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Vol 78, No 2 (2010)
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Published online: 2010-03-19
Submitted: 2013-02-22
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Clinical application of pulmonary function tests in preschool children

Irena Wojsyk-Banaszak, Anna Bręborowicz
Pneumonol Alergol Pol 2010;78(2):133-137.

open access

Vol 78, No 2 (2010)
REVIEWS
Published online: 2010-03-19
Submitted: 2013-02-22

Abstract

Pulmonary function tests are routinely used in the assessment of respiratory system in older children and adults. They have not made their way into wide clinical practice in preschool children and infants, mainly due to poor cooperation in this age group. This review discusses the use of various pulmonary function tests in preschool children in clinical setting. Issues relevant for clinical practice comprising but not limited to expressing results, within-occasion repeatability and between occasion reproducibility of various tests as well as choosing reference data are described. This paper also examines the most frequent respiratory disorders in preschool children and potential impact of pulmonary function tests results on clinical management in these patients.
Pneumonol. Alergol. Pol. 2010; 78, 2: 133-137

Abstract

Pulmonary function tests are routinely used in the assessment of respiratory system in older children and adults. They have not made their way into wide clinical practice in preschool children and infants, mainly due to poor cooperation in this age group. This review discusses the use of various pulmonary function tests in preschool children in clinical setting. Issues relevant for clinical practice comprising but not limited to expressing results, within-occasion repeatability and between occasion reproducibility of various tests as well as choosing reference data are described. This paper also examines the most frequent respiratory disorders in preschool children and potential impact of pulmonary function tests results on clinical management in these patients.
Pneumonol. Alergol. Pol. 2010; 78, 2: 133-137
Get Citation

Keywords

preschool children; pulmonary function tests; reference values; diagnostic tool

About this article
Title

Clinical application of pulmonary function tests in preschool children

Journal

Advances in Respiratory Medicine

Issue

Vol 78, No 2 (2010)

Pages

133-137

Published online

2010-03-19

Bibliographic record

Pneumonol Alergol Pol 2010;78(2):133-137.

Keywords

preschool children
pulmonary function tests
reference values
diagnostic tool

Authors

Irena Wojsyk-Banaszak
Anna Bręborowicz

References (38)
  1. Reddel HK, Taylor DR, Bateman ED, et al. American Thoracic Society/European Respiratory Society Task Force on Asthma Control and Exacerbations, American Thoracic Society/European Respiratory Society Working Group on Infant and Young Children Pulmonary Function Testing. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007; 175(12): 1304–1345.
  2. Tomalak W. Wykonywanie badań spirometrycznych u dzieci. Pneumonol Alergol Pol. 2006; 74: 39–40.
  3. Nystad W, Samuelsen SO, Nafstad P, et al. Feasibility of measuring lung function in preschool children. Thorax. 2002; 57(12): 1021–1027.
  4. Zapletal A, Chalupová J. Forced expiratory parameters in healthy preschool children (3-6 years of age). Pediatr Pulmonol. 2003; 35(3): 200–207.
  5. Vilozni D, Barak A, Efrati O, et al. The role of computer games in measuring spirometry in healthy and "asthmatic" preschool children. Chest. 2005; 128(3): 1146–1155.
  6. Lombardi E, Sly PD, Concutelli G, et al. Reference values of interrupter respiratory resistance in healthy preschool white children. Thorax. 2001; 56(9): 691–695.
  7. Merkus PJ, Arets HGM, Joosten T, et al. Measurements of interrupter resistance: reference values for children 3-13 yrs of age. Eur Respir J. 2002; 20(4): 907–911.
  8. Mazurek H, Willim G, Marchal F, et al. Input respiratory impedance measured by head generator in preschool children. Pediatr Pulmonol. 2000; 30(1): 47–55.
  9. Klug B, Bisgaard H. Specific airway resistance, interrupter resistance, and respiratory impedance in healthy children aged 2-7 years. Pediatr Pulmonol. 1998; 25(5): 322–331.
  10. Frei J, Jutla J, Kramer G, et al. Impulse oscillometry: reference values in children 100 to 150 cm in height and 3 to 10 years of age. Chest. 2005; 128(3): 1266–1273.
  11. Dencker M, Malmberg LP, Valind S, et al. Reference values for respiratory system impedance by using impulse oscillometry in children aged 2-11 years. Clin Physiol Funct Imaging. 2006; 26(4): 247–250.
  12. Nowowiejska B, Tomalak W, Radliński J, et al. Transient reference values for impulse oscillometry for children aged 3–18 years. Pediatr Pulmonol. 2008; 00: 1–6.
  13. Aurora P, Bush A, Gustafsson P, et al. London Cystic Fibrosis Collaboration. Multiple-breath washout as a marker of lung disease in preschool children with cystic fibrosis. Am J Respir Crit Care Med. 2005; 171(3): 249–256.
  14. Stocks J. Clinical implications of pulmonary function testing in preschool children. Paediatr Respir Rev. 2006; 7 Suppl 1: S26–S29.
  15. Arets HGM, van der Ent CK. Measurements of airway mechanics in spontaneously breathing young children. Paediatr Respir Rev. 2004; 5(1): 77–84.
  16. Frey U. Clinical applications of infant lung function testing: does it contribute to clinical decision making? Paediatr Respir Rev. 2001; 2(2): 126–130.
  17. Taussig LM, Wright AL, Holberg CJ, et al. Tucson Children's Respiratory Study: 1980 to present. J Allergy Clin Immunol. 2003; 111(4): 661–675.
  18. Piippo-Savolainen E, Korppi M. Wheezy babies--wheezy adults? Review on long-term outcome until adulthood after early childhood wheezing. Acta Paediatr. 2008; 97(1): 5–11.
  19. Goksör E, Amark M, Alm B, et al. Asthma symptoms in early childhood--what happens then? Acta Paediatr. 2006; 95(4): 471–478.
  20. Huurre TM, Aro HM, Jaakkola JJK. Incidence and prevalence of asthma and allergic rhinitis: a cohort study of Finnish adolescents. J Asthma. 2004; 41(3): 311–317.
  21. Marotta A, Klinnert MD, Price MR, et al. Impulse oscillometry provides an effective measure of lung dysfunction in 4-year-old children at risk for persistent asthma. J Allergy Clin Immunol. 2003; 112(2): 317–322.
  22. Lowe LA, Simpson A, Woodcock A, et al. NAC Manchester Asthma and Allergy Study Group. Wheeze phenotypes and lung function in preschool children. Am J Respir Crit Care Med. 2005; 171(3): 231–237.
  23. Fritz GJ, Herbarth O. Pulmonary function and urban air pollution in preschool children. Int J Hyg Environ Health. 2001; 203(3): 235–244.
  24. Brussee JE, Smit HA, Koopman LP, et al. Interrupter resistance and wheezing phenotypes at 4 years of age. Am J Respir Crit Care Med. 2004; 169(2): 209–213.
  25. Martinez FD, Wright AL, Taussig LM, et al. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med. 1995; 332(3): 133–138.
  26. Szefler S, Weiss S, Tonascia J, et al. Childhood Asthma Management Program Research Group. Long-term effects of budesonide or nedocromil in children with asthma. N Engl J Med. 2000; 343(15): 1054–1063.
  27. Wong JY, Moon S, Beardsmore C, et al. No objective benefit from steroids inhaled via a spacer in infants recovering from bronchiolitis. Eur Respir J. 2000; 15(2): 388–394.
  28. Goldstein AB, Castile RG, Davis SD, et al. Bronchodilator responsiveness in normal infants and young children. Am J Respir Crit Care Med. 2001; 164(3): 447–454.
  29. Marostica PJC, Weist AD, Eigen H, et al. Spirometry in 3- to 6-year-old children with cystic fibrosis. Am J Respir Crit Care Med. 2002; 166(1): 67–71.
  30. Morgan W, Butler S, Johnson C, et al. Epidemiologic study of cystic fibrosis: Design and implementation of a prospective, multicenter, observational study of patients with cystic fibrosis in the U.S. and Canada. Pediatric Pulmonology. 1999; 28(4): 231–241, doi: 10.1002/(sici)1099-0496(199910)28:4<231::aid-ppul1>3.3.co;2-u.
  31. Konstan MW, Butler SM, Schidlow DV, et al. Patterns of medical practice in cystic fibrosis: part I. Evaluation and monitoring of health status of patients. Investigators and Coordinators of the Epidemiologic Study of Cystic Fibrosis. Pediatr Pulmonol. 1999; 28(4): 242–247.
  32. Malmberg LP, Mieskonen S, Pelkonen A, et al. Lung function measured by the oscillometric method in prematurely born children with chronic lung disease. Eur Respir J. 2000; 16(4): 598–603.
  33. Filippone M, Sartor M, Zacchello F, et al. Flow limitation in infants with bronchopulmonary dysplasia and respiratory function at school age. Lancet. 2003; 361(9359): 753–754.
  34. Narang I, Baraldi E, Silverman M, et al. Airway function measurements and the long-term follow-up of survivors of preterm birth with and without chronic lung disease. Pediatr Pulmonol. 2006; 41(6): 497–508.
  35. Vrijlandt EJ, Gerritsen J, Boezen HM, et al. Lung function and exercise capacity in young adults born prematurely. Am J Respir Crit Care Med. 2006; 173(8): 890–896.
  36. Doyle LW, Faber B, Callanan C, et al. Bronchopulmonary dysplasia in very low birth weight subjects and lung function in late adolescence. Pediatrics. 2006; 118(1): 108–113.
  37. Vrijlandt EJ, Boezen HM, Gerritsen J, et al. Respiratory health in prematurely born preschool children with and without bronchopulmonary dysplasia. J Pediatr. 2007; 150(3): 256–261.
  38. Allen J, Zwerdling R, Ehrenkranz R, et al. American Thoracic Society. Statement on the care of the child with chronic lung disease of infancy and childhood. Am J Respir Crit Care Med. 2003; 168(3): 356–396.

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