obstruction is critically dependent on sensitive methods for lung-function testing. A wide body of knowledge has been accumulated in recent years showing that these methods have been significantly refined and seems promising for detection of early disease.Objectives: This review focuses on research on pulmonary function analysis in COPD performed in Brazil during this century.Materials and methods: The literature was searched using a systematic search strategy limited to English language studies that were carried out in Brazil from the year 2000 onward, with study objectives that included a focus on lung function.Results: After we applied our inclusion and exclusion criteria, 94 articles addressed our stated objectives. Among the new methods reviewed are the forced-oscillation technique and the nitrogen-washout test, which may provide information on small-airway abnormalities. Studies investigating the respiratory muscles and thoracoabdominal motion are also discussed, as well as studies on automatic clinical decision-support systems and complexity measurements. We also examined important gaps in the present knowledge and suggested future directions for the cited research fields.Conclusion: There is clear evidence that improvements in lung-function methods allowed us to obtain new pathophysiological information, contributing to improvement in our understanding of COPD. In addition, they may also assist in the diagnosis and prevention of COPD. Further investigations using prospective and longitudinal design may be of interest to elucidate the use of these new methods in the diagnosis and prevention of COPD.Keywords: COPD, dynamic lung hyperinflation, thoracoabdominal motion, oscillation mechanics, automatic clinical decision-support systems, complexity measurementshttps://www.dovepress.com/brazilian-studies-on-pulmonary-function-in-copd-patients-what-are-the--peer-reviewed-article-COPDchronic obstructive pulmonary diseasedynamic lung hyperinflationthorachoabdominal motionoscillation mechanicsautomatic clinical decision support systemscomplexity measurements |
| spellingShingle | Lopes AJ Melo PL Brazilian studies on pulmonary function in COPD patients: what are the gaps? International Journal of COPD chronic obstructive pulmonary disease dynamic lung hyperinflation thorachoabdominal motion oscillation mechanics automatic clinical decision support systems complexity measurements |
| title | Brazilian studies on pulmonary function in COPD patients: what are the gaps? |
| title_full | Brazilian studies on pulmonary function in COPD patients: what are the gaps? |
| title_fullStr | Brazilian studies on pulmonary function in COPD patients: what are the gaps? |
| title_full_unstemmed | Brazilian studies on pulmonary function in COPD patients: what are the gaps? |
| title_short | Brazilian studies on pulmonary function in COPD patients: what are the gaps? |
| title_sort | brazilian studies on pulmonary function in copd patients what are the gaps |
| topic | chronic obstructive pulmonary disease dynamic lung hyperinflation thorachoabdominal motion oscillation mechanics automatic clinical decision support systems complexity measurements |
| url | https://www.dovepress.com/brazilian-studies-on-pulmonary-function-in-copd-patients-what-are-the--peer-reviewed-article-COPD |
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