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.
Abstract

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