Qu'est-ce qui constitue un déficit ventilatoire obstructif chez une population pédiatrique? Un protocole d’étude
DOI :
https://doi.org/10.62438/tunismed.v102i5.4871Mots-clés :
Algorithme, Asthme, BTS, ERS/ATS, GINA, Interprétation, Problème de santé , Sociétés savantes , Spirométrie , VEMS/CVFRésumé
Introduction : Il n'existe pas de consensus clair sur ce qui constitue un déficit ventilatoire obstructif (DVO) dans des populations pédiatriques.
Objectif : Déterminer le pourcentage d'enfants/adolescents présentant un DVO parmi ceux adressés pour spirométrie après avoir pris en compte les définitions avancées par certaines sociétés savantes internationales. [British Columbia (BC), British thoracic-society (BTS), Canadian thoracic society (CTS), European respiratory society et American thoracic society (ERS-ATS), global initiative for asthma (GINA), Irish college of general practitioners (ICGP), national asthma council (NAC), national institute of clinical excellence (NICE), société de pneumologie de langue française et de la société pédiatrique de pneumologie et allergologie (SPLF-SP2A), et South African thoracic society (SATS)]. Méthodes : Cette étude transversale impliquera deux structures médicales à Sousse/Tunisie, et inclura des enfants/adolescents âgés de 6 à 18 ans. Un questionnaire médical sera utilisé, des données anthropométriques et cliniques seront collectées et les données spirométriques seront mesurées par deux spiromètres. Les six définitions suivantes de DVO seront appliquées: i) GINA: volume expiratoire maximal en une seconde (VEMS) < 80 % et VEMS/capacité vitale forcée (CVF) ≤ 0,90; ii) ICGP: VEMS/CVF < 0,70; iii) ERS-ATS ou BTS ou SATS ou SPLF-SP2A ou NAC: z- score du VEMS/CVF < -1,645; iv) NICE: VEMS/CVF < 0,70 ou z- score du VEMS/CVF < -1.645; v) CTS: VEMS/CVF < 0,80 ou z- score du VEMS/CVF < -1,645; et vi) ERS: "z- score du VEMS ou VEMS/CVF" < -1,645 ou "VEMS ou VEMS/CVF" < 0,80.
Résultats attendus : Le pourcentage d'enfants/adolescents ....( résumé tronqué à 250 mots).
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