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Published on: August 12, 2014
Age-related ranges of respiratory inductance plethysmography (RIP) reference values for infants and children
Sona Lakshme Balasubramaniam1, Yanping Wang1, Lauren Ryan1
1Department of Biomedical Research and Center for Pediatric Lung Research, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Insights
Respiratory inductance plethysmography (RIP) is a noninvasive breathing monitoring tool. This study compiles normative RIP data for children, creating age-based regression equations to aid in diagnosing pulmonary complications and guiding therapy.
Area of Science:
- Pulmonary medicine
- Biomedical engineering
- Pediatric respiratory monitoring
Background:
- Respiratory inductance plethysmography (RIP) is a noninvasive method for assessing breathing patterns.
- RIP analysis requires post hoc calculation of various respiratory indices.
- Existing normative RIP data lacks global evaluation across a wide pediatric age range.
Purpose of the Study:
- To compile normative respiratory inductance plethysmography (RIP) indices from diverse studies for a broad spectrum of pediatric ages.
- To derive regression equations for calculating normal RIP parameters based on age.
- To provide clinicians and caregivers with a tool for comparing pediatric patient RIP data against established norms.
Main Methods:
- Compilation of normative RIP indices from numerous published clinical studies.
- Statistical analysis to derive age-dependent regression equations for key RIP parameters.
- Literature review and data synthesis.
Main Results:
- A comprehensive dataset of normative RIP indices across a wide pediatric age range was assembled.
- Regression equations were developed to estimate normal RIP parameters as a function of age.
- The derived equations enable age-specific comparison of patient RIP data.
Conclusions:
- The compiled normative data and regression equations offer a valuable resource for pediatric respiratory monitoring.
- This tool can assist in identifying pulmonary complications in children by comparing their RIP data to age-matched norms.
- The findings support improved diagnosis and guidance of respiratory therapy for pediatric patients.
Abstract:
The current noninvasive method for respiratory monitoring is respiratory inductance plethysmography (RIP); two bands are connected, one each to the chest and the abdomen, to measure the breathing pattern. RIP requires post hoc analysis to calculate indices such as respiratory rate, phase angle, labored breathing index, and percent of rib cage contribution to breathing. Clinical studies have provided patient RIP values and age-matched normal values, but they lack global evaluation of normative data for a wide age range of pediatric subjects. Herein, we compiled normative RIP indices from numerous studies for a large range of pediatric ages. From these data, we derived regression equations useful for computing normal RIP parameters as a function of age. The presented review will provide caregivers the ability to compare RIP data of pediatric patients against the regression analysis. This comparison will help identify patients with pulmonary complications and aid in guiding respiratory therapy.
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