Respiratory Disease

Clinical analysis of the criteria of obstructive ventilation dysfunction in children in Shanghai

  • Yufen WU ,
  • Wenfang DONG ,
  • Chunhong PAN ,
  • Hao ZHANG
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  • 1. Outpatient Emergency Department, Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
    2. Department of Respiratory Medicine, Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China

Received date: 2023-03-13

  Online published: 2023-05-10

Abstract

Objective To analyze the clinical rationality of pulmonary function parameters associated with obstructive ventilation dysfunction in children. Methods Children aged 6-18 years who attended the respiratory department and completed pulmonary function tests from January to December 2021 were selected and grouped at an age interval of one year. The relevant lung function parameters such as forced vital capacity (FVC), maximum vital capacity (VCmax), forced expiratory volume in the first second (FEV1), FEV1/FVC, FEV1/VCmax were detected. The clinical consistency between measured and measured/predicted value of FEV1/FVC, measured and measured/predicted value of FEV1/VCmax, respectively, in the interpretation of obstructive lesions was compared. Results A total of 7025 children were enrolled, including 4543 males and 2482 females with median age of (8.6±2.5) years old, with the largest number of children aged 6-10 years old. Except for 10-11 and 11-12 age group, the volume correlation parameters FVC, VCmax and FEV1 were greater in males than in females, and their absolute values increased with the increase of age. There was a slight difference between VCmax and FVC in all age groups, and VCmax was slightly higher than FVC. The measured and predicted values of FEV1/FVC in females were higher than those in males except 15-16 and 16-17 age group. The measured and predicted values of FEV1/VCmax for females were higher than those for males except for 13-14 and 16-17 age group. When the measured value of FEV1/FVC < 80% and the measured/predicted value of FEV1/FVC < 92%, the interpretation inconsistency rate is 6.8%, and the interpretation inconsistency rate between the measured value of FEV1/FVC and the measured value of FEV1/VCmax is 5.0%. Finally, the ideal FEV1/VCmax measured/predicted value is 93.9%. Conclusions The measured/predicted value of FEV1/VCmax <93.9% can be used as a clinical reference standard for the interpretation of obstructive ventilation dysfunction in children.

Cite this article

Yufen WU , Wenfang DONG , Chunhong PAN , Hao ZHANG . Clinical analysis of the criteria of obstructive ventilation dysfunction in children in Shanghai[J]. Journal of Clinical Pediatrics, 2023 , 41(5) : 339 -345 . DOI: 10.12372/jcp.2023.23e0183

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