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KMID : 0390020120220040344
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Pediatric Allergy and Respiratory Disease
2012 Volume.22 No. 4 p.344 ~ p.353
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Validity of Cough-Holter Monitoring for the Objective Assessment of Cough and Wheezing in Children with Respiratory Symptoms
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Park Ha-Neul
Jang Won-Nyung
Nam Hyo-Kyoung
Kang In-Soon
Seo Sung-Chul
Siegfried Bauer
Choi Ic-Sun
Choung Ji-Tae
Yoo Young
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Abstract
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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. [Pediatr Allergy Respir Dis(Korea) 2012;22:344-353]
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KEYWORD
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Children, Cough, Cough-holter, VAS score, Wheezing
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