Normal values of respiratory oscillometry in South African children and adolescents

Introduction Noninvasive measurement of respiratory impedance by oscillometry can be used in young children aged from 3 years and those unable to perform forced respiratory manoeuvres. It can discriminate between healthy children and those with respiratory disease. However, its clinical application...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Chaya Shaakira
MacGinty Rae
Jacobs Carvern
Githinji Leah
Hlengwa Sipho
Simpson Shannon J.
Zar Heather J.
Hantos Zoltán
Gray Diane M.
Dokumentumtípus: Cikk
Megjelent: 2023
Sorozat:ERJ OPEN RESEARCH 9 No. 2
Tárgyszavak:
doi:10.1183/23120541.00371-2022

mtmt:33811987
Online Access:http://publicatio.bibl.u-szeged.hu/35902
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520 3 |a Introduction Noninvasive measurement of respiratory impedance by oscillometry can be used in young children aged from 3 years and those unable to perform forced respiratory manoeuvres. It can discriminate between healthy children and those with respiratory disease. However, its clinical application is limited by the lack of reference data for African paediatric populations. The aim of the present study was to develop reference equations for oscillometry outcomes in South African children and adolescents. Methods Healthy subjects, enrolled in the Drakenstein Child Health Study, HIV-uninfected adolescents in the Cape Town Adolescent Antiretroviral Cohort and healthy children attending surgical outpatient clinics at Red Cross War Memorial Children's Hospital were measured with conventional spectral (6-32 Hz) and intra-breath (10 Hz) oscillometry. Stepwise linear regression was used to assess the relationship between respiratory variables and anthropometric predictors (height, sex, ancestry) to generate reference equations. Results A total of 692 subjects, 48.4% female, median age of 5.2 years (range: 3-17 years) were included. The median (interquartile range (IQR)) for weight for age z-score and height for age z-score was -0.42 (-1.11-0.35) and -0.65 (-1.43-0.35), respectively. Stepwise regression demonstrated that all the variables were significantly dependent on height only. Comparison to previous reference data indicated slightly higher resistance and lower compliance values in the smallest children. Conclusion We established the first respiratory oscillometry reference equations for African children and adolescents, which will facilitate use in early identification and management of respiratory disease. Our results suggest differences in oscillometry measures by ancestry but also highlight the lack of standardisation in methodology. 
650 4 |a Klinikai orvostan 
700 0 1 |a MacGinty Rae  |e aut 
700 0 1 |a Jacobs Carvern  |e aut 
700 0 1 |a Githinji Leah  |e aut 
700 0 1 |a Hlengwa Sipho  |e aut 
700 0 1 |a Simpson Shannon J.  |e aut 
700 0 1 |a Zar Heather J.  |e aut 
700 0 1 |a Hantos Zoltán  |e aut 
700 0 1 |a Gray Diane M.  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/35902/1/ERJOR00371-2022.full.pdf  |z Dokumentum-elérés