Indicators of Need for Mechanical Ventilation in Duchenne Muscular Dystrophy and Spinal Muscular Atrophy

作者: Søren Lyager , Birgit Steffensen , Bent Juhl

DOI: 10.1378/CHEST.108.3.779

关键词:

摘要: Study objectives The purpose was to investigate a possible relationship between different parameters of physical function, spirometric measurements, and the approaching need for mechanical ventilation. Design A nonrandomized, prospective, descriptive study 11 patients with spinal muscular atrophy type II (SMA-II) 14 Duchenne dystrophy (DMD). At home visit, anthropometric indices age, height, weight were recorded, degree disability scored, measurement strength eight muscle groups spirometry performed. interdependence variables analyzed intergroup differences evaluated. Eighteen months later, it found that one authors (B.J.), who blind results first examination had instituted ventilation on seven patients. data retrospectively their predictive value as indicators ventilator dependency. Results needed DMD highest score (Egen Klassifikation [EK] sum >20) smallest values FVC Conclusion In this investigation, combination EK FVC% provided better indication in than separately.

参考文章(11)
Stephen Pheasant, Bodyspace : anthropometry, ergonomics and design Taylor & Francis. ,(1986)
Leo F. Black, Robert E. Hyatt, Maximal static respiratory pressures in generalized neuromuscular disease. The American review of respiratory disease. ,vol. 103, pp. 641- 650 ,(2015) , 10.1164/ARRD.1971.103.5.641
André De Troyer, André Heilporn, Respiratory mechanics in quadriplegia. The respiratory function of the intercostal muscles The American review of respiratory disease. ,vol. 122, pp. 591- 600 ,(1980) , 10.1164/ARRD.1980.122.4.591
Shegeki Kuzuhara, Samuel M. Chou, Preservation of the phrenic motoneurons in werdnig-hoffmann disease Annals of Neurology. ,vol. 9, pp. 506- 510 ,(1981) , 10.1002/ANA.410090515
Freeman Miller, Jan Koreska, Height measurement of patients with neuromuscular disease and contractures. Developmental Medicine & Child Neurology. ,vol. 34, pp. 55- 60 ,(2008) , 10.1111/J.1469-8749.1992.TB08563.X
Irene S. Gilgoff, Emily Kahlstrom, Eithne MacLaughlin, Thomas G. Keens, Long-term ventilatory support in spinal muscular atrophy The Journal of Pediatrics. ,vol. 115, pp. 904- 909 ,(1989) , 10.1016/S0022-3476(89)80740-1
Scott R. Inkley, Frederick C. Oldenburg, Paul J. Vignos, Pulmonary function in Duchenne muscular dystrophy related to stage of disease The American Journal of Medicine. ,vol. 56, pp. 297- 306 ,(1974) , 10.1016/0002-9343(74)90611-1
Osame M, Sonoda Y, Atsuchi H, Fukunaga H, Respiratory failure and its care in Duchenne muscular dystrophy Rinshō shinkeigaku Clinical neurology. ,vol. 31, pp. 154- ,(1991)
A Miller, J C Thornton, Standardized lung function testing. Bulletin européen de physiopathologie respiratoire. ,vol. 20, pp. 571- 572 ,(1984)