A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Lung function by impulse oscillometry at age 5-7 years after bronchiolitis at age 0-6 months




TekijätEero Lauhkonen, Petri Koponen, Kirsi Nuolivirta, Marita Paassilta, Jyri Toikka, Matti Korppi

Julkaisuvuosi2015

JournalPediatric Pulmonology

Tietokannassa oleva lehden nimiPediatric Pulmonology

Vuosikerta50

Numero4

Aloitussivu389

Lopetussivu395

Sivujen määrä7

ISSN8755-6863

eISSN1099-0496

DOIhttps://doi.org/10.1002/ppul.23039


Tiivistelmä

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.




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