A1 Refereed original research article in a scientific journal
Lung function by impulse oscillometry at age 5-7 years after bronchiolitis at age 0-6 months
Authors: Eero Lauhkonen, Petri Koponen, Kirsi Nuolivirta, Marita Paassilta, Jyri Toikka, Matti Korppi
Publication year: 2015
Journal: Pediatric Pulmonology
Journal name in source: Pediatric Pulmonology
Volume: 50
Issue: 4
First page : 389
Last page: 395
Number of pages: 7
ISSN: 8755-6863
eISSN: 1099-0496
DOI: https://doi.org/10.1002/ppul.23039
Background: Viral bronchiolitis in infancy has been associated with increased bronchial reactivity and reduced lung function in later childhood and even in adulthood. However, lung function at preschool age is less studied, mainly due to technical difficulties. The purpose of the study was to evaluate lung function and bronchial reactivity at preschool age in children who were hospitalized for bronchiolitis in early infancy. Subjects and methods: Airway resistance and reactance, and bronchial reactivity to exercise were studied with impulse oscillometry (IOS) at the mean age of 6.3 years in 103 children hospitalized for bronchiolitis at less than 6 months of age. Results: In baseline lung-function measurement, resistance (n=8; 7.8%) or reactance (19; 18.4%) at 5Hz were pathological in 20% of children compared to Finnish population-based height-adjusted reference values. Increased bronchial reactivity by exercise challenge (5; 4.9%) or bronchodilatation (11; 10.7%) tests was present in 16%. Irreversible changes were revealed in only one case. Conclusions: Though reduced lung function and increased airway reactivity were rather common, evidence for persistent lung function reduction was rare, less than 1%, at preschool age in children hospitalized for bronchiolitis caused mainly by respiratory syncytial virus at age less than 6 months. © 2014 Wiley Periodicals, Inc.