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Yammine, S; Singer, F; Gustafsson, P; Latzin, P.
Impact of different breathing protocols on multiple-breath washout outcomes in children.
J Cyst Fibros. 2014; 13(2):190-7 Doi: 10.1016/j.jcf.2013.08.010
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Co-Autor*innen der Med Uni Graz
Singer Florian
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Abstract:
BACKGROUND: To standardize multiple-breath washout (MBW) measurements, 1L tidal volume (VT) protocols were suggested. The effect on MBW derived ventilation inhomogeneity (VI) indices is unclear. METHODS: We compared VI indices from free breathing MBW at baseline to 1L VT MBW performed in triplicates in 35 children (20 with CF). Mean (range) age was 12.8 (7.0-16.7) years, weight 42 (20-64) kg and height 151 (117-170) cm. RESULTS: Baseline lung clearance index (LCI) increased from mean (SD) 11.0 (2.2) to 13.0 (2.6), p = 0.011, in CF and from 6.8 (0.5) to 7.7 (1.4), p = 0.004, in controls. Moment ratio and Scond similarly increased. While change in VI indices was heterogeneous in individuals, decrease in functional residual capacity was most strongly associated with LCI increase. CONCLUSION: MBW protocols strongly influence measures of VI. The 1L VT MBW protocol leads to overestimation of VI and is not recommended in children.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent - administration & dosage
Breath Tests - methods
Child - administration & dosage
Comparative Effectiveness Research - administration & dosage
Cross-Sectional Studies - administration & dosage
Cystic Fibrosis - diagnosis, physiopathology, therapy
Female - administration & dosage
Humans - administration & dosage
Male - administration & dosage
Outcome Assessment, Health Care - methods, standards
Pulmonary Ventilation - administration & dosage
Reproducibility of Results - administration & dosage
Respiratory Function Tests - methods, standards
Severity of Illness Index - administration & dosage

Find related publications in this database (Keywords)
Children
Cystic fibrosis
Respiratory function test
Lung physiology
Clinical use
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