Validity of Cough-Holter Monitoring for the Objective Assessment of Cough and Wheezing in Children with Respiratory Symptoms.
10.7581/pard.2012.22.4.344
- Author:
Ha Neul PARK
1
;
Won Nyung JANG
;
Hyo Kyoung NAM
;
In Soon KANG
;
Sung Chul SEO
;
Siegfried BAUER
;
Ic Sun CHOI
;
Ji Tae CHOUNG
;
Young YOO
Author Information
1. Department of Pediatrics, Korea University College of Medicine, Seoul, Korea. yoolina@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Children;
Cough;
Cough-holter;
VAS score;
Wheezing
- MeSH:
Child;
Child, Hospitalized;
Cough;
Humans;
Parents;
Respiratory Sounds;
Stethoscopes
- From:Pediatric Allergy and Respiratory Disease
2012;22(4):344-353
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Cough and wheezing are the most common respiratory symptoms in children. Recently, the cough-holter monitoring has been used to estimate the frequency and intensity of cough and wheezing, objectively. In this study, we aimed to evaluate the validity of cough-holter monitoring for the objective assessment of cough and wheezing in the hospitalized children with respiratory symptoms. METHODS: Cough-holter monitoring was performed in 59 children who suffered from cough and/or wheezing. We obtained the information on the frequency and intensity of cough and wheezing from the parents, a pediatrician, and cough-holter monitoring. Visual Analogue Scale (VAS) scores were taken by parents, and the pediatrician estimated the wheezing score by using a stethoscope. We assessed a relationship between the VAS scores, wheezing score, and cough-holter monitoring data. RESULTS: The frequencies and intensities of cough correlated positively with the VAS scores (r=0.301, P=0.032; and r=0.540, P=0.001, respectively) and the frequencies and intensities of wheezing also correlated positively with the Wheezing scores. (r=0.335, P=0.011; and r=0.457, P=0.001, respectively) The wheezing intensity did not correlate with the Wheezing score in wheezing children. (r=0.321, P=0.089) CONCLUSION: Cough-holter monitoring correlated positively with the VAS scores and the wheezing scores. Cough-holter monitoring appears to be a useful objective assessment tool for the children who have suffered from cough and/or wheezing.