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Published on: January 27, 2015
Raised-Volume Forced Expiratory Flow-Volume Curve in Healthy Taiwanese Infants
Shen-Hao Lai1,2,3, Sui-Ling Liao2,4,3, Tsung-Chieh Yao1,2,3
1Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Insights
This study establishes reference data for infant lung function in Taiwan using raised-volume rapid thoracoabdominal compression (RVRTC). These findings aid in diagnosing respiratory diseases in Asian infants.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
- Biomedical Engineering
Background:
- Reference data for full forced expiratory flow-volume curves using raised-volume rapid thoracoabdominal compression (RVRTC) are lacking for Asian populations.
- Accurate reference data are crucial for diagnosing respiratory conditions in infants.
Purpose of the Study:
- To establish predictive reference equations for Taiwanese infants using RVRTC.
- To provide equipment-specific reference data for full forced expiration in Asian infants.
Main Methods:
- Full-term infants underwent RVRTC manoeuvres to obtain full forced expiratory flow-volume curves using Jaeger's system.
- Tidal breath analysis and passive respiratory mechanics were also measured.
- Multiple linear regression analyses were used to develop predictive models.
Main Results:
- 117 RVRTC flow-volume curves were obtained from 97 infants.
- Most RVRTC parameters positively correlated with body length.
- RVRTC parameters showed moderate relationships with other infant lung function measures.
Conclusions:
- This study provides the first equipment-specific reference data for RVRTC manoeuvres in Asian infants.
- These race-specific reference data can improve the diagnosis of respiratory diseases in infants of Chinese ethnicity.
- RVRTC parameters are moderately related to other infant lung function parameters.
Abstract:
The raised-volume rapid thoracoabdominal compression (RVRTC) manoeuvre has been applied to obtain full forced expiratory flow-volume curves in infants. No reference data are available for Asian populations. This study was conducted to establish predictive reference equations for Taiwanese infants. Full-term infants without any chronic disease or major anomaly were enrolled from this cohort study. Full forced expiratory flow-volume curves were acquired using RVRTC manoeuvres through Jaeger's system. Tidal breath analysis, passive respiratory mechanics, and tidal forced expiratory flow-volume curves were performed and collected at the same measurement. Multiple linear analyses were used to model the variables. We performed 117 tests of RVRTC flow-volume curves in 97 infants. The results revealed that all parameters, except for FEV0.5 /FVC, correlated highly and positively with body length. These parameters correlated significantly with other parameters of passive respiratory mechanics and tidal forced expiratory flow-volume curves. This is the first study to establish equipment-specific reference data of full forced expiration using RVRTC manoeuvres in Asian infants. The results revealed that parameters of RVRTC manoeuvres are moderately related to other parameters of infant lung function. These race-specific reference data can be used to more precisely and efficiently diagnose respiratory diseases in infants of Chinese ethnicity.
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