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The effects of the addition of a new airway clearance device to chest physiotherapy in children with cystic fibrosis pulmonary exacerbations Cover

The effects of the addition of a new airway clearance device to chest physiotherapy in children with cystic fibrosis pulmonary exacerbations

Open Access
|Jan 2021

Figures & Tables

Figure 1

Changes in forced expiratory volume in 1 second (FEV1) with treatment in the CP (A) and CP + device (B) groups (individual patient data). Changes in forced vital capacity (FVC) with treatment in the CP (C) and CP + device (D) groups (individual patient data).
Changes in forced expiratory volume in 1 second (FEV1) with treatment in the CP (A) and CP + device (B) groups (individual patient data). Changes in forced vital capacity (FVC) with treatment in the CP (C) and CP + device (D) groups (individual patient data).

Figure 2

Change in maximal expiratory flow at 25% of forced vital capacity (MEF25) with treatment in the CP (A) and CP + device (B) groups (individual patient data).
Change in maximal expiratory flow at 25% of forced vital capacity (MEF25) with treatment in the CP (A) and CP + device (B) groups (individual patient data).

Pulmonary function tests_

CPCP + device
BaselineBefore dischargeMean change from baseline to dischargep-valueBaseline/Before dischargeMean change from baseline to dischargep-value
LCI:
Mean ± SD12.3±4.011.5±3.8–0.8±2.00.03014.4±3.8

n=18 in the CP + device group.

13.7±4.1

n=18 in the CP + device group.

–0.7±2.4

n=18 in the CP + device group.

NS
% change –5.0±16.3 -4.4±13.5

n=18 in the CP + device group.

LCI z-score
Mean ± SD19.2±22.118.1±24.6-1.1±7.9NS29.0±27.5

n=18 in the CP + device group.

23.9±27.5

n=18 in the CP + device group.

–5.1±14.8

n=18 in the CP + device group.

NS
% change –5.3±49.5 –10.1±21.8

n=18 in the CP + device group.

FEV1, % predicted:
Mean ± SD76.0±20.683.3±19.97.3±12.00.00766.7±19.269.6±23.59.0±9.1<0.001
% change 11.5±17.5 14.3±14.2
FVC, % predicted
Mean ± SD87.8±18.891.1±16.93.3±6.90.03077.7±18.683.2±20.45.5±8.10.003
% change 4.4±7.7 7.1±11.2
FEV1/FVC, %
Mean ± SD86.8±10.291.6±8.24.8±9.00.00377.0±14.182.2±16.55.0±6.0<0.001
% change 6.6±14.1 7.7±7.8
FEV1/FVC z-score
Mean ± SD-1.58±1.07-1.06±0.970.52±0.950.007-2.42±1.142-1.93±1.280.49±0.640.001
% change -18.0±68.3 - 47.4±120.4
MEF25, %52.0±32.965.9±34.713.9±29.6NS29.4±20.741.8± 35.512.4±18.80.006
MEF50, %73.5±34.987.6±35.514.1±29.50.02248.3±32.259.0±33.110.7±18.00.008
MEF75, %75.7±25.190.7±29.115.0±23.10.00466.0±27.978.3±31.212.3±18.20.003
MEF25-75, %58.7±28.273.0±28.814.3±27.10.00638.0±24.948.0±31.210.0±14.1<0.002

Characteristics of the study population_

CharacteristicCP (n=24)CP + device (n=24)p-value
Age, years13 (12–16)14 (13–17)NS
Male, n (%)16 (66.7)7 (29.2)<0.01
Height, cm161.0±12.3159.3±14.7NS
BMI, kg/m218.9±2.518.2±5.9NS
BMI z-score–0.2±0.8–0.9±0.9<0.05
LCI12.3±4.014.4±3.8

n=18 in the CP + device group.

<0.05
LCI z-score(7.312.9 –19.5)(10.915.0 –50.0)

n=18 in the CP + device group.

NS
FEV1, % predicted76.0±20.666.7±19.2<0.05
FEV1, L2.4±0.91.9±0.8<0.05
FVC, % predicted87.8±18.877.7±18.6<0.05
FVC, L3.2±1.13.0±1.2<0.05
FEV1/FVC, %86.8±10.277.0±14.1<0.01
FEV1/FVC z-score-1.58±1.07-2.42±1.14<0.02
MEF25-75, % predicted58.7±28.238.0±24.9<0.01 NS
Pseudomonas aeruginosa, n (%)8 (33)13 (54)
F508del homozygous, n (%)11 (46)14 (58)NS
Pancreatic insufficiency, n (%)23 (96)23 (96)NS
DOI: https://doi.org/10.34763/jmotherandchild.20202403.2013.d-20-00008 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 16 - 24
Published on: Jan 26, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Katarzyna Walicka-Serzysko, Magdalena Postek, Natalia Jeneralska, Aleksandra Cichocka, Justyna Milczewska, Dorota Sands, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.