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Journal of Cystic Fibrosis
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Respiratory symptoms do not reflect functional impairment in early CF lung disease

Authors: Insa Korten; Marc-Alexander Oestreich; Urs Frey; Alexander Moeller; Andreas Jung; Renate Spinas; Dominik Mueller-Suter; +6 Authors

Respiratory symptoms do not reflect functional impairment in early CF lung disease

Abstract

Lung disease can develop within the first year of life in infants with cystic fibrosis (CF). However, the frequency and severity of respiratory symptoms in infancy are not known.We assessed respiratory symptoms in 50 infants with CF and 50 healthy matched controls from two prospective birth cohort studies. Respiratory symptoms and respiratory rate were documented by standardized weekly interviews throughout the first year. Infants performed multiple breath washout in the first weeks of life.We analyzed 4552 data points (2217 in CF). Respiratory symptoms (either mild or severe) were not more frequent in infants with CF (OR:1.1;95% CI:[0.76, 1.59]; p=0.6). Higher lung clearance index and higher respiratory rate in infants with CF were not associated with respiratory symptoms.We found no difference in respiratory symptoms between healthy and CF infants. These data indicate that early CF lung disease may not be captured by clinical presentation alone.

Countries
Switzerland, Switzerland
Keywords

Male, Cystic Fibrosis, Infant, 610 Medicine & health, Respiratory Function Tests, Respiratory Rate, 10036 Medical Clinic, 2740 Pulmonary and Respiratory Medicine, 360 Social problems & social services, Predictive Value of Tests, Case-Control Studies, Humans, Female, 2735 Pediatrics, Perinatology and Child Health, Prospective Studies, Case-Control Studies; Cystic Fibrosis/physiopathology; Female; Humans; Infant; Male; Predictive Value of Tests; Prospective Studies; Respiratory Function Tests; Respiratory Rate; Cohort study; Cystic fibrosis; Healthy controls; Infancy; Respiratory symptoms

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    popularity
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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Average
Average
Average
Green
hybrid