دورية أكاديمية
أعرض في EDS

Measurement of the interbronchial angle in acute viral bronchiolitis.

التفاصيل البيبلوغرافية
العنوان: Measurement of the interbronchial angle in acute viral bronchiolitis.
المؤلفون: Biondo GF; Departament of Pediatrics, Pediatric Postgraduate Programme, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil.; Pediatric Intensive Care and Emergency Medicine Department, Pediatric Emergency Division, Hospital Clinicas (HCPA), Porto Alegre, Brazil., Lorentz BT; Departament of Pediatrics, Pediatric Postgraduate Programme, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil., Flores JAM; Department of Pediatrics, Pediatric Emergency Division, Santo Antônio Children's Hospital, Porto Alegre, Brazil.; Department of Pediatrics, Faculty of Medicine, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil., Santana JCB; Pediatric Intensive Care and Emergency Medicine Department, Pediatric Emergency Division, Hospital Clinicas (HCPA), Porto Alegre, Brazil., Amantéa SL; Departament of Pediatrics, Pediatric Postgraduate Programme, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil.; Department of Pediatrics, Pediatric Emergency Division, Santo Antônio Children's Hospital, Porto Alegre, Brazil.; Department of Pediatrics, Faculty of Medicine, Federal University of Health Science of Porto Alegre (UFCSPA), Porto Alegre, Brazil.
المصدر: Pediatric pulmonology [Pediatr Pulmonol] 2024 Feb; Vol. 59 (2), pp. 442-448. Date of Electronic Publication: 2023 Nov 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8510590 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-0496 (Electronic) Linking ISSN: 10990496 NLM ISO Abbreviation: Pediatr Pulmonol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: [Philadelphia, PA] : W.B. Saunders, [c1985-
مواضيع طبية MeSH: Respiratory Syncytial Virus Infections*/diagnostic imaging , Respiratory Syncytial Virus Infections*/therapy , Bronchiolitis, Viral*/diagnostic imaging , Bronchiolitis, Viral*/therapy , Bronchiolitis*/diagnostic imaging , Bronchiolitis*/therapy , Respiratory Syncytial Virus, Human* , Pneumonia*, Child ; Humans ; Male ; Infant ; Aged, 80 and over ; Female ; Cross-Sectional Studies
مستخلص: Background: Acute viral bronchiolitis (AVB) is the most common lower airway infection in children under 2 years. Attempts to determine disease severity based on clinical and radiological manifestations are a major challenge. Measurements of the anatomy of the trachea and main bronchi are not only limited to pure anthropometry, but are also useful for better care of critically ill patients. The purpose of the study is to verify the association between measurements of the interbronchial angle (ITB) and the severity of respiratory disease.
Methods: A cross-sectional study, which included all patients admitted to the Santo Antônio Children's Hospital, over a period of 1 year, with diagnosis of AVB by respiratory syncytial virus (RSV) was designed. ITB angle was measured and clinical characteristics were analyzed. Quantitative variables were compared and correlation analysis was performed using Pearson's correlation coefficient. A receiving operator characteristic (ROC) curve was performed. P-value <0.05 was statistically significant.
Results: A total of 425 patients with AVB due to RSV were included. Most of these patients were male and the median age was 130 days, 91.11% of them required oxygen therapy through a nasal catheter, 3.3% used noninvasive ventilation and 4% used mechanical ventilation. Those who required MV or NIV and intensive care unit support were considered severe. The mean ITB was lower for these patients than for those of lesser severity (p < 0.05).
Conclusion: The present study demonstrates that there is an association between ITB and AVB severity. The smaller the ITB, the greater the disease severity.
(© 2023 Wiley Periodicals LLC.)
References: O'Brien S, Borland ML, Cotterell E, et al. Australasian bronchiolitis guideline. J Paediatr Child Health. 2019;55(1):42-53. doi:10.1111/jpc.14104.
Zorc JJ, Hall CB. Bronchiolitis: recent evidence on diagnosis and management. Pediatrics. 2010;125:342-349.
Nair H, Nokes DJ, Gessner BD, et al. Global burden of acute lower respiratory infections due to respiratory syncytial virus in young children: a systematic review and meta-analysis. Lancet. 2010;375:1545-1555.
Miller EK, Gebretsadik T, Carroll KN, et al. Viral etiologies of infant bronchiolitis, croup and upper respiratory illness during 4 consecutive years. Pediatr Infect Dis J. 2013;32:950-955.
Hasegawa K, Jartti T, Mansbach JM, et al. Respiratory syncytial virus genomic load and disease severity among children hospitalized with bronchiolitis: multicenter cohort studies in the United States and Finland. J Infect Dis. 2015;211:1550-1559.
Scagnolari C, Midulla F, Selvaggi C, et al. Evaluation of viral load in infants hospitalized with bronchiolitis caused by respiratory syncytial virus. Med Microbiol Immunol. 2012;201:311-317.
Jha A, Jarvis H, Fraser C, et al. Respiratory syncytial virus. Eur Respir Soc Monogr. 2016;72:84-109.
Collins PL, Fearns R, Graham BS. Respiratory syncytial virus: virology, reverse genetics, and pathogenesis of disease. Curr Top Microbiol Immunol. 2013;372:3-38.
Galante D. Tracheobronchial angles in children: can it change during anesthesia? Pediatric Anesthesia. 2018;28(9):826. doi:10.1111/pan.13457.
Winningham PJ, Martínez-Jiménez S, Rosado-de-Christenson ML, Betancourt SL, Restrepo CS, Eraso A. Bronchiolitis: a practical approach for the general radiologist. Radiographics. 2017;37(3):777-794. doi:10.1148/rg.2017160131.
Adriani J, Griggs TS. An improved endoteacheal tube for pediatric use. Anesthesiology. 1954;15:466-470.
Onoe R, Yamashiro T, Handa H, et al. 3D-measurement of tracheobronchial angles on inspiratory and expiratory chest CT in COPD: respiratory changes and correlation with airflow limitation. Int J Chronic Obstruct Pulm Dis. 2018;13:2399-2407. doi:10.2147/COPD.S165824.
Wani TM, Buchh B, AlGhamdi FS, Jan R, Tumin D, Tobias JD. Tracheobronchial angles in children: three-dimensional computed tomography-based measurements. Pediatric Anesthesia. 2018;28(5):463-467. doi:10.1111/pan.13377.
Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155-163. doi:10.1016/j.jcm.2016.02.012.
Taskin V. Tracheal carinal angle and left atrial size. Arch Intern Med. 1991;151(2):307-308.
Cleveland RH. Symmetry of bronchial angles in children. Radiology. 1979;133(1):89-93. doi:10.1148/133.1.89.
Florin TA, Plint AC, Zorc JJ. Viral bronchiolitis. Lancet. 2017;389(10065):211-224. doi:10.1016/S0140-6736(16)30951-5.
Kern S, Uhl M, Berner R, Schwoerer T, Langer M. Respiratory syncytial virus infection of the lower respiratory tract: radiological findings in 108 children. Eur Radiol. 2001;11(12):2581-2584. doi:10.1007/s003300100887.
Prodhan P, Westra SJ, Lin J, Karni-Sharoor S, Regan S, Noviski N. Chest radiological patterns predict the duration of mechanical ventilation in children with RSV infection. Pediatr Radiol. 2009;39(2):117-123. doi:10.1007/s00247-008-1042-3.
Friis B, Eiken M, Hornsleth A, Jensen A. Chest X-ray appearances in pneumonia and bronchiolitis. Correlation to virological diagnosis and secretory bacterial findings. Acta Paediatr. 1990;79(2):219-225. doi:10.1111/j.1651-2227.1990.tb11442.x.
Rius Peris JM, Maraña Pérez AI, Valiente Armero A, et al. La radiografía de tórax en la bronquiolitis aguda: calidad técnica, hallazgos y evaluación de su fiabilidad. Anales de Pediatría. 2021;94(3):129-135. doi:10.1016/j.anpedi.2020.03.011.
Simpson W, Hacking PM, Court SDM, Gardner PS. The radiological findings in respiratory syncytial virus infection in children. Part I. Definitions and interobserver variation in the assessment of abnormalities on the chest X-ray. Pediatr Radiol. 1974;2(2):97-100. doi:10.1007/BF01314938.
معلومات مُعتمدة: None
فهرسة مساهمة: Keywords: interbronchial angle; respiratory syncytial virus; viral bronchiolitis
تواريخ الأحداث: Date Created: 20231127 Date Completed: 20240117 Latest Revision: 20240117
رمز التحديث: 20240117
DOI: 10.1002/ppul.26771
PMID: 38010812
قاعدة البيانات: MEDLINE
الوصف
تدمد:1099-0496
DOI:10.1002/ppul.26771