Desaturation - distance ratio: a new concept for a functional assessment of interstitial lung diseases.
BACKGROUND
The functional evaluation has become increasingly important in the understanding and management of patients with interstitial lung diseases. The cardiopulmonary exercise test and the six-minute walk test (6MWT), through their isolated variables, have been used to do this evaluation, with some limitations.


OBJECTIVE
We proposed a new composite index (desaturation distance ratio using continuous peripheral oxygen saturation (SpO₂) and the distance walked as a more reliable tool for doing a functional evaluation of these patients.


METHODS
6MWT was performed by interstitial lung diseases patients and controls. Analyzed parameters were walked distance and desaturation area (DAO₂), obtained by taking the difference between maximal SpO₂ possible (100%) and patient's SpO₂ every 2 seconds. desaturation distance ratio was calculated using the ratio between DAO₂ and distance walked.


RESULTS
Forty-nine interstitial lung diseases patients and 11 control subjects completed the protocol. The mean (SD) age was 60 (12) years and 65 (9) years, respectively (p:NS). Data obtained from 6MWT showed a significant statistical difference between interstitial lung diseases patients and controls: mean walked distance (430 and 602 meters, respectively); SpO₂ minimal maintained at least 10 seconds - SpO₂ min (85% and 94%, respectively), and median desaturation distance ratio (10 and 2.5, respectively). A correlation analysis, considering interstitial lung diseases patients, revealed the best correlation between desaturation distance ratio and DLco (r= - 0.72; p<0.001), being the correlation between SpO₂ min and DLco of 0.61 (p<0.001) and among walked distance and DLco of 0.58 (p<0.05).


CONCLUSIONS
Desaturation distance ratio is a promising concept and a more reliable physiologic tool to assess pulmonary diseases characterized by involvement of the alveolar-capillary membrane, such as interstitial lung diseases.
Heart Institute, Universidade de São Paulo, SP, Brazil.
Suzana Pinheiro
SP
Pimenta
Renata Barbosa da
RB
Rocha
Bruno Guedes
BG
Baldi
Alexandre de Melo
Ade M
Kawassaki
Ronaldo Adib
RA
Kairalla
Carlos Roberto Ribeiro
CR
Carvalho
D000368:Aged; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005080:Exercise Test / Q000379:methods*; D005260:Female; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010092:Oximetry; D010100:Oxygen / Q000032:analysis*; D012129:Respiratory Function Tests; D012680:Sensitivity and Specificity; D016138:Walking / Q000502:physiology*
D010100:Oxygen