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(F)utility of preoperative pulmonary function testing in pectus excavatum to assess severity.
Gonzalez, Gabriel C; Berazaluce, Alejandra M Casar; Jenkins, Todd M; Hardie, William D; Foster, Karla E; Moore, Ryan A; Powell, Adam W; Garcia, Victor F; Brown, Rebeccah L.
Afiliación
  • Gonzalez GC; College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA. gonzalgc@mail.uc.edu.
  • Berazaluce AMC; Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio, USA. gonzalgc@mail.uc.edu.
  • Jenkins TM; Division of Pediatric Surgery, Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
  • Hardie WD; Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio, USA.
  • Foster KE; Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio, USA.
  • Moore RA; Department of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Powell AW; Department of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Garcia VF; College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
  • Brown RL; Cincinnati Children's Hospital Medical Center Heart Institute, Cincinnati, Ohio, USA.
Pediatr Surg Int ; 40(1): 102, 2024 Apr 08.
Article en En | MEDLINE | ID: mdl-38589706
ABSTRACT

PURPOSE:

The utility of pulmonary function testing (PFT) in pectus excavatum (PE) has been subject to debate. Although some evidence shows improvement from preoperative to postoperative values, the clinical significance is uncertain. A high failure-to-completion rate for operative PFT (48%) was identified in our large institutional cohort. With such a high non-completion rate, we questioned the overall utility of PFT in the preoperative assessment of PE and sought to evaluate if other measures of PE severity or cardiopulmonary function could explain this finding.

METHODS:

Demographics, clinical findings, and results from cardiac MRI, PFT (spirometry and plethysmography), and cardiopulmonary exercise tests (CPET) were reviewed in 270 patients with PE evaluated preoperatively between 2015 and 2018. Regression modeling was used to measure associations between PFT completion and cardiopulmonary function.

RESULTS:

There were no differences in demographics, symptoms, connective tissue disorders, or multiple indices of pectus severity and cardiac deformation in PFT completers versus non-completers. While regression analysis revealed higher RVEF, LVEF, and LVEF-Z scores, lower RV-ESV/BSA, LV-ESV/BSA, and LV-ESV/BSA-Z scores, and abnormal breathing reserve in PFT completers vs. non-completers, these findings were not consistent across continuous and binary analyses.

CONCLUSIONS:

We found that PFT completers were not significantly different from non-completers in most structural and functional measures of pectus deformity and cardiopulmonary function. Inability to complete PFT is not an indicator of pectus severity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tórax en Embudo Límite: Humans Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tórax en Embudo Límite: Humans Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania