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Normal peak nasal inspiratory flow rate values in Greek children and adolescents
A Papachristou1, E Bourli, D Aivazi
1First Propedeutic Department of Internal Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, Greece.
Insights
This study establishes normal Peak Nasal Inspiratory Flow Rate (PNIFR) values for children and adolescents, crucial for assessing nasal obstruction and airway patency. Findings show PNIFR increases with age and is higher in boys than girls until age 12.
Area of Science:
- Pediatric Otolaryngology
- Respiratory Physiology
Background:
- Peak Nasal Inspiratory Flow Rate (PNIFR) is a key clinical metric for evaluating nasal airway patency and obstruction.
- Establishing normative data is essential for accurate clinical interpretation in pediatric populations.
Purpose of the Study:
- To establish reference tables for normal Peak Nasal Inspiratory Flow Rate (PNIFR) values in Greek children and adolescents.
- To provide a baseline for assessing nasal obstruction severity and guiding treatment.
Main Methods:
- A cross-sectional study involving 3,170 pupils aged 5-18 years.
- Exclusion criteria included acute/chronic upper airway obstruction and low weight/height percentiles.
- PNIFR was measured using a portable Youlten Peak Flow meter.
Main Results:
- PNIFR demonstrated a continuous increase with age in both boys and girls.
- Boys exhibited higher PNIFR values compared to girls, with statistical significance up to age 12.
- Normative data were collected for the Greek pediatric population.
Conclusions:
- Normal PNIFR ranges are vital for diagnosing nasal obstruction and monitoring treatment efficacy.
- This study provides the first detailed PNIFR standards for Greek children and adolescents.
- The established reference values aid in the clinical assessment of nasal patency.
Background And Aim:
Peak Nasal Inspiratory Flow Rate (PNIFR) is a clinical trial that has been instituted in clinical practice in order to determine the extent of nasal airway patency and it is used to assess the degree of nasal obstruction. This study attempts to provide tables referring to normal values of PNIFR in children and adolescents.
Patients And Methods:
Three thousand one hundred and seventy pupils aged between 5-18 years, were selected to enter the study. Children with acute or chronic upper airway obstruction, such as acute obstructive pulmonary disease or allergic rhinitis and children below the 3rd percentile for weight and/or height were excluded from the study. All children that took part in the study were subjected to PNIFR measurements by using a portable Youlten Peak Flow meter.
Results:
A continuous increase of PNIFR values for boys and girls in relation to age increase was recorded. PNIFR values were higher in boys compared to girls and this difference was statistically significant until the age of 12.
Conclusion:
Normal ranges for PNIFR standards are of great importance for the study of nasal patency, evaluation of the degree of nasal obstruction and application of treatment. This is the first time that a detailed description of PNIFR standards becomes available for the Greek population of children and adolescents.
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