Method of chronic lung failure diagnostics in copd patients based on computer pulse oximetry during stress testing
https://doi.org/10.51922/2074-5044.2021.3.111
Abstract
In the article chronic lung failure method of diagnostics in chronic obstructive pulmonary disease (COPD) patients based on computer pulse oximetry during stress testing (6-walking test and bicycle ergometer test) is given. The sensitivity and the specificity of method of diagnostics with ROC-analisis is assessed. As it`s identified, bicycle ergometer test use allows to increase the informativeness of lung failure degree diagnostics due to identification of COPD persons without lung failure. Different degrees of lung failure are identified in 70% COPD patients using developed method of lung failure degree diagnostics. Sever degree of lung failure is revealed in 56% COPD patients. Lung failure degree that can decrease domestic stress testing tolerance and can get worse the quality of life is revealed in 56% COPD patients. The moderate straight relationship between lung failure degrees and severity lung failure classes and COPD exacerbation risk groups is detected.
About the Authors
D. V. LapitskiBelarus
A. N. Ryapolov
Belarus
V. A. Pupkevich
Belarus
T. V. Chirikova
Belarus
A. A. Arabey
Belarus
A. V. Goncharik
Belarus
G. A. Ibragimova
Belarus
N. P. Mitkovskaya
Belarus
References
1. VOZ. 10 vedushchih prichin smerti v mire. Osnovnye svedeniya. – 2018. -https://www.who.int/ru/news-room/fact-sheets/detail/the-top-10-causes-of-death.
2. Mortality in COPD: role of comorbidities / Sin D. D., Anthonisen N. R., Soriano J. B. et al. // Eur. Respir. J. – 2006. – № 28. – R. 1245–1257.
3. SHtabnickij V. A. Dyhatel‘naya nedostatochnost‘: patofiziologiya, diagnostika, principy terapii // Respiratornaya medicina / pod red. CHuchalina A. G. – M.: «Litterra», 2017. – Gl. 19. – S. 365–370.
4. O formah i stepenyah nedostatochnosti vneshnego dyhaniya // Rukovodstvo po klinicheskoj fiziologii dyhaniya / pod red. SHika L. L., Kanaeva N. N. – Leningrad: Medicina, 1980. – Gl. 14. - S. 346–358.
5. Dyspnea. Mechanisms assessment, and management: a consensus statement // Am. J. Respir. Crit. Care Med. – 1999. – V. 159. – P. 321–340.
6. Corrado A., Renda T., Bertini S. Long-term oxygen therapy in COPD: evidences and open questions of current indications // Monaldi Arch. Chest Dis. – 2010. – V. 73, № 1. – R. 34–43.
7. Neinvazivnoe monitorirovanie nasyshcheniya gemoglobina arterial‘noj krovi kislorodom v klinike vnutrennih boleznej: metodicheskie rekomendacii / Lapickij D. V., Ermolkevich R. F., Metel‘skij S. M. i dr. – Minsk, BGMU. – 2019g. – 68 s.
8. Hronicheskaya obstruktivnaya bolezn‘ legkih // Mes kel N., Millar E. Rukovodstvo po respiratornoj medicine / Per. s angl. pod red. S. N. Avdeeva. – M.: GEOTAR-Media, 2014. – Gl. 5. – S. 120–159.
9. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chro nic respiratory disease / Holland A. E., Spruit M. A., Troosters T. et al. // Eur. Respir. J. – 2014. – V.44. – R. 1428–1446.
10. Chaitman B. R. Proby s fizicheskoj nagruzkoj // Bolezni serdca po Braunval‘du. Rukovodstvo po serdechno-sosudistoj medicine / pod red. Libbi P., Bonou R. O., Manna D. L., Zajpsa D. P., Braunval‘da E., per. s angl. pod red. R. G. Oganova. – M.: Rid Elsiver, 2010. – T. 1 – Gl. 13. – C. 225–260.
11. Trueman J., Hacking C. Policy for use of Pulse Oximetry in Adults, 2015. – 20 p.
12. Halafyan A. A. Statistica 6. Matematicheskaya statistika s elementami teorii veroyatnostej. – M.: Binom, 2010. – 496 s.
13. Nasledov A. IBM SPSS 20 statistics i AMOS. Professional‘nyj statisticheskij analiz dannyh. – Spb.: Piter, 2013. – 318–328.
14. Grigor‘ev S. G., Lobzin YU. V., Skripchenko N. V. Rol‘ i mesto logisticheskoj regressii i ROC-analiza v reshenii medicinskih diagnosticheskih zadach // ZHurnal infektologii. – 2016. – T. 8. – № 4. – S. 37–45.
Review
For citations:
Lapitski D.V., Ryapolov A.N., Pupkevich V.A., Chirikova T.V., Arabey A.A., Goncharik A.V., Ibragimova G.A., Mitkovskaya N.P. Method of chronic lung failure diagnostics in copd patients based on computer pulse oximetry during stress testing. Military Medicine. 2021;(3):111-122. (In Russ.) https://doi.org/10.51922/2074-5044.2021.3.111
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