Airflow pattern complexity during resting breathing in patients with COPD: effect of airway obstruction.

Abstract:

:We investigated the influence of airway obstruction in the complexity of the airflow pattern in COPD and its use as a marker of disease activity. The sample entropy (SampEnV') and the variability (SDV') of the airflow pattern were measured in a group of 88 subjects with various levels of airway obstruction. Airway obstruction resulted in a reduction in the SampEnV' (p<0.0001) that was significantly correlated with spirometric indices of airway obstruction (R=0.50, p<0.001). The early adverse effects in mild airway obstruction were detected by the SampEnV' with an accuracy of 84%. SDV' increased with airway obstruction (p<0.002). We conclude that (1) the airflow patterns in COPD exhibit reduced complexity compared with healthy subjects; (2) this reduction in complexity is proportional to airway obstruction; and (3) the evaluation of SampEnV' may provide novel respiratory biomarkers suitable to facilitate the diagnosis of respiratory abnormalities in COPD.

authors

Dames KK,Lopes AJ,de Melo PL

doi

10.1016/j.resp.2013.12.004

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

39-47

eissn

1569-9048

issn

1878-1519

pii

S1569-9048(13)00391-1

journal_volume

192

pub_type

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