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Objective measurement of nocturnal cough in infants with acute bronchiolitis
Kota Hirai1, Mariko Nukaga2, Hideyuki Tabata2
1Department of Pediatrics, Tokai University Hachioji Hospital, 1838, Ishikawa, Hachioji, Tokyo, 192-0032 Japan.
Insights
Children with respiratory syncytial virus (RSV)-induced acute bronchiolitis and asthma exacerbation have similar nighttime cough counts. However, acute bronchiolitis lacks the characteristic cough pattern seen in asthma patients.
Area of Science:
- Pediatric respiratory medicine
- Biomedical engineering
- Sleep science
Background:
- Objective measurement of cough severity and nocturnal patterns can aid pediatric respiratory disease treatment.
- Respiratory syncytial virus (RSV)-induced acute bronchiolitis and asthma exacerbation are common in children, often presenting with cough.
Purpose of the Study:
- To objectively measure and compare cough severity and nocturnal cough patterns in children with acute bronchiolitis and asthma exacerbation.
- To differentiate between cough characteristics in these two pediatric respiratory conditions.
Main Methods:
- Developed and utilized an original recording system with a microphone and accelerometer to capture coughs in children.
- Analyzed cough data using customized software, measuring cough counts in 30-minute intervals.
- Compared cough data from 20 children with acute bronchiolitis to 16 infants with asthma exacerbation.
Main Results:
- Cough counts were similar between children with acute bronchiolitis (median: 108.0/night) and asthma exacerbation (median: 119/night).
- Infants with asthma exacerbation showed significantly increased cough frequency upon falling asleep and waking up compared to midnight (p < 0.001).
- This characteristic overnight cough pattern was not observed in infants with acute bronchiolitis.
Conclusions:
- The number of coughing events in acute bronchiolitis is comparable to acute asthma exacerbation.
- Acute bronchiolitis does not exhibit the distinct overnight cough pattern observed in asthma exacerbation.
- Objective cough monitoring can help differentiate between pediatric respiratory conditions.
Objectives:
The objective measurement of the cough severity and the assessment of the pattern of nocturnal coughing could be useful in the treatment of respiratory diseases in children.
Study Design:
In children with respiratory syncytial virus (RSV)-induced acute bronchiolitis, coughs were recorded using our original system with a microphone and accelerometer, and analyzed using our customized software program. The number of coughs in every 30-minute interval was measured in patients with acute bronchiolitis (n = 20), and their results were compared with those of infants with asthma exacerbation (n = 16).
Results:
The cough count in children with acute bronchiolitis (median: 108.0/night) was almost as high as that in children with asthma exacerbation (median: 119/night). However, the time-dependent pattern of overnight cough was different in infants with acute bronchiolitis and those with asthma exacerbation. In the infants with asthma exacerbation, cough frequency significantly increased while falling asleep and waking up as compared to midnight (p < 0.001 and p < 0.001, respectively). However, these differences were not found in infants with acute bronchiolitis.
Conclusions:
Our data demonstrated that the number of coughing events due to acute bronchiolitis was similar to that of acute asthma exacerbation, although the acute bronchiolitis did not show a characteristic overnight cough pattern.
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Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:

