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Relationship of Pulmonary Function Testing to Emotional and Psychosocial Factors

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Pulmonary Function Measurement in Noninvasive Ventilatory Support

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Abstract

Recently evidence-based recommendations for the most common lung function assessments take into account patient-related psychosocial, psychological and neuropsychiatric factors that may influence both the performance and interpretation of lung function tests. We discuss the assessment of these factors that must be evaluated by the clinician not only to determine the patient’s respiratory profile but also to identify any problems (such as alterations in mental status, delirium, cognitive deficits and psychological problems) that could affect both therapeutic adherence and efficacy of NIV.

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Abbreviations

ACE-R:

Addenbrooke’s Cognitive Examination Revised

ARF:

Acute respiratory failure

ARTP:

Association for Respiratory Technology and Physiology

BDI:

Beck Depression Inventory,

BMI:

Body mass index

CAM:

Confusion Assessment Method

CDT:

Clock Drawing Test

CES-D:

Center for Epidemiologic Studies-Depression Scale

CGA:

Comprehensive Geriatric Assessment

COPD:

Chronic obstructive pulmonary disease

CRD:

Chronic respiratory diseases

EGA:

Emogasanalysis

EQ-5D:

Euro Quality of Life-5 Dimensions

EXIT:

Executive Interview

FAB:

Frontal Assessment Battery

FCV:

Forced vital capacity

FEV:

Forced expiratory volume

FSS:

Fatigue Severity Scale

GDS:

Geriatric Depression Scale

HADS:

Hospital Anxiety and Depression Scale

HCO3:

Hydrogen carbonate concentration

HRQL:

Health-Related Quality of Life

IADL:

Instrumental Activities of Daily Living

MCI:

Mild cognitive impairment

MEP:

Maximal expiratory pressure

MIP:

Maximal inspiratory pressure

mMRC:

Modified Medical Research Council Dyspnea Scale

MMSE:

Mini-Mental State Examination

MoCA:

Montreal Cognitive Assessment

MRF-26:

Maugeri Respiratory Failure Questionnaire

NIV:

Noninvasive ventilation

PaCO2:

Partial pressure of carbon dioxide in arterial blood,

PaO2:

Partial pressure of oxygen in arterial blood

PEF:

Peak expiratory flow

PFTs:

Pulmonary function tests

pH:

Potential of hydrogen

SGRQ:

St George’s Respiratory Questionnaire

SRI:

Severe respiratory insufficiency

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Authors and Affiliations

  1. Pneumological Service, Primary Care Department, Health Authority and Services, Modena, Italy

    Marilena De Guglielmo

  2. San Giovanni di Dio and Ruggi d’Aragona Hospital, University of Salerno “Scuola Medica Salernitana”, Salerno, Italy

    Giuseppina Fabbo

  3. Geriatric Service, Cognitive Disorders and Dementia Unit, Health Authority and Services, Modena, Italy

    Andrea Fabbo

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  1. Marilena De Guglielmo
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  2. Giuseppina Fabbo
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  3. Andrea Fabbo
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Correspondence to Andrea Fabbo .

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Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Spain

    Antonio M. Esquinas

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De Guglielmo, M., Fabbo, G., Fabbo, A. (2021). Relationship of Pulmonary Function Testing to Emotional and Psychosocial Factors. In: Esquinas, A.M. (eds) Pulmonary Function Measurement in Noninvasive Ventilatory Support. Springer, Cham. https://doi.org/10.1007/978-3-030-76197-4_45

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  • DOI: https://doi.org/10.1007/978-3-030-76197-4_45

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