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[Forced spirometry in healthy preschool children]
E G Pérez-Yarza1, J R Villa, N Cobos
1Unidad de Neumología Infantil, Hospital Materno-Infantil, San Sebastián, Guipúzcoa, España.
Insights
Establishing reference values for spirometry in preschool children is now feasible. This study provides crucial data for pediatric pulmonary function assessment and research.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
- Clinical Diagnostics
Context:
- Current spirometry reference values for healthy preschool children lack standardization according to American Thoracic Society (ATS) and European Respiratory Society (ERS) guidelines.
- Accurate pulmonary function assessment in young children is essential for early diagnosis and management of respiratory conditions.
Purpose:
- To establish normative spirometry reference values for healthy preschool children (ages 2-7 years) adhering to ATS/ERS 2007 guidelines.
- To assess the feasibility of performing spirometry in this age group using a standardized protocol.
Summary:
- A standardized spirometry protocol was applied to 558 preschool children across 9 pediatric pulmonary function laboratories.
- Valid results were obtained from 455 children (81.54%), with data analyzed to derive reference equations for spirometry variables.
- Formulas were developed to calculate reference values for key spirometry parameters in preschoolers.
Impact:
- Spirometry is demonstrated as a feasible diagnostic tool for the majority of preschool children under updated guidelines.
- The generated reference values are vital for improving clinical care of preschoolers with respiratory issues.
- This study lays the groundwork for future research in pediatric pulmonary function and disease.
Introduction:
Reference values for spirometry in healthy preschool children have not yet been obtained in accordance with American Thoracic Society (ATS) and the European Respiratory Society (ERS) guidelines. The objective was to establish reference values for spirometry in healthy preschoolers under the ATS/ERS 2007 statement.
Material And Method:
Children of at least 2 and under 7 years of age were tested in 9 pediatric pulmonary function laboratories. The technicians were trained to apply a standardized protocol to perform spirometry.
Results:
Valid spirometry results were obtained in 455 (81.54%) out of 558 children: 242 boys (53.2%) and 213 girls (46.8%). Ages were as follows: 31 at least 2 and under 3 years old; 96, at least 3 and under 4; 108, at least 4 and under 5; 122, at least 5 and under 6 years, and 98, at least 6 and under 7 years. Formulas were used to calculate the reference values for all the spirometry variables in preschoolers.
Conclusions:
Spirometry is feasible in the majority of preschool children under the new guidelines. The availability of the reference values presented is an important step, both for the care of preschoolers and for further research on pulmonary function.
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