Voice changes in patients with chronic obstructive pulmonary disease
Introduction: Voice changes are not a direct symptom of chronic obstructive pulmonary disease (COPD), but many COPD patients experience voice changes. Aim of the work: The aim of this work was to establish the voice changes in patients with chronic obstructive pulmonary disease. Patients and methods...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-07-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0422763814000685 |
| _version_ | 1811210171002650624 |
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| author | Enas Elsayed Mohamed Riham Ali El maghraby |
| author_facet | Enas Elsayed Mohamed Riham Ali El maghraby |
| author_sort | Enas Elsayed Mohamed |
| collection | DOAJ |
| description | Introduction: Voice changes are not a direct symptom of chronic obstructive pulmonary disease (COPD), but many COPD patients experience voice changes.
Aim of the work: The aim of this work was to establish the voice changes in patients with chronic obstructive pulmonary disease.
Patients and methods: Fifty COPD patients were conducted in this study. Patients were enrolled after obtaining informed consents. All patients were subjected to clinical diagnostic aids which include history taking (age, sex, smoking index and drug history), general and chest examinations, spirometry, arterial blood gases, chest X-ray, endoscopic examination of the larynx, auditory perceptual assessment and acoustic analysis of voice.
Results: The age of the patients ranged from 32 to 76 years, all patients were current or former smokers and the pack year index ranged from 20 to 66 with a mean ± SD value of 41.16 ± 13.80. Dysphonia was perceived in 25 (50%) patients. There was significant positive correlation between the smoking index with Jitter%, Shimmer% and the grade of dysphonia. There was significant positive correlation between Jitter%, Shimmer% and the grade of dysphonia with the large doses of ICSs usage and with pMDIs usage. Moreover, there was significant inverse correlation between Jitter%, Shimmer% and the grade of dysphonia with DPIs usage and with FVC, FEV1 and MMEF% of predicted values.
In conclusion: Dysphonia (hoarseness) in COPD patients is multifactorial. Successful analysis should depend on cooperation between pulmonologists, voice specialists, and laryngologists. |
| first_indexed | 2024-04-12T04:51:43Z |
| format | Article |
| id | doaj.art-c6f5b1f50db546a4af6a7314eb0fb0f1 |
| institution | Directory Open Access Journal |
| issn | 0422-7638 |
| language | English |
| last_indexed | 2024-04-12T04:51:43Z |
| publishDate | 2014-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-c6f5b1f50db546a4af6a7314eb0fb0f12022-12-22T03:47:18ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382014-07-0163356156710.1016/j.ejcdt.2014.03.006Voice changes in patients with chronic obstructive pulmonary diseaseEnas Elsayed Mohamed0Riham Ali El maghraby1Chest Diseases Department, Faculty of Medicine, Alexandria University, EgyptPhoniatrics Department, Faculty of Medicine, Alexandria University, EgyptIntroduction: Voice changes are not a direct symptom of chronic obstructive pulmonary disease (COPD), but many COPD patients experience voice changes. Aim of the work: The aim of this work was to establish the voice changes in patients with chronic obstructive pulmonary disease. Patients and methods: Fifty COPD patients were conducted in this study. Patients were enrolled after obtaining informed consents. All patients were subjected to clinical diagnostic aids which include history taking (age, sex, smoking index and drug history), general and chest examinations, spirometry, arterial blood gases, chest X-ray, endoscopic examination of the larynx, auditory perceptual assessment and acoustic analysis of voice. Results: The age of the patients ranged from 32 to 76 years, all patients were current or former smokers and the pack year index ranged from 20 to 66 with a mean ± SD value of 41.16 ± 13.80. Dysphonia was perceived in 25 (50%) patients. There was significant positive correlation between the smoking index with Jitter%, Shimmer% and the grade of dysphonia. There was significant positive correlation between Jitter%, Shimmer% and the grade of dysphonia with the large doses of ICSs usage and with pMDIs usage. Moreover, there was significant inverse correlation between Jitter%, Shimmer% and the grade of dysphonia with DPIs usage and with FVC, FEV1 and MMEF% of predicted values. In conclusion: Dysphonia (hoarseness) in COPD patients is multifactorial. Successful analysis should depend on cooperation between pulmonologists, voice specialists, and laryngologists.http://www.sciencedirect.com/science/article/pii/S0422763814000685Chronic obstructive pulmonary diseaseDysphoniaSmokingInhaled corticosteroids |
| spellingShingle | Enas Elsayed Mohamed Riham Ali El maghraby Voice changes in patients with chronic obstructive pulmonary disease Egyptian Journal of Chest Disease and Tuberculosis Chronic obstructive pulmonary disease Dysphonia Smoking Inhaled corticosteroids |
| title | Voice changes in patients with chronic obstructive pulmonary disease |
| title_full | Voice changes in patients with chronic obstructive pulmonary disease |
| title_fullStr | Voice changes in patients with chronic obstructive pulmonary disease |
| title_full_unstemmed | Voice changes in patients with chronic obstructive pulmonary disease |
| title_short | Voice changes in patients with chronic obstructive pulmonary disease |
| title_sort | voice changes in patients with chronic obstructive pulmonary disease |
| topic | Chronic obstructive pulmonary disease Dysphonia Smoking Inhaled corticosteroids |
| url | http://www.sciencedirect.com/science/article/pii/S0422763814000685 |
| work_keys_str_mv | AT enaselsayedmohamed voicechangesinpatientswithchronicobstructivepulmonarydisease AT rihamalielmaghraby voicechangesinpatientswithchronicobstructivepulmonarydisease |