{Reference Type}: Journal Article
{Title}: Impact of HRCT pattern on six-minute walk test in patients with interstitial lung disease-An observational study.
{Author}: Saxena P;Singh I;Kumar A;Kartik S;Malik V;Tiwari S;Akhil KR;Pattanayak S;Velangi VG;Jain H;
{Journal}: Lung India
{Volume}: 40
{Issue}: 5
{Year}: 2023 Sep-Oct
暂无{DOI}: 10.4103/lungindia.lungindia_165_23
{Abstract}: <B>UNASSIGNED: </B>Forced vital capacity (FVC) and six-minute walk distance (6MWD) are robust markers in interstitial lung diseases (ILD) to assess severity and prognosis. It is unknown whether high-resolution computed tomography pattern has any independent effect on the exercise capacity in ILD. We compared six-minute walk test (6MWT) parameters between usual interstitial pneumonia (UIP) and non-UIP ILD after adjusting for FVC.<BR><B>UNASSIGNED: </B>Data from a tertiary care ILD clinic were retrospectively analysed. Based on HRCT, patients were classified as UIP and non-UIP. 6MWT parameters and FVC were recorded for enrolled patients. 6MWD, distance-saturation product (DSP) and exertional desaturation were compared between UIP and non-UIP, using analysis of covariance (ANCOVA), with per cent predicted FVC as covariate. Patients were grouped as mild (≥70%), moderate (51%-69%) and severe (≤50%) based on FVC severity.<BR><B>UNASSIGNED: </B>Out of 169 patients enrolled, only patients with all three data points: spirometry, 6MWT and HRCT were included in the analysis (n = 139). UIP group comprised 56 (40.3%), while non-UIP group had 83 (59.7%) patients. More females and lesser smokers were present in non-UIP group. Mean predicted FVC% was similar between the two HRCT groups (P = 0.611) and had a statistically significant, though very weak to weak correlation with 6MWT parameters {6MWD (r = 0.138); pred 6MWD% (r = 0.170); desaturation (r = -0.227); DSP index (r = 0.166)}. Analysis of covariance showed no statistically significant difference in the 6MWT parameters between UIP and non-UIP groups for similar FVC levels.<BR><B>UNASSIGNED: </B>For a similar level of lung function, exercise capacity was similar for patients with UIP and non-UIP pattern ILD.