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Lung function after acute bronchiolitis.

R L Henry, A D Milner, G M Stokes

    Archives of Disease in Childhood
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Most infants (77%) showed lung hyperinflation after acute bronchiolitis. Lung function abnormalities persisted in 17% a year later, with many experiencing lower respiratory tract symptoms and wheezing.

    Area of Science:

    • Pediatrics
    • Pulmonology
    • Respiratory Medicine

    Background:

    • Acute bronchiolitis is a common childhood respiratory infection.
    • Long-term lung function consequences following bronchiolitis are not fully understood.

    Purpose of the Study:

    • To assess lung function in children during the year following acute bronchiolitis.
    • To identify persistent lung function abnormalities and associated symptoms.

    Main Methods:

    • Longitudinal study involving 93 children.
    • 211 lung function measurements were conducted over 12 months post-illness.
    • Thoracic gas volume and specific airway conductance were assessed.

    Main Results:

    • 77% of infants exhibited hyperinflation (thoracic gas volume > 40 ml/kg) during convalescence.

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  • 43% remained hyperinflated at 3 months, and 17% at 12 months.
  • 17% of children had persistent lung function abnormalities and lower respiratory tract symptoms at 12 months; 60% experienced wheezing.
  • Conclusions:

    • Acute bronchiolitis can lead to prolonged lung function impairment in children.
    • Persistent hyperinflation and wheezing are common sequelae.
    • Further research is needed to clarify the impact of atopy on lung function outcomes post-bronchiolitis.