Early rattles, purrs and whistles as predictors of later wheeze.
Arch Dis Child
; 93(8): 701-4, 2008 Aug.
Article
em En
| MEDLINE
| ID: mdl-18337282
ABSTRACT
BACKGROUND:
Asthma is a common condition characterised by wheeze. Many different respiratory sounds are interpreted by parents as "wheeze" in young children.AIM:
To relate different respiratory sounds reported as wheeze in 2-year-olds to asthma outcomes at age 5 years.METHODS:
As part of a longitudinal cohort study, parents completed respiratory questionnaires for their children at 2 and 5 years of age. Parents who reported wheeze were given options to describe the sound as rattling, purring or whistling.RESULTS:
Of the 1371 2-year-olds surveyed, 210 had current wheeze, of whom 124 had rattle, 49 purr and 24 whistle. Children with whistle at 2 years were more likely to have mothers with asthma, and children with rattle and purr were more likely to be exposed to tobacco smoke. Wheeze status was ascertained at age 5 years in 162 (77%) children with wheeze at 2 years of age. Whistle persisted in 47% of affected children, rattle in 20%, and purr in 13% (p = 0.023). At 5 years of age, asthma medication was prescribed in 40% with whistle, 11% with rattle, and 18% with purr at 2 years of age (p = 0.017).CONCLUSIONS:
This study shows different risk factors and outcomes for different respiratory sounds in 2-year-olds compared with other respiratory sounds, whistle is likely to persist and require asthma treatment in future.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Asma
/
Sons Respiratórios
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Arch Dis Child
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Reino Unido