Fractional order model parameters for the respiratory input impedance in healthy and in asthmatic children

Clara Ionescu1, Kristine Desager, Robin De Keyser

  • 1Department of Electrical energy, Systems and Automation, Ghent University, Technologiepark 913, Gent, Belgium. ClaraMihaela.Ionescu@UGent.be

Insights

A fractional order model effectively differentiated healthy and asthmatic children using respiratory impedance data. New parameters, like quality and power factors, showed significant differences, aiding group characterization.

Area of Science:

  • Respiratory physiology
  • Biomedical engineering
  • Mathematical modeling

Background:

  • Respiratory input impedance is crucial for assessing lung function.
  • Fractional order models offer a sophisticated approach to analyzing complex physiological systems.
  • Distinguishing between healthy and asthmatic children requires sensitive diagnostic tools.

Purpose of the Study:

  • To evaluate a fractional order model for respiratory input impedance in children.
  • To determine if the model can statistically differentiate between healthy and asthmatic children.
  • To introduce and assess novel parameters for improved group classification.

Main Methods:

  • Utilized a fractional order model applied to respiratory input impedance data.
  • Collected data from healthy and asthmatic children using the forced oscillations technique (4-48Hz).
  • Introduced combined model parameters (tissue damping, elastance) and new indexes (quality, power factors).

Main Results:

  • The model identified significant differences in tissue damping and elastance between groups (p<0.01).
  • Newly introduced quality and power factors also showed significant differentiation (p≪0.01).
  • The model struggled to distinguish asthmatic children on medication from healthy controls due to blunted responses.

Conclusions:

  • The fractional order model, with enhanced parameters, efficiently characterizes respiratory differences in children within the 4-48Hz range.
  • Tissue damping, elastance, quality factor, and power factor are valuable metrics for distinguishing respiratory conditions.
  • Further research may be needed to refine the model for asthmatic children whose symptoms are masked by medication.

Related Concept Videos

Application of Integration: Problem Solving01:30

Application of Integration: Problem Solving

The process of breathing involves the periodic intake and expulsion of air, known as the respiratory cycle, which typically lasts about five seconds. Modeling the volume of air inhaled into the lungs as a function of time provides insight into both the dynamics and efficiency of pulmonary ventilation. This volume is determined by integrating the airflow rate over time, which captures the cumulative effect of air entering the lungs.Sinusoidal Model of AirflowAirflow during respiration is not...
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration can...
Factors Affecting Pulmonary Ventilation01:19

Factors Affecting Pulmonary Ventilation

Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Respiratory Volumes and Capacities01:22

Respiratory Volumes and Capacities

The respiratory system is responsible for the intake of oxygen and the expulsion of carbon dioxide from the body. Respiratory volumes describe the volume of air in the lungs at different phases of the respiratory cycle. Tidal volume is the air breathed in and out during normal, quiet breathing. Inspiratory reserve volume is the air that can be forcefully inspired beyond the tidal volume. In contrast, expiratory reserve volume refers to the air that can be expelled from the lungs after a normal...
Assessment of Ventilation I: Respiratory Rate01:20

Assessment of Ventilation I: Respiratory Rate

Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation: