Progression of Lung Function in Children with Cystic Fibrosis
Author Information
Author(s): Richard Kraemer, David Baldwin, Roland Ammann, Urs Frey, Sabina Gallati
Primary Institution: Department of Paediatrics, University of Berne, Inselspital, Switzerland
Hypothesis
Functional consequences of lung disease in CF extend beyond simple bronchial obstruction and should include monitoring of pulmonary hyperinflation and trapped gas.
Conclusion
The study suggests that pulmonary hyperinflation and trapped gas are significant indicators of disease progression in children with cystic fibrosis.
Supporting Evidence
- 39% of patients had pulmonary hyperinflation by age 6-8 years, increasing to 67% by age 18.
- The proportion of patients with trapped gas increased from 15% to 54% during the same period.
- Children with severe pulmonary hyperinflation at age 6-8 showed the most pronounced disease progression.
Takeaway
Kids with cystic fibrosis can have problems with their lungs that get worse over time, especially if they have too much air in their lungs or trapped gas.
Methodology
The study used serial annual lung function tests to assess various lung function parameters in children with cystic fibrosis.
Limitations
The study's findings may be influenced by the relatively small number of patients within each subgroup and the variability in lung function measurements.
Participant Demographics
152 children with cystic fibrosis, aged 6-18 years, with a near-equal gender distribution (77 males, 75 females).
Statistical Information
P-Value
p<0.0001
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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