Pulmonary function in patients with chronic stroke compared with a control group of healthy people matched by age and sex

Lista-Paz, Ana; Kuisma, Raija; Canosa, Jesús Luis Saleta; Sebio-García, Raquel; Doníz, Luz González

doi:10.1080/09593985.2022.2031363

Cited by 3 publications

(5 citation statements)

References 36 publications

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“…Stroke patients exhibited a restrictive PFT pattern in the study by Jung K. et al with lower spirometric values compared to controls [ 19 ] and in the study by Kimura et al, in which stroke patients with and without dysphagia had lower VCs compared to healthy participants [ 21 ]. Lista-Paz et al showed that the main lung volumes were significantly reduced in people with chronic stroke compared to healthy volunteers matched by age and sex (VC, IRV, IC, FVC, FEV 1 and PEF), as well as to their own reference values (VC, ERV, IC, FVC, FEV 1 ), results suggestive of a restrictive ventilatory defect in this population [ 25 ]. Sezer et al also found a restrictive pattern with lower FVC and FEV 1 in stroke survivors [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Results from the studies included in this review indicate that stroke patients have lower spirometric variables compared to healthy individuals and compared to normal reference values [ 12 , 17 , 19 , 20 , 21 , 23 , 25 , 31 ]. This involves mainly FEV 1 and FVC.…”

Section: Discussionmentioning

confidence: 99%

“…This involves mainly FEV 1 and FVC. The most common pattern observed was restrictive [ 12 , 17 , 19 , 20 , 21 , 23 , 25 , 31 ] while only one study reported an obstructive pattern, as suggested from the FEV 1 /FVC ratio [ 12 ]. Other studies, however, have failed to show a reduction of forced dynamic lung volumes and only slow dynamic measurements such as VC were reduced in patients with stroke [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Expiratory flow has also been reported to be reduced in stroke patients: De Almeida et al reported a significantly reduced PEF in patients with right hemiplegia [16] and so did Sezer et al [31], Annoni et al [11] and Ezeugwu et al [12]. The peak cough flow was also reduced in the study carried out by Kimura et al [21] and Lista-Paz et al [25]. These results are supported by the study carried out by Kulnik et al, who showed that peak cough flow was significantly reduced in patients with stroke [22] and in the study by Liaw et al, who showed a maximum mid-expiratory flow of 65.4 ± 29.5% [23].…”

Section: Lung Volumes and Flows In Stroke Patientsmentioning

confidence: 92%

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Pulmonary Function Tests Post-Stroke. Correlation between Lung Function, Severity of Stroke, and Improvement after Respiratory Muscle Training

Drakopanagiotakis,

Bonelis,

Steiropoulos

et al. 2024

Neurology International

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Stroke is a significant cause of mortality and chronic morbidity caused by cardiovascular disease. Respiratory muscles can be affected in stroke survivors, leading to stroke complications, such as respiratory infections. Respiratory function can be assessed using pulmonary function tests (PFTs). Data regarding PFTs in stroke survivors are limited. We reviewed the correlation between PFTs and stroke severity or degree of disability. Furthermore, we reviewed the PFT change in stroke patients undergoing a respiratory muscle training program. We searched PubMed until September 2023 using inclusion and exclusion criteria in order to identify studies reporting PFTs post-stroke and their change after a respiratory muscle training program. Outcomes included lung function parameters (FEV1, FVC, PEF, MIP and MEP) were measured in acute or chronic stroke survivors. We identified 22 studies of stroke patients, who had undergone PFTs and 24 randomised controlled trials in stroke patients having PFTs after respiratory muscle training. The number of patients included was limited and studies were characterised by great heterogeneity regarding the studied population and the applied intervention. In general, PFTs were significantly reduced compared to healthy controls and predicted normal values and associated with stroke severity. Furthermore, we found that respiratory muscle training was associated with significant improvement in various PFT parameters and functional stroke parameters. PFTs are associated with stroke severity and are improved after respiratory muscle training.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Lung Volumes and Flows In Stroke Patientsmentioning

confidence: 92%

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Pulmonary Function Tests Post-Stroke. Correlation between Lung Function, Severity of Stroke, and Improvement after Respiratory Muscle Training

Drakopanagiotakis,

Bonelis,

Steiropoulos

et al. 2024

Neurology International

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“…Numerous confounding factors that have previously shown associations with lung function and kidney function decline were identified as covariates, including demographic factors, 19 body mass index (BMI) and obesity, 20 21 exposure to vapours, gases, dust and fumes (VGDF), 21 living close to traffic, 21 drinking habits, 22 smoking status, 19 hyperuricemia, 23 dyslipidaemia 24 and various comorbidities, such as diabetes, 24 stroke, 25 cardiovascular diseases, 26 hypertension, 27 CKD, chronic lung diseases, allergy and asthma. 28 The baseline demographic and clinical characteristics were recorded through questionnaires, interviews, blood tests and physical examinations.…”

Section: Covariatesmentioning

confidence: 99%

Association between pulmonary function and rapid kidney function decline: a longitudinal cohort study from CHARLS

Han,

Xu,

Wang

2024

BMJ Open Resp Res

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BackgroundPulmonary function has been reported to be associated with chronic kidney disease. However, the relationship between lung function and rapid kidney function decline remains unclear.MethodsParticipants aged ≥45 years with complete data from the 2011 and 2015 interviews of the China Health and Retirement Longitudinal Study (CHARLS) were included. Lung function, assessed by peak expiratory flow (PEF), and kidney function, assessed by estimated glomerular filtration rate (eGFR), were tested at the baseline and endpoint surveys. Rapid kidney function decline was defined as a decrease in eGFR ≥3 mL/min/1.73 m²/year, and ΔeGFR represented the difference between baseline and endpoint eGFR. Multivariate logistic regression models and linear regression models were employed to evaluate the association between PEF and the risk of rapid eGFR decline, as well as the correlation between PEF and ΔeGFR.ResultsA total of 6159 participants were included, with 1157 (18.78%) individuals experiencing a rapid decline in eGFR. After adjusting for potential covariates, higher baseline PEF (Quartile 4 vs Quartile 1, OR=0.95, 95% CI 0.92 to 0.98) and elevated PEF % predicted (OR=0.96, 95% CI 0.94 to 0.99) were found to be associated with a lower risk of rapid eGFR decline. ΔeGFR decreased by 0.217 and 0.124 mL/min/1.73 m² for every 1 L/s increase in baseline PEF (β (95% CI): −0.217 (−0.393 to –0.042)) and 10% increase in PEF % predicted (β (95% CI): −0.124 (−0.237 to –0.011)), respectively. During the follow-up period, ΔeGFR decreased as PEF increased over time among participants in Quartile 1 (β per 1 L/s increase in ΔPEF=−0.581, 95% CI −1.003 to –0.158; β per 10% increase in ΔPEF % predicted=−0.279, 95% CI −0.515 to –0.043).ConclusionsHigher PEF was associated with a slower longitudinal eGFR decline in middle-aged and older adults.

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Mendelian randomization analyses reveal causal relationship between liver volume and stroke

Zhang,

Li,

Yan

et al. 2024

Journal of Stroke and Cerebrovascular Diseases

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Pulmonary function in patients with chronic stroke compared with a control group of healthy people matched by age and sex

Abstract: Pulmonary function in patients with chronic stroke compared with a control group of healthy people matched by age and sex.

Cited by 3 publications

References 36 publications

Pulmonary Function Tests Post-Stroke. Correlation between Lung Function, Severity of Stroke, and Improvement after Respiratory Muscle Training

Pulmonary Function Tests Post-Stroke. Correlation between Lung Function, Severity of Stroke, and Improvement after Respiratory Muscle Training

Association between pulmonary function and rapid kidney function decline: a longitudinal cohort study from CHARLS

Mendelian randomization analyses reveal causal relationship between liver volume and stroke

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