Details

Autor(en) / Beteiligte

• Singer, Florian
• Kieninger, Elisabeth
• Abbas, Chiara
• Yammine, Sophie
• Fuchs, Oliver
• Proietti, Elena
• Regamey, Nicolas
• Casaulta, Carmen
• Frey, Urs
• Latzin, Philipp

Titel

Practicability of nitrogen multiple-breath washout measurements in a pediatric cystic fibrosis outpatient setting

Ist Teil von

• Pediatric pulmonology, 2013-08, Vol.48 (8), p.739-746

Ort / Verlag

Hoboken: Wiley Subscription Services, Inc., A Wiley Company

Erscheinungsjahr

2013

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Background Although lung clearance index (LCI) is a sensitive indicator of mild cystic fibrosis (CF) lung disease, it is rarely measured due to lengthy protocols and the commercial unavailability of multiple‐breath washout (MBW) setups and tracer gases. We used a newly validated, commercially available nitrogen (N2) MBW setup to assess success rate, duration, and variability of LCI within a 20 min timeframe, during clinical routine. We also evaluated the relationship between LCI and other clinical markers of CF lung disease. Methods One hundred thirty six children (83 with CF) between 4 and 16 years were studied in a pediatric CF outpatient setting. One hundred eighteen out of 136 children were naïve to MBW. Within 20 min, each child was trained, N2MBW was performed, and LCI was analyzed. We assessed intra‐ and between‐test reproducibility in a subgroup of children. Results At least one LCI was feasible in 123 (90%) children, with a mean (range) of 3.3 (1.2–6.4) min per test. Two or more measurements were feasible in 56 (41%) children. Comparing LCI in CF versus controls, LCI mean (SD) was 12.0 (3.9) versus 6.1 (0.9), and the intra‐ and inter‐test coefficient of repeatability was 1.00 versus 0.81 and 0.96 versus 0.62, respectively. LCI was correlated with spirometry, blood gases, and Pseudomonas aeruginosa infection. Conclusions Using available N2MBW equipment, LCI measurements are practical and fast in children. LCI is correlated with markers of CF lung disease. Longer timeframes would be required for triplicate N2MBW tests in inexperienced children. Pediatr Pulmonol. 2013; 48:739–746. © 2012 Wiley Periodicals, Inc.