Study of the acoustic breathing pattern in children with bronchial asthma using a Respiratory Sound Recorder

Cover Page

Cite item

Full Text

Abstract

Background. The study of external respiration function using spirometry in young children is associated with certain difficulties during the procedure. The respiratory sound recorder is a modern device with which you can evaluate the acoustic breathing pattern during inhalation and exhalation during quiet breathing.

Aim. To conduct a comparative analysis of computer bronchophonography indicators in children with asthma and in children in the control group without respiratory pathology using a respiratory sound recorder.

Materials and methods. External respiration function was assessed using computer bronchophonography using a respiratory sound recorder; 215 practically healthy children from 1 to 18 years old, who formed the control group, were examined. The main group of those examined included children with moderate (n=80) and severe bronchial asthma (n=40), of which (n=54) patients were examined in exacerbation.

Results. In all patients with asthma in the main group with exacerbation, the acoustic component of work of breathing (ACWP) was significantly higher than in the control group. Differences were detected in the low-frequency P1, mid-frequency P2 and high-frequency range P3 (p<0.05). When comparing ACRD in patients with asthma with exacerbation and remission, a statistically significant difference was revealed in all frequency ranges (p<0.005). When analyzing the duration of inhalation and exhalation in healthy children of different ages, no statistically significant difference was revealed. In patients with exacerbated asthma, inhalation and exhalation were significantly longer than in a healthy child (p<0.005).

Conclusion. Our study shows that a respiratory sound recorder can be effectively used to diagnose bronchial obstruction disorders in children of different ages.

Full Text

Restricted Access

About the authors

Elizaveta V. Aseeva

Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: liza.romantseva@yandex.ru
ORCID iD: 0000-0001-7140-6874

Graduate Student

Russian Federation, Moscow

Natalia A. Geppe

Sechenov First Moscow State Medical University (Sechenov University)

Email: geppe@mail.ru
ORCID iD: 0000-0003-0547-3686

Sci. (Med.), Prof.

Russian Federation, Moscow

Irina V. Grebeneva

Sechenov First Moscow State Medical University (Sechenov University)

Email: IrinG@rambler.ru
ORCID iD: 0000-0001-5523-5323

Cand. Sci. (Med.)

Russian Federation, Moscow

Irina V. Kovalenko

Morozov Children's City Clinical Hospital; Podolsk Children's City Hospital

Email: irina_aelita.69@yandex.ru
ORCID iD: 0000-0003-1359-2263

Pulmonologist

Russian Federation, Moscow; Podolsk

Dmitrii G. Bukharov

National Research University “Moscow Power Engineering Institute”

Email: bukharovdg@yandex.ru

Cand. Sci. (Tech.), MPEI

Russian Federation, Moscow

Vladimir S. Malyshev

National Research University “Moscow Power Engineering Institute”

Email: MalyshevVS@mpei.ru

Sci. (Biol.), Cand. Sci. (Tech.)

Russian Federation, Moscow

References

  1. The Global Strategy for Asthma Management and Prevention. Global Initiative for Asthma (GINA) 2023. Available at: http://www.ginasthma.org. Accessed: 10.10.2023
  2. Геппе Н.А., Колосова Н.Г., Кондюрина Е.Г., и др. Национальная программа «Бронхиальная астма у детей. Стратегия лечения и профилактика». М.: МедКом-Про, 2021; [Geppe NA, Kolosova NG, Kondyurina EG, et el. Natsionalnaia programmma “Bronkhialnaia astma u detei. Strategiia lecheniia I profilaktika”. Mocow: MedCom-Pro, 2021; (in Russian)].
  3. Бронхиальная астма. Федеральные клинические рекомендации. Российское респираторное общество (РРО). 2021. Режим доступа: www.spulmo.ru. Ссылка активна на 10.10.2023 [Bronchial asthma. Federal clinical guidelines. Russian Respiratory Society (RRO). 2021. Available at: www.spulmo.ru. Accessed: 10.10.2023 (in Russian)].
  4. Геппе Н.А., Малышев В.С. Компьютерная бронхография респираторного цикла. М.: Медиа Сфера, 2016; [Geppe NA, Malyshev VS. Komp’iuternaia bronkhografiia respiratornogo tsikla. Moscow: Mediasphera, 2016; (in Russian)].
  5. Cabot RC, Dodge HF. Frequency characteristics of heart and lung sounds. J Am Med Assoc. 1925;84:1793-5.
  6. McKusick VA, Jenkins JT, Webb GN. The acoustic basis of chest examination. Am Rev Tuberculosis. 1955;72(1):12-34. doi: 10.1164/artpd.1955.72.1.12
  7. Pramono RXA, Bowyer S, Rodriguez-Villegas E. Automatic adventitious respiratory sound analysis:A systematic review. PLoS One. 2017;12(5):e0177926. doi: 10.1371/journal.pone.0177926
  8. Bertrand ZF, Segall KD, Sánchez DI, et al. Pulmonary auscultation in the 21st century. Revista chilena de pediatría. 2020; 91(4):500-6. doi: 10.32641/rchped.v91i4.1465
  9. Sarkar M, Madabhavi I, Niranjan N, et al. Auscultation of the respiratory system. Ann Thorac Med. 2015;10(3):158-68. doi: 10.4103/1817-1737
  10. Eke Gungor H, Sahiner UM, Altuner Torun Y. Spirometry in children with asthma and/or allergic rhinitis: comparison of FEF25-75% with the standard measures. Minerva Pediatrica. 2019;71(2):103-9. doi: 10.23736/S0026-4946.16.04267-5
  11. Piirilä P, Sovijärvi AR. Crackles: recording, analysis and clinical significance. Eur Respir J. 1995;8(12):2139-48. doi: 10.1183/09031936.95.08122139
  12. Малышев В.С., Федорова Е.В., Боровкова А.М., и др. Модель обработки массива экспериментальных данных по определению временной структуры респираторного цикла. Вестник МЭИ. 2018;4:138-44 [Malyshev VS, Fedorova EV, Borovkova AM, et al. Model’ obrabotki massiva eksperimental’nyh dannyh po opredeleniyu vremennoj struktury respiratornogo cikla. Vestnik MEI. 2018;4:138-44 (in Russian)]. doi: 10.24160/1993-6982-2018-4-138-144
  13. Методические рекомендации «Спирометрия». Российское респираторное общество (РРО). 2023. Режим доступа: https://spulmo.ru/upload/kr/Spirometria_2023.pdf?t=1. Ссылка активна на 10.10.2023 [Methodological recommendations Spirometry. Russian Respiratory Society (RRO). 2023. Available at: https://spulmo.ru/upload/kr/Spirometria_2023.pdf?t=1. Accessed: 10.10.2023 (in Russian)].
  14. Brown A, McNaughten B, Russell C, et al. How to interpret spirometry in a child with suspected asthma. Archives of disease in childhood. Education Practice Edition. 2022;107(6):435-41. doi: 10.1136/archdischild-2022-324308
  15. Асеева Е.В., Геппе Н.А., Малышев В.С., и др. Регистратор респираторных звуков для компьютерного анализа паттерна дыхания у детей. Доктор.Ру. 2023;22(3):45-50 [Aseeva EV, Geppe NA, Malyshev VS, et al. Respiratory sound recorder for computer analysis of breathing patterns in children. Doctor.Ru. 2023;22(3):45-50 (in Russian)]. doi: 10.31550/1727-2378-2023-22-3-45-50
  16. Павлинова Е.Б., Геппе Н.А., Малышев В.С., и др. Инновационный подход к диагностике бронхообструктивного синдрома у детей с муковисцидозом. Доктор.Ру. 2019;5:6-10 [Pavlinova EB, Geppe NA, Malyshev VS, et al. An Innovative Approach to the Diagnosis of Bronchial Obstruction Syndrome in Children with Cystic Fibrosis. Doctor.Ru. 2019;5:6-10 (in Russian)]. doi: 10.31550/1727-2378-2019-160-5-6-10

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Comparison of tACWB in three frequency ranges in healthy children (control) and patients with moderate to severe exacerbation of bronchial asthma and in remission: LFR (R1), MFR (R2), HFR (R3); p<0.05.

Download (108KB)
3. Fig. 2. The inspiratory time and expiratory time in children in the control group and patients with bronchial asthma with exacerbation and remission (p<0.05).

Download (108KB)

Copyright (c) 2024 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 74329 от 19.11.2018 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies