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Multiple breath washout is feasible in the clinical setting and detects abnormal lung function in infants and young children with cystic fibrosis

Background: Cystic fibrosis (CF) lung disease starts in the first months of life often before the onset of clinical symptoms. Multiple breath washout (MBW) detects abnormal lung function in infants and young children in the laboratory setting. Objective: The aim of this study was to determine the fe...

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Main Authors: Stahl, Mirjam (Author) , Joachim, Cornelia (Author) , Blessing, Kerstin (Author) , Hämmerling, Susanne Hedwig (Author) , Sommerburg, Olaf (Author) , Latzin, Philipp (Author) , Mall, Marcus A. (Author)
Format: Article (Journal)
Language:English
Published: January 14, 2014
In: Respiration
Year: 2014, Volume: 87, Issue: 5, Pages: 357-363
ISSN:1423-0356
DOI:10.1159/000357075
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1159/000357075
Verlag, lizenzpflichtig, Volltext: https://www.karger.com/Article/FullText/357075
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Author Notes:Mirjam Stahl, Cornelia Joachim, Kerstin Blessing, Susanne Hämmerling, Olaf Sommerburg, Philipp Latzin, Marcus A. Mall
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Summary:Background: Cystic fibrosis (CF) lung disease starts in the first months of life often before the onset of clinical symptoms. Multiple breath washout (MBW) detects abnormal lung function in infants and young children in the laboratory setting. Objective: The aim of this study was to determine the feasibility of MBW in 0- to 4-year-old children with CF and non-CF controls in the clinical setting. Methods: Fourteen children with CF (mean age 1.3 ± 1.0 years) and 26 age-matched non-CF controls were sedated with chloral hydrate and MBW was performed with sulfur hexafluoride. Results: MBW measurements were successful in 27 of 40 children (67.5%). The mean lung clearance index (LCI) was significantly higher in CF patients compared to non-CF controls (p = 0.006). Further, the frequency of elevated LCI (z-score >1.96) was significantly increased in CF patients compared to controls (p = 0.0003). Conclusions: We conclude that MBW is feasible and sensitive to detect abnormal lung function in infants and young children with CF in the clinical setting.
Item Description:Gesehen am 02.09.2020
Physical Description:Online Resource
ISSN:1423-0356
DOI:10.1159/000357075

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