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EFFICACY OF PRIMARY REHABILITATION MEASURES ASSOCIATED WITH THE DEVELOPMENT OF RECURRENT BRONCHIAL OBSTRUCTION
Oksana Matsyura1, Lesya Besh1, Olena Borysiuk1
1DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY, LVIV, UKRAINE.
Insights
Primary prophylactic measures did not significantly reduce recurrent bronchial obstruction syndrome in children with prior respiratory issues. Further research with larger cohorts and longer monitoring is needed to confirm findings.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Public Health
Background:
- Recurrent bronchial obstruction syndrome (RBOS) is a concern in young children, particularly those with a history of neonatal respiratory disorders.
- Primary prophylactic measures aim to mitigate the development and progression of RBOS.
Purpose of the Study:
- To evaluate the effectiveness of primary prophylactic measures in preventing RBOS in high-risk children.
- To compare RBOS incidence in children with and without prior neonatal respiratory issues.
Main Methods:
- A 12-month prospective study involving 160 children aged 1 day to 3 years.
- The study included a basic group (n=80) with prior respiratory disorders and respiratory therapy, and a control group (n=80) without these conditions.
- Prophylactic measures included nutrition, environmental sanitation, infection control, and fitness training.
Main Results:
- RBOS developed in 37.5% of the basic group and 16.25% of the control group (p>0.05).
- The observed difference in RBOS incidence between the groups was not statistically significant.
- Compliance with medical recommendations may have influenced the results.
Conclusions:
- Current primary prophylactic strategies did not demonstrate a significant preventive effect on RBOS in the studied population.
- Partial adherence to medical advice may have confounded the results.
- Larger studies with extended follow-up are recommended to further investigate RBOS prevention.
Objective:
The aim: To improve primary prophylactic measures associated with the development and progression of recurrent bronchial obstruction syndrome in young children, who had suffered respiratory disorders in neonatal period.
Patients And Methods:
Materials and methods: Algorithm of primary prophylactic measures implied adequate balanced nutrition, sanation of living conditions, restriction of contact with infectious agents, sanation of chronic foci of infection, systematic training and general fitness. The investigation included 160 young children (1 day - 3 years of age). The basic group (n=80) involved children, who had experienced respiratory disorders in neonatal period and received appropriate respiratory therapy (artificial ventilation and / or spontaneous breathing with continuous positive airway pressure and supply of free oxygen), control group - children, who did not have respiratory disorders and respiratory therapy (n=80).
Results:
Results: Conducted investigation throughout 12-month monitoring enabled to record the development of recurrent bronchial obstruction syndrome in 43 children (respectively, 30 - 37.50% patients of the basic group versus 13 - 16.25% of control group; p 0.05), could not be obtained.
Conclusion:
Conclusions: Comparative analysis within groups did not show a reliable difference in the development of recurrent bronchial obstruction syndrome in children (р>0.05), which can be explained by partial following of doctor's recommendations. There is the need in further study of the issue involving more patients for a longer period of monitoring.
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