The age-related assessment of pulmonary function in children with cystic fibrosis aged below 6 years
https://doi.org/10.18093/0869-0189-2019-29-6-739-744
Abstract
Cystic fibrosis (CF) is a severe hereditary disease associated with progressive impairment of respiratory organs. Pulmonary function test (PFT) in CF patients may be relevant for determination of therapy level and patient management strategy. However, PFT is particularly difficult in children aged below 6 years. Literature data concerning options for pulmonary function analysis in children aged below 6 years with CF for assessment of disease severity, progression and monitoring of treatment efficacy are provided in the article.
About the Authors
E. G. FurmanRussian Federation
Evgeniy G. Furman, Doctor of Medical Sciences, Professor, Head of the Department of the Intermediate Level and Hospital Pediatrics
ul. Petropavlovskaya 26, Perm', 614000, Russia
tel.: (342) 221-86-15
E. I. Kondrat'eva
Russian Federation
Elena I. Kondrat'eva, Doctor of Medical Sciences, Professor, Head of the Scientific Clinical Department of Cystic Fibrosis, Head of the Scientific Clinical Department of Cystic Fibrosis
ul. Moskvorech'e 1, Moscow, 115522, Russia
tel.: (495) 111-85-80
A. V. Chernyak
Russian Federation
Aleksandr V. Chernyak, Candidate of Medical Sciences, Head of the Laboratory of Functional and Ultrasonic Examination Methods
SPIN-code: 9328-6440
Orekhovyy bul'var 28, Moscow, 115682, Russia
tel.: (495) 465-53-84
V. V. Shadrina
Russian Federation
Vera V. Shadrina, Candidate of Medical Sciences, Associate Professor of the Department of Intermediate Level and Hospital Pediatrics
ul. Petropavlovskaya 26, Perm', 614000, Russia
tel.: (342) 221-86-15
References
1. Godfrey S., Mearns M., Howlett G. Serial lung function studies in cystic fibrosis in the first 5 years of life. Arch. Dis. Child. 1978; 53 (1): 83–85. DOI: 10.1136/adc.53.1.83.
2. Beardsmore C.S., Bar-Yishay E., Maayan C. et al. Lung function in infants with cystic fibrosis. Thorax. 1988; 43 (7): 545–551.
3. Beydon N., Davis S.D., Lombardi E. et al. 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. DOI: 10.1164/rccm.200605-642ST.
4. Rosenfeld M., Allen J., Arets B.H. et al. An Official American Thoracic Society workshop report: Optimal lung function tests for monitoring cystic fibrosis, bronchopulmonary dysplasia, and recurrent wheezing in children less than 6 years of age. Ann. Am. Thorac. Soc. 2013; 10 (2): S1–11. DOI: 10.1513/AnnalsATS.201301-017ST.
5. Fainardi V., Lombardi E. Lung function tests to monitor respiratory disease in preschool children. Acta Biomed. 2018; 89 (2): 148–156. DOI: 10.23750/abm.v89i2.7155.
6. Davis S.D., Rosenfeld M., Kerby G.S. et al. Multicenter evaluation of infant lung function tests as cystic fibrosis clinical trial endpoints. Am. J. Respir. Crit. Care Med. 2010; 182 (11): 1387–1397. DOI: 10.1164/rccm.200908-1236OC.
7. Pillarisetti N., Williamson E., Linnane B. et al. Infection, inflammation, and lung function decline in infants with cystic fibrosis. Am. J. Respir. Crit. Care Med. 2011; 184 (1): 75–81. DOI: 10.1164/rccm.201011-1892OC.
8. Peterson-Carmichael S.L., Harris W.T., Goel R. Association of lower airway inflammation with physiologic findings in young children with cystic fibrosis. Pediatr. Pulmonol. 2009; 44 (5): 503–511. DOI: 10.1002/ppul.21044.
9. Furman E.G., Ponomareva M.S., Yarulina A.M. et al. [Evaluation of ventilation function in early and pre-school age using interrupter resistance method]. Pul'monologiya. 2009; (1): 55–58 (in Russian).
10. Zhdanovich E.A., Furman E.G., Karpova I.A., Palkin S.B. [Bronchopulmonary Dysplasia: Biomarkers, Lung function, and Clinical Course]. Rossiyskiy Vestnik perinatologii i pediatrii. 2016; 61 (4): 70–76. Available at: https://cyberleninka.ru/article/n/biomarkery-funktsiya-vneshnego-dyhaniya-i-klinicheskoe-techenie-bronholegochnoy-displazii/viewer (in Russian).
11. Garbriele C., Nieuwhof E., van der Wiel E. et al. Feasibility and usefulness of Rint measurements in sedated infants with chronic lung disease. Eur. Respir. J. 2007; 30: E1431.
12. Terheggen-Lagro S.W., Arets H.G., van der Laag J., van der Ent C.K. Radiological and functional changes over 3 years in young children with cystic fibrosis. Eur. Respir. J. 2007; 30 (2): 279–285. DOI: 10.1183/09031936.00051406.
13. Oswald-Mammosser M., Charloux A., Donato L. et al. Interrupter technique versus plethysmography for measurement of respiratory resistance in children with asthma or cystic fibrosis. Pediatr. Pulmonol. 2000; 29 (3): 213–220.
14. Rocha A., Donadio M.V., Ávila D.V. et al. Using the interrupter technique to evaluate airway resistance in cystic fibrosis patients. J. Bras. Pneumol. 2012; 38 (2): 188–193. DOI: 10.1590/s1806-37132012000200007 (in English, Portuguese).
15. Davies P.L., Doull I.J., Child F. The interrupter technique to assess airway responsiveness in children with cystic fibrosis. Pediatr. Pulmonol. 2007; 42 (1): 23–28.
16. Savushkina O.I., Chernyak A.V. [Application of pulsed oscillometry in clinical practice]. Prakticheskaya pul'monologiya. 2015; (1): 38–42 (in Russian).
17. Solymar L., Aronsson P.H., Sixt R. The forced oscillation technique in children with respiratory disease. Pediatr. Pulmonol. 1985; 1 (5): 256–261. DOI: 10.1002/ppul.1950010507.
18. Kerby G.S., Rosenfeld M., Ren C.L. et al. Lung function distinguishes preschool children with CF from healthy controls in a multi-center setting. Pediatr. Pulmonol. 2012; 47 (6): 597–605.
19. Gangell C.L., Horak F. Jr, Patterson H.J. et al. Respiratory impedance in children with cystic fibrosis using forced oscillations in clinic. Eur. Respir. J. 2007; 30 (5): 892–897. DOI: 10.1183/09031936.00003407.
20. Mustafina M.Kh., Chernyak A.V. [Multiple-breath inert gas washout techniques: the importance in respiratory disease diagnostics]. Prakticheskaya pul'monologiya. 2014; (1): 39–44. Available at: https://cyberleninka.ru/article/n/metody-vymyvaniya-inertnyh-gazov-znachenie-v-diagnostike-zabolevaniy-organov-dyhaniya/viewer (in Russian).
21. Robinson P.D., Latzin P., Ramsey K.A. et al. Preschool multiple-breath washout testing. An Official American Thoracic Society technical statement. Am. J. Respir. Crit. Care Med. 2018; 197 (5): е1–19. DOI: 10.1164/rccm.201801-0074ST.
22. Subbarao P., Milla C., Aurora P. et al. Multiple-breath washout as a lung function test in cystic fibrosis. A Cystic Fibrosis Foundation Workshop report. Ann. Am. Thorac. Soc. 2015; 12 (6): 932–939. DOI: 10.1513/AnnalsATS.201501-021FR.
23. Downing B., Irving S., Bingham Y. et al. Feasibility of lung clearance index in a clinical setting in pre-school children. Eur. Respir. J. 2016; 48 (4): 1074–1080. DOI: 10.1183/13993003.00374-2016.
24. Stahl M., Graeber S.Y., Joachim C. et al. Three-center feasibility of lung clearance index in infants and preschool children with cystic fibrosis and other lung diseases. J. Cyst. Fibros. 2018; 17 (2): 249–255. DOI: 10.1016/j.jcf.2017.08.001.
25. Davies G., Aurora P. The use of multiple breath washout for assessing cystic fibrosis in infants. Exp. Rev. Respir. Med. 2017; 11 (1): 21–28. DOI: 10.1080/17476348.2017.1269604.
26. Subbarao P., Stanojevic S., Brown M. et al. Lung clearance index as an outcome measure for clinical trials in young children with cystic fibrosis: a pilot study using inhaled hypertonic saline. Am. J. Respir. Crit. Care Med. 2013; 188 (4): 456–460. DOI: 10.1164/rccm.201302-0219OC.
27. Aurora P., Bush A., Gustafsson P.M. et al. 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. DOI: 10.1164/rccm.200407-895OC.
28. Stanojevic S., Davis S.D., Retsch-Bogart G. et al. Progression of lung disease in preschool patients with cystic fibrosis. Am. J. Respir. Crit. Care Med. 2017; 195 (9): 1216–1225. DOI: 10.1164/rccm.201610-2158OC.
29. Svedberg M., Gustafsson P.M., Robinson P.D. et al. Variability of lung clearance index in clinically stable cystic fibrosis lung disease in school age children. J. Cyst. Fibros.. 2018: 17 (2): 236–241. DOI: 10.1016/j.jcf.2017.08.004.
Review
For citations:
Furman E.G., Kondrat'eva E.I., Chernyak A.V., Shadrina V.V. The age-related assessment of pulmonary function in children with cystic fibrosis aged below 6 years. PULMONOLOGIYA. 2019;29(6):739-744. (In Russ.) https://doi.org/10.18093/0869-0189-2019-29-6-739-744