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Pediatric pulmonary function testing in infants and toddlers with perinatal burden

Jan Sulc, Vaclav Kredba, Jan Zikan, Petr Kotatko, Jana Tukova, Petr Pohunek, Pavel Kolar, Daniela Markova
European Respiratory Journal 2011 38: p1120; DOI:
Jan Sulc
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Vaclav Kredba
1Dept. Paediatrics and Adolescent Medicine, General Teaching Hospital and Charles University in Prague, 1st Faculty of Medicine, Prague 2, Czech Republic
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Jan Zikan
2Dept. Pediatrics, Charles University in Prague, 2nd Faculty of Medicine and University Hospital Motol, Prague 5, Czech Republic
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Petr Kotatko
1Dept. Paediatrics and Adolescent Medicine, General Teaching Hospital and Charles University in Prague, 1st Faculty of Medicine, Prague 2, Czech Republic
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Jana Tukova
1Dept. Paediatrics and Adolescent Medicine, General Teaching Hospital and Charles University in Prague, 1st Faculty of Medicine, Prague 2, Czech Republic
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Petr Pohunek
2Dept. Pediatrics, Charles University in Prague, 2nd Faculty of Medicine and University Hospital Motol, Prague 5, Czech Republic
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Pavel Kolar
3Dept. Rehabilitation and Physical Medicine, Charles University in Prague, 2nd Faculty of Medicine and University Hospital Motol, Prague 5, Czech Republic
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Daniela Markova
1Dept. Paediatrics and Adolescent Medicine, General Teaching Hospital and Charles University in Prague, 1st Faculty of Medicine, Prague 2, Czech Republic
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Abstract

Methods of infant pulmonary function testing (IPFT) represent an important diagnostic tool for an assessment of chronic lung disease in infancy (CLDI). We assessed lung function in a cohort of children with a perinatal burden.

We tested 74 infants and toddlers (birth weight 1.47±1.11kg [mean±SD]; body length at birth 30.8±16.3cm with CLDI. Age at testing was 1.38±0.69 (median 1.35) yrs; body weight 9.0±2.2kg, body length 76.0±9.7cm. The whole-body plethysmography (to measure FRCp and sReff), tidal breathing analysis (tPTEF%tE), baby resistance/compliance (specific Crs) and rapid thoraco-abdominal compression method (VmaxFRC) were performed. MS Baby Body, VIASYS, USA was used. Standard protocols [1] and proper reference values [2] were used.

FRCp equals 115.3±41.2% pred (P<0.02), sReff reached 134.6±93.8% pred (P<0.005). A parameter of tPTEF%tE mildly decreased (23.5±10.6%). Specific compliance rs (Crs/kg) was 14.4±3.9 ml/kPa/kg; V'maxFRC reached 136±69 ml/sec.

In infants and toddlers with a perinatal burden peripheral and central airway obstruction with mild (secondary) hyperinflation was found. Mildly increased specific compliance of the respiratory system was also found. No restrictive pattern was detected. Serial IPFT assessments in our cohort is required to validate present data.

References:

  • 1. Hammer J, Eber E (eds). Pediatric Pulmonary Function Testing, 2005, Basel, Karger.

  • 2. Hulskamp G et al: Am J Respir Crit Care Med 2003;168:1003-9.

  • Supported by the project “Follow-up of children with perinatal burden” of EEA and Norway grants and by the grant NT/11444-5.

    • © 2011 ERS
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    Pediatric pulmonary function testing in infants and toddlers with perinatal burden
    Jan Sulc, Vaclav Kredba, Jan Zikan, Petr Kotatko, Jana Tukova, Petr Pohunek, Pavel Kolar, Daniela Markova
    European Respiratory Journal Sep 2011, 38 (Suppl 55) p1120;

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    Pediatric pulmonary function testing in infants and toddlers with perinatal burden
    Jan Sulc, Vaclav Kredba, Jan Zikan, Petr Kotatko, Jana Tukova, Petr Pohunek, Pavel Kolar, Daniela Markova
    European Respiratory Journal Sep 2011, 38 (Suppl 55) p1120;
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