Single breath counting is an effective screening tool for forced vital capacity in ALS
نویسندگان
چکیده
Objective: To measure the correlation between single breath counting (SBC) and forced vital capacity (liters, FVCL) in amyotrophic lateral sclerosis (ALS) patients to define utility of SBC for determining when meet threshold initiation noninvasive positive pressure ventilation (FVC < 50% predicted [FVCpred]). Methods: Both patient paced (SBCpp) or externally (SBCep) along with FVCL+pred standard clinical data were collected. Linear regression was used examine SBCpp SBCep as a predictor FVCL. Receiver operating characteristic curve analysis evaluated sensitivity specificity categorically predicting FVCpred ≤50%. Results: In 30 ALS patients, explained moderate proportion variance FVCL (SBCpp: R2= 0.431, p 0.001; SBCep: R2 = 0.511, 0.01); this improved including covariates 0.635, 0.01; 0.657, 0.01). Patients minimal speech involvement performed similarly unadjusted 0.595, 0.01) adjusted 0.634, 0.650, models. had 100% 60% (area under (AUC) 0.696) <50%. 56% (AUC 0.696). With both 76.1% (SPCpp: AUC 0.845; 0.857). Conclusions: explains FVC is an extremely sensitive marker poor FVC. When cannot be obtained, such during current COVID-19 pandemic, helpful directing care.
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ژورنال
عنوان ژورنال: Amyotrophic lateral sclerosis & frontotemporal degeneration
سال: 2021
ISSN: ['2167-8421', '2167-9223']
DOI: https://doi.org/10.1080/21678421.2021.1915337