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Predominant spirometric pattern in patients with chronic airflow obstruction due to pulmonary tuberculosis sequelae


International Physical Medicine & Rehabilitation Journal
Jiménez J, Latrach A, Martínez R, Navarrete C, Ortiz M

Abstract

Objective: The objective of this study is to determine the predominant spirometric pattern in patients with chronic airflow obstruction (CAO) due to pulmonary tuberculosis (PTB) sequelae (CAO-PTB) in family health center of La Florida, Talca.
Methods: Descriptive study of 17 patients (5 men, 12 women), with a mean age ± SD of 72•8 ± 8•4 years, with a CAO-PTB diagnostic, who underwent a basal and post bronchodilator spirometry. The measured variables were: basal and post bronchodilator FEV1/FVC, FEV1, FVC, FEF 25-75%, and change in FEV1 and FVC, measured in percentage and ml. The statistical analysis was made using the software SPSS, version 23.
Results: Of the 17 evaluated patients, 13 showed an obstructive spirometric pattern (76•5%), 3 a normal spirometric pattern (17•6%) and 1 a restrictive spirometric pattern (5•9%). Of the 13 patients with obstructive spirometric pattern, 7 presented a normal FVC (53•9%), and 6 a diminished FVC (46•1%). Regarding the changes post bronchodilator, 6 patients showed significant changes (35•3%), which were all obstructive, and 11 patients had no significant changes (64•7%), being 7 obstructive, 3 normal, and 1 restrictive.
Conclusions: The predominant spirometric pattern of the evaluated patients with CAO-PTB, in the family health center La Florida, Talca, was the obstructive with normal FVC, and no significant changes post bronchodilator were found.
 

Keywords

chronic airflow obstruction, pulmonary tuberculosis, spirometric pattern, pulmonary parenchyma, chronic respiratory diseases, thoracic pain, statistical analysis, bronchial incitement, pulmonary parenchyma, Plethysmography, bronchial incitement

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