Ventilatory Efficiency in Children and Adolescents: A Systematic Review
Ventilatory Efficiency in Children and Adolescents: A Systematic Review
复制标题
儿童和青少年的通气效率：系统评价
作者：
P. Parazzi;F. Marson;M. A. Ribeiro;C. Schivinski;J. Ribeiro
介绍。通过渐进运动试验获得的通气效率指数（VE/VCO2）被认为是成人心力衰竭预后的金标准，但很少有研究在儿童中评估这种方法。客观的。验证有关儿科和青少年患者 VE/VCO2 的科学证据。方法。使用 PEDro 和 PubMed/MedLine 数据库，使用关键词 VE/VCO2、儿童和青少年进行了系统的文献综述。 1987 年至 2014 年发表的临床试验，包括 25 岁以下的儿童、青少年和年轻人，将 VE/VCO2 指数作为评估、监测和预后的方法。结果。最初，找到 95 篇文章； 12 例被排除，因为标题/摘要不包含 VE/VCO2 指数或因为它们包括年龄超过 25 岁的患者。其余 83 个中，有 58 个在数据库之间重复。最终样本由 32 项研究组成，其中包括健康儿童以及患有呼吸道疾病和其他疾病的儿童。结论。很少有研究涉及通过通气效率评估心肺功能。研究强调，由于与肺灌注和心输出量减少有关，高 VE/VCO2 值与患者预后较差相关。
Introduction. The index of ventilatory efficiency (VE/VCO2) obtained by the progressive exercise test has been considered the gold standard in the prognosis of adults with heart failure, but few studies have evaluated this approach in children. Objective. To verify the scientific evidence about the VE/VCO2 in pediatric and adolescents patients. Methods. A systematic literature review was carried out using the key words VE/VCO2, children, and adolescents using the PEDro and PubMed/MedLine databases. Clinical trials published from 1987 to 2014, including children, adolescents, and young adults up to 25 years, addressing the VE/VCO2 index as a method of evaluation, monitoring, and prognosis were considered. Results. Initially, 95 articles were found; 12 were excluded as the title/abstract did not contain the VE/VCO2 index or because they included patients greater than 25 years of age. From the remaining 83, 58 were repeated between the databases. The final sample consisted of 32 studies including healthy children and children with respiratory and other diseases. Conclusion. There are few studies involving cardiorespiratory assessment by ventilatory efficiency. The studies highlight the fact that high VE/VCO2 values are associated with a worse prognosis of patients due to the relationship with the decrease in pulmonary perfusion and cardiac output.
肺动脉高压的小儿患者的功能能力，结局和疾病严重程度相关。
影响因子：
3.5
作者：
Rausch, Christopher M.;Taylor, Amy Lynne;Ross, Hayley;Sillau, Stefan;Ivy, D. Dunbar
通讯作者：
Ivy, D. Dunbar