The Role of IOS in Identification of Specific Treatable Traits in Pediatric Asthma: Current Limitations and Future

Joanna Połomska1, Hanna Sikorska-Szaflik1, Barbara Sozańska1

  • 1Department and Clinic of Paediatrics, Allergology and Cardiology, Wroclaw Medical University, Ul. Chałubińskiego 2a, 50-368 Wrocław, Poland.

PubMed

Insights

Impulse oscillometry (IOS) can assess lung function in children with asthma. More research is needed to confirm its role in identifying small airway disease (SAD) for personalized asthma treatment.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Physiology

Background:

  • Asthma management in children focuses on symptom control, lung function preservation, and maintaining daily activities.
  • Impulse oscillometry (IOS) is a non-invasive lung function test suitable for pediatric populations.

Purpose of the Study:

  • To explore the utility of IOS in early identification of small airway disease (SAD) in pediatric asthma.
  • To assess the potential of IOS for personalized asthma treatment strategies.
  • To determine the need for population-specific reference values for IOS in children.

Main Methods:

  • Literature review and synthesis of current research on IOS in pediatric asthma.
  • Discussion of the potential role of IOS in identifying SAD.
  • Analysis of the need for reference values and combination with spirometry and FeNO.

Main Results:

  • IOS shows promise for evaluating lung function in pediatric asthma.
  • Further research is required to establish IOS's role in SAD detection.
  • Population-specific reference values are necessary for routine clinical use.

Conclusions:

  • IOS may offer a valuable tool for assessing SAD in pediatric asthma.
  • Integration into clinical practice requires establishing reference values and further validation.
  • Future guidelines may incorporate IOS for SAD assessment in children with asthma.

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