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Shwachman-Kulczycki score and resting energy expenditure in cystic fibrosis.
J Cyst Fibros 2003; 2(3):148-51JC

Abstract

BACKGROUND

Disease severity assessed by clinical scores in cystic fibrosis (CF) has been a topic of investigation for many years, although a correlation of clinical scores with resting energy expenditure (REE) has not been described yet. We aimed to assess disease severity as evaluated by the Shwachman-Kulczycki (SK) score and to correlate these findings with REE and forced expiratory volume in 1 s (FEV1).

METHODS

Twenty-eight patients performed respiratory function testing (FEV1), and assessment of REE with open circuit indirect calorimetry. The SK score was evaluated according to general activity, physical examination, nutrition and conventional chest X-ray findings.

RESULTS

Mean SK score was 75.3 +/- 15.7. Mean REE was 109.1% of predicted vs. 96.5% predicted in 16 healthy subjects (P = 0.002). There was a significant correlation between the SK score and REE (P = 0.001), the SK score and FEV1 (P < 0.001) and REE and FEV1 (P = 0.034).

CONCLUSIONS

The correlations between the SK score, REE and FEV1 demonstrate a close connection between disease severity, caloric requirement and lung damage. They confirm the clinical value of the SK score, which is easy to assess in a clinical setting.

Authors+Show Affiliations

Department of Paediatrics, Haukeland University Hospital, Bergen 5021, Norway. ludger.dorlochter@helse-bergen.noNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15463864

Citation

Dorlöchter, Ludger, et al. "Shwachman-Kulczycki Score and Resting Energy Expenditure in Cystic Fibrosis." Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society, vol. 2, no. 3, 2003, pp. 148-51.
Dorlöchter L, Helgheim V, Røksund OD, et al. Shwachman-Kulczycki score and resting energy expenditure in cystic fibrosis. J Cyst Fibros. 2003;2(3):148-51.
Dorlöchter, L., Helgheim, V., Røksund, O. D., Rosendahl, K., & Fluge, G. (2003). Shwachman-Kulczycki score and resting energy expenditure in cystic fibrosis. Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society, 2(3), pp. 148-51.
Dorlöchter L, et al. Shwachman-Kulczycki Score and Resting Energy Expenditure in Cystic Fibrosis. J Cyst Fibros. 2003;2(3):148-51. PubMed PMID: 15463864.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Shwachman-Kulczycki score and resting energy expenditure in cystic fibrosis. AU - Dorlöchter,Ludger, AU - Helgheim,Vegard, AU - Røksund,Ola D, AU - Rosendahl,Karen, AU - Fluge,Gjermund, PY - 2002/11/08/received PY - 2003/03/19/accepted PY - 2004/10/7/pubmed PY - 2004/11/17/medline PY - 2004/10/7/entrez SP - 148 EP - 51 JF - Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society JO - J. Cyst. Fibros. VL - 2 IS - 3 N2 - BACKGROUND: Disease severity assessed by clinical scores in cystic fibrosis (CF) has been a topic of investigation for many years, although a correlation of clinical scores with resting energy expenditure (REE) has not been described yet. We aimed to assess disease severity as evaluated by the Shwachman-Kulczycki (SK) score and to correlate these findings with REE and forced expiratory volume in 1 s (FEV1). METHODS: Twenty-eight patients performed respiratory function testing (FEV1), and assessment of REE with open circuit indirect calorimetry. The SK score was evaluated according to general activity, physical examination, nutrition and conventional chest X-ray findings. RESULTS: Mean SK score was 75.3 +/- 15.7. Mean REE was 109.1% of predicted vs. 96.5% predicted in 16 healthy subjects (P = 0.002). There was a significant correlation between the SK score and REE (P = 0.001), the SK score and FEV1 (P < 0.001) and REE and FEV1 (P = 0.034). CONCLUSIONS: The correlations between the SK score, REE and FEV1 demonstrate a close connection between disease severity, caloric requirement and lung damage. They confirm the clinical value of the SK score, which is easy to assess in a clinical setting. SN - 1569-1993 UR - https://www.unboundmedicine.com/medline/citation/15463864/Shwachman_Kulczycki_score_and_resting_energy_expenditure_in_cystic_fibrosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1569199303000602 DB - PRIME DP - Unbound Medicine ER -