Impulse oscillometry in the assessment of children’s lung function
Main Article Content
Keywords
Oscillometry, Respiratory function tests, Child, Asthma
Abstract
Purpose: To review available evidence in the literature on impulse oscillometry in the assessment of lung function in children with respiratory diseases, especially asthma.
Data collection: Research in the Medline, PubMed, and Lilacs databases, with the keywords forced oscillation, impulse oscillometry, asthma and impulse oscillometry.
Results: The Impulse Oscillometry System (IOS) allows the measurement of resistance and reactance of airways and is used as a diagnostic resource. A significant association between the findings of the IOS and those of spirometry is observed. In asthma, the IOS has already been used to assess the bronchodilator response and the therapeutic response to different drugs and has shown to be a sensitive technique to evaluate disease control. There are limitations to this assessment, such as children with attention deficit and in some cases it is difficult to interpret the results from a clinical point of view.
Conclusion: The IOS is a useful tool for the measurement of the lung function of children. It is an easy test, although its interpretation is not straightforward.
References
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2. Marotta A, Klinnert M, Price M, Larsen G, Liu A. Impulse oscillometry provides an effective measure of lung dysfunction in 4-year-old children at risk for persistent asthma. J Allergy Clin Immunol. 2003;112:317-22.
3. Guilbert T, Singh A, Danov Z, Evans M, Jackson D, Burton R, et al. Decreased lung function after preschool wheezing rhinovirus illnesses in children at risk to develop asthma. J Allergy Clin Immunol. 2011;128:532-8.
4. Goldman M, Saadeh C, Ross D. Clinical applications of forced oscillation to assess peripheral airway function. Respir Physiol Neurobiol. 2005;148:179-94.
5. Escobar H, Carver TW Jr. Pulmonary function testing in young children. Curr Allergy Asthma Rep. 2011;11:473-81.
6. Goldman MD. Clinical application of forced oscillation. Pulm Pharmacol Ther. 2001;14:341-50.
7. Al-Mutairi S, Sharma P, Al-Alawi A, Al-Deen J. Impulse oscillometry: an alternative modality to the conventional pulmonary function test to categorize obstructive pulmonary disorders. Clin Exp Med. 2007;7:56-64.
8. Do Valle E. Resistência das vias aéreas: técnica da oscilac¸ão forc¸ada. J Pneumol. 2002;28 Supl. 3:151-4.
9. Clement J, Dumoulin B, Gubbelmans R, Hendriks S, van de Woestijne K. Reference values of total respiratory resistance and reactance between 4 and 26 Hz in children and adolescents aged 4-20 years. Bull Eur Physiopathol Respir. 1987;23:441-8.
10. Assumpc¸ão M, Gonc¸alves R, Ferreira L, Schivinski C. Sistema de oscilometria de impulso em pediatria: revisão de literature. Medicina (Ribeirão Preto). 2014;47:131-42.
11. Frey U. Forced oscillation technique in infants and young children. Paediatr Respir Rev. 2005;6:246-54.
12. Shi Y, Aledia AS, Tatavoosian AV, Vijayalakshmi S, Galant SP, George SC. Relating small airways to asthma control by using impulse oscillometry in children. J Allergy Clin Immunol. 2012;129:671-8.
13. Komarow H, Skinner J, Young M, Gaskins D, Nelson C, Gergen P, et al. A study of the use of impulse oscillometry in the evaluation of children with asthma: analysis of lung parameters, order effect, and utility compared with spirometry. Pediatr Pulmonol. 2012;47:18-26.
14. Minarowska A, Kaczmarski M, Minarowki L, Mrugacz M. The assessment of respiratory status in patients with cystic fibrosis: bodypletysmography or impulse oscillometry. J Cyst Fibros. 2005;4:59-73.
15. Dubois A, Brody A, Lewis D, Burgess B Jr. Oscillation mechanics of lungs and chest in man. J Appl Physiol. 1956;8:587-94.
16. Oostveen E, McLeod D, Lorino H, Farre R, Hantos Z, Desager K, Marchal F. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J. 2003;22:1026-41.
17. Beydon N, Davis S, Lombardi E, Allen J, Arets H, Aurora P, et al. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175:1304-45.
18. Komarow H, Myles I, Uzzaman A, Metcalfe D. Impulse oscillometry in the evaluation of diseases of the airways in children. Ann Allergy Asthma Immunol. 2011;106:191-9.
19. Smith HJ, Reinhold P, Goldman MD. Forced oscillation technique and impulse oscillometry. Eur Respir Mon. 2005;31:72-105.
20. Assumpc¸ão M, Gonc¸alves R, Martins R, Bobbio T, Schivinski C. Reference equations for impulse oscillometry system parameters in healthy Brazilian children and adolescents. Respir Care. 2016;61:1090-9.
21. Gochicoa-Rangel L, Cantú-González G, Miguel-Reyes J, Rodríguez-Moreno L, Torre-Bouscoulet L. Oscilometría de impulso: recomendaciones y procedimiento. Neumol Cir Torax. 2014;73:138-49.
22. Desiraju K, Agrawal A. Impulse oscillometry: the state-of-art for lung function testing. Lung India. 2016;33:410-6.
23. Brashier B, Salvi S. Measuring lung function using sound waves: role of the forced oscillation technique and impulse oscillometry system. Breathe. 2015;11:57-65.
24. Diong B, Singh K, Menendez R. Effects of two inhaled corticosteroid/long-acting beta-agonist combinations on smallairway dysfunction in mild asthmatics measured by impulse oscillometry. J Asthma Allergy. 2013;6:109-16.
25. Knihtilä H, Kotaniemi-Syrjänen A, Pelkonen AS, Kalliola S, Mäkelä MJ, Malmberg LP. Small airway oscillometry indices: Repeatability and bronchodilator responsiveness in young children. Pediatr Pulmonol. 2017;52:1260-7.
26. Malmberg L, Pelkonen A, Poussa T, Pohianpalo A, Haahtela T, Turpeinen M. Determinants of respiratory system input impedance and bronchodilator response in healthy Finnish preschool children. Clin Physiol Funct Imaging. 2002;22:64-71.
27. Klug B, Bisgaard H. Specific airway resistance, interrupter resistance, and respiratory impedance in healthy children aged 2-7 years. Pediatric Pulmonol. 1998;25:322-31.
28. Park J, Yoon J, Shin Y, Jee H, Wee Y, Chang S, et al. Reference values for respiratory system impedance using impulse oscillometry in healthy preschool children. Korean J Pediatr. 2011;54:64-8.
29. Gochicoa-Rangel L, Torre-Bouscoule L, Martínez-Briseno˜ D, Rodríguez-Moreno L, Cantú-González G, Vargas M. Values of impulse oscillometry in healthy Mexican children and adolescents. Respir Care. 2015;60:119-27.
30. Frei J, Jutla J, Kramer G, Hatzakis G, Ducharme F, Davis G. Impulse oscillometry: reference values in children 100 to 150 cm in height and 3 to 10 years of age. Chest. 2005;128:1266-73.
31. Nowowiejska B, Tomalak W, Radlinski J, Siergiejko G, Latawiec W, Kaczmarski M. Transient reference values for impulse oscillometry for children aged 3-18 years. Pediatr Pulmonol. 2008;43:1193-7.
32. Lai S, Yao T, Liao S, Tsai M, Hua M, Yeh K, et al. Reference value of impulse oscillometry in Taiwanese preschool children. Pediatr Neonatol. 2015;56:165-70.
33. Peirano R. Oscilometría de impulso (IOS) en ninos. ˜ Neumol Pediátr. 2010;5:89-95.
34. Yen FC, Behbehani K, Lucas EA, Burk JR, Axe JR. Noninvasive technique for detecting obstructive and central sleep apnea. IEEE Trans Biomed Eng. 1997;44:1262-7.
35. Kattan M, Bacharier LB, O’Connor GT, Cohen R, Sorkness RL, Morgan W, et al. Spirometry and impulse oscillometry in preschool children: acceptability and relationship to maternal smoking in pregnancy. J Allergy Clin Immunol Pract. 2018;13, pii: S2213-2198(18)30015-1.
36. Knihtila H, Kotaniemi-Syrjanen A, Makela M, Bondestam J, Pelkonen A, Malmberg L. Preschool oscillometry and lung function at adolescence in asthmatic children. Pediatr Pulmonol. 2015;50:1205-13.
37. Kaczka D, Dellacá R. Oscillation mechanics of the respiratory system: applications to lung disease. Crit Rev Biomed Eng. 2011;39:337-59.
38. Batmaz S, Kuyucu S, Arıkoglu T, Tezol O, Aydogdu A. Impulse oscillometry in acute and stable asthmatic children: a comparison with spirometry. J Asthma. 2015;14:1-8.
39. Meraz E, Nazeran H, Ramos C, Nava P, Diong B, Goldman M. Analysis of impulse oscillometric measures of lung function and respiratory system model parameters in small airway-impaired and healthy children over a 2-year period. BioMed Eng OnLine. 2011;10:21.
40. McNulty W, Usmani OS. Techniques of assessing small airways dysfunction. Eur Clin Respir J. 2014;1:25898.
41. Galant SP, Komarow HD, Shin HW, Siddiqui S, Lipworth BJ. The case for impulse oscillometry in the management of asthma in children and adults. Ann Allergy Asthma Immunol. 2017;118:664-71.
42. Shin Y, Jang S, Yoon J, Jee H, Choi S, Yum H, et al. Oscillometric and spirometric bronchodilator response in preschool children with and without asthma. Can Respir J. 2012;19:273-7.
43. Saadeh C, Cross B, Saadeh C, Gaylor M. Retrospective observations on the ability to diagnose and manage patients with asthma through the use of impulse oscillometry: comparison with spirometry and overview of the literature. Pulm Med. 2014;2014:376890.
44. Assumpc¸ão MS, Ribeiro JD, Wamosy RM, Figueiredo FC, Parazzi PL, Schivinski CI. Impulse oscillometry and obesity in children. J Pediatr (Rio J). 2017.
45. Tomalak W, Radlinski ´ J, Latawiec W. The quality of spirometric measurements in children younger than 10 years of age in the light of recommendations. Pol Pneumonol Allergol. 2008;76:421-5.
46. Hellinckx J, De Boeck K, Bande-Knops J, van der Poel M, Demedts M. Bronchodilator response in 3-6.5 years old healthy and stable asthmatic children. Eur Respir J. 1998;12:438-43.
47. Thamrin C, Gangell C, Udomittipong K, Kusel M, Patterson H, Fukushima T, et al. Assessment of bronchodilator responsiveness in preschool children using forced oscillations. Thorax. 2007;62:814-9.
48. Shi Y, Aledia A, Galant S, George S. Peripheral airway impairment measured by oscillometry predicts loss of asthma control in children. J Allergy Clin Immunol. 2013;131: 718-23.
49. Manoharan A, Anderson WJ, Lipworth J, Lipworth BJ. Assessment of spirometry and impulse oscillometry in relation to asthma control. Lung. 2015;193:47-51.
50. Naji N, Keung E, Kane J, Watson RM, Killian KJ, Gauvreau GM. Comparison of changes in lung function measured by plethysmography and IOS after bronchoprovocation. Respir Med. 2013;107:503-10.
51. Vink GR, Arets HG, van der Laag J, van der Ent CK. Impulse oscillometry: a measure for airway obstruction. Pediatr Pulmonol. 2003;35:214-9.
52. Schulze J, Smith HJ, Fuchs J, Herrmann E, Dressler M, Rose MA, et al. Methacholine challenge in young children as evaluated by spirometry and impulse oscillometry. Respir Med. 2012;106:627-34.
53. Larsen GL, Morgan W, Heldt GP, Mauger DT, Boehmer SJ, Chinchilli VM, et al. Impulse oscillometry versus spirometry in a long-term study of controller therapy for pediatric asthma. J Allergy Clin Immunol. 2009;123: 861-7.
54. Sakarya A, Uyan ZS, Baydemir C, Anık Y, Erdem E, Gokdemir Y, et al. Evaluation of children with cystic fibrosis by impulse oscillometry when stable and at exacerbation. Pediatr Pulmonol. 2016;51:1151-8.
55. Li Y, Liu L, Qiao H, Cheng H, Cheng H. Post-infectious bronchiolitis obliterans in children: a review of 42 cases. BMC Pediatr. 2014;14:238.
56. Mandaliya P, Morten M, Kumar R, James A, Deshpande A, Murphy V, et al. Ventilation inhomogeneities in children with congenital thoracic malformations. BMC Pulm Med. 2015;15:25.
57. Komarow H, Sokolic R, Hershfield M, Kohn D, Young M, Metcalfe D, et al. Impulse oscillometry identifies peripheral airway dysfunction in children with adenosine deaminase deficiency. Orphanet J Rare Dis. 2015;10:159.
58. Sharifi A, Ansarin K. Effect of gastroesophageal reflux disease on disease severity and characteristics of lung functional changes in patients with asthma. J Cardiovasc Thorac Res. 2014;6:223-8.
59. Eidani E, Hashemi S, Raji H, Askarabadi M. A Comparison of impulse oscillometry and spirometry values in patients with gastroesophageal reflux disease. Middle East J Dig Dis. 2013;5:22-8.
60. Gong S, Yang W, Liu J, Liu W, Zheng W. Change in pulmonary function in chronic obstructive pulmonary disease stage 0 patients. Int J Clin Exp Med. 2015;8:21400-6.
61. Li Y, Chen Y, Wang P. Application of impulse oscillometry and bronchial dilation test for analysis in patients with asthma and chronic obstructive pulmonary disease. Int J Clin Exp Med. 2015;8:1271-5.
62. Mochizuki H, Hirai K, Tabata H. Forced oscillation technique and childhood asthma. Allergol Int. 2012;61:373-83.
63. Shimoda T, Obase Y, Nagasaka Y, Kishikawa R, Mukae H, Iwanaga T. Peripheral bronchial obstruction evaluation in patients with asthma by lung sound analysis and impulse oscillometry. Allergol Int. 2016;66:132-8.
2. Marotta A, Klinnert M, Price M, Larsen G, Liu A. Impulse oscillometry provides an effective measure of lung dysfunction in 4-year-old children at risk for persistent asthma. J Allergy Clin Immunol. 2003;112:317-22.
3. Guilbert T, Singh A, Danov Z, Evans M, Jackson D, Burton R, et al. Decreased lung function after preschool wheezing rhinovirus illnesses in children at risk to develop asthma. J Allergy Clin Immunol. 2011;128:532-8.
4. Goldman M, Saadeh C, Ross D. Clinical applications of forced oscillation to assess peripheral airway function. Respir Physiol Neurobiol. 2005;148:179-94.
5. Escobar H, Carver TW Jr. Pulmonary function testing in young children. Curr Allergy Asthma Rep. 2011;11:473-81.
6. Goldman MD. Clinical application of forced oscillation. Pulm Pharmacol Ther. 2001;14:341-50.
7. Al-Mutairi S, Sharma P, Al-Alawi A, Al-Deen J. Impulse oscillometry: an alternative modality to the conventional pulmonary function test to categorize obstructive pulmonary disorders. Clin Exp Med. 2007;7:56-64.
8. Do Valle E. Resistência das vias aéreas: técnica da oscilac¸ão forc¸ada. J Pneumol. 2002;28 Supl. 3:151-4.
9. Clement J, Dumoulin B, Gubbelmans R, Hendriks S, van de Woestijne K. Reference values of total respiratory resistance and reactance between 4 and 26 Hz in children and adolescents aged 4-20 years. Bull Eur Physiopathol Respir. 1987;23:441-8.
10. Assumpc¸ão M, Gonc¸alves R, Ferreira L, Schivinski C. Sistema de oscilometria de impulso em pediatria: revisão de literature. Medicina (Ribeirão Preto). 2014;47:131-42.
11. Frey U. Forced oscillation technique in infants and young children. Paediatr Respir Rev. 2005;6:246-54.
12. Shi Y, Aledia AS, Tatavoosian AV, Vijayalakshmi S, Galant SP, George SC. Relating small airways to asthma control by using impulse oscillometry in children. J Allergy Clin Immunol. 2012;129:671-8.
13. Komarow H, Skinner J, Young M, Gaskins D, Nelson C, Gergen P, et al. A study of the use of impulse oscillometry in the evaluation of children with asthma: analysis of lung parameters, order effect, and utility compared with spirometry. Pediatr Pulmonol. 2012;47:18-26.
14. Minarowska A, Kaczmarski M, Minarowki L, Mrugacz M. The assessment of respiratory status in patients with cystic fibrosis: bodypletysmography or impulse oscillometry. J Cyst Fibros. 2005;4:59-73.
15. Dubois A, Brody A, Lewis D, Burgess B Jr. Oscillation mechanics of lungs and chest in man. J Appl Physiol. 1956;8:587-94.
16. Oostveen E, McLeod D, Lorino H, Farre R, Hantos Z, Desager K, Marchal F. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J. 2003;22:1026-41.
17. Beydon N, Davis S, Lombardi E, Allen J, Arets H, Aurora P, et al. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175:1304-45.
18. Komarow H, Myles I, Uzzaman A, Metcalfe D. Impulse oscillometry in the evaluation of diseases of the airways in children. Ann Allergy Asthma Immunol. 2011;106:191-9.
19. Smith HJ, Reinhold P, Goldman MD. Forced oscillation technique and impulse oscillometry. Eur Respir Mon. 2005;31:72-105.
20. Assumpc¸ão M, Gonc¸alves R, Martins R, Bobbio T, Schivinski C. Reference equations for impulse oscillometry system parameters in healthy Brazilian children and adolescents. Respir Care. 2016;61:1090-9.
21. Gochicoa-Rangel L, Cantú-González G, Miguel-Reyes J, Rodríguez-Moreno L, Torre-Bouscoulet L. Oscilometría de impulso: recomendaciones y procedimiento. Neumol Cir Torax. 2014;73:138-49.
22. Desiraju K, Agrawal A. Impulse oscillometry: the state-of-art for lung function testing. Lung India. 2016;33:410-6.
23. Brashier B, Salvi S. Measuring lung function using sound waves: role of the forced oscillation technique and impulse oscillometry system. Breathe. 2015;11:57-65.
24. Diong B, Singh K, Menendez R. Effects of two inhaled corticosteroid/long-acting beta-agonist combinations on smallairway dysfunction in mild asthmatics measured by impulse oscillometry. J Asthma Allergy. 2013;6:109-16.
25. Knihtilä H, Kotaniemi-Syrjänen A, Pelkonen AS, Kalliola S, Mäkelä MJ, Malmberg LP. Small airway oscillometry indices: Repeatability and bronchodilator responsiveness in young children. Pediatr Pulmonol. 2017;52:1260-7.
26. Malmberg L, Pelkonen A, Poussa T, Pohianpalo A, Haahtela T, Turpeinen M. Determinants of respiratory system input impedance and bronchodilator response in healthy Finnish preschool children. Clin Physiol Funct Imaging. 2002;22:64-71.
27. Klug B, Bisgaard H. Specific airway resistance, interrupter resistance, and respiratory impedance in healthy children aged 2-7 years. Pediatric Pulmonol. 1998;25:322-31.
28. Park J, Yoon J, Shin Y, Jee H, Wee Y, Chang S, et al. Reference values for respiratory system impedance using impulse oscillometry in healthy preschool children. Korean J Pediatr. 2011;54:64-8.
29. Gochicoa-Rangel L, Torre-Bouscoule L, Martínez-Briseno˜ D, Rodríguez-Moreno L, Cantú-González G, Vargas M. Values of impulse oscillometry in healthy Mexican children and adolescents. Respir Care. 2015;60:119-27.
30. Frei J, Jutla J, Kramer G, Hatzakis G, Ducharme F, Davis G. Impulse oscillometry: reference values in children 100 to 150 cm in height and 3 to 10 years of age. Chest. 2005;128:1266-73.
31. Nowowiejska B, Tomalak W, Radlinski J, Siergiejko G, Latawiec W, Kaczmarski M. Transient reference values for impulse oscillometry for children aged 3-18 years. Pediatr Pulmonol. 2008;43:1193-7.
32. Lai S, Yao T, Liao S, Tsai M, Hua M, Yeh K, et al. Reference value of impulse oscillometry in Taiwanese preschool children. Pediatr Neonatol. 2015;56:165-70.
33. Peirano R. Oscilometría de impulso (IOS) en ninos. ˜ Neumol Pediátr. 2010;5:89-95.
34. Yen FC, Behbehani K, Lucas EA, Burk JR, Axe JR. Noninvasive technique for detecting obstructive and central sleep apnea. IEEE Trans Biomed Eng. 1997;44:1262-7.
35. Kattan M, Bacharier LB, O’Connor GT, Cohen R, Sorkness RL, Morgan W, et al. Spirometry and impulse oscillometry in preschool children: acceptability and relationship to maternal smoking in pregnancy. J Allergy Clin Immunol Pract. 2018;13, pii: S2213-2198(18)30015-1.
36. Knihtila H, Kotaniemi-Syrjanen A, Makela M, Bondestam J, Pelkonen A, Malmberg L. Preschool oscillometry and lung function at adolescence in asthmatic children. Pediatr Pulmonol. 2015;50:1205-13.
37. Kaczka D, Dellacá R. Oscillation mechanics of the respiratory system: applications to lung disease. Crit Rev Biomed Eng. 2011;39:337-59.
38. Batmaz S, Kuyucu S, Arıkoglu T, Tezol O, Aydogdu A. Impulse oscillometry in acute and stable asthmatic children: a comparison with spirometry. J Asthma. 2015;14:1-8.
39. Meraz E, Nazeran H, Ramos C, Nava P, Diong B, Goldman M. Analysis of impulse oscillometric measures of lung function and respiratory system model parameters in small airway-impaired and healthy children over a 2-year period. BioMed Eng OnLine. 2011;10:21.
40. McNulty W, Usmani OS. Techniques of assessing small airways dysfunction. Eur Clin Respir J. 2014;1:25898.
41. Galant SP, Komarow HD, Shin HW, Siddiqui S, Lipworth BJ. The case for impulse oscillometry in the management of asthma in children and adults. Ann Allergy Asthma Immunol. 2017;118:664-71.
42. Shin Y, Jang S, Yoon J, Jee H, Choi S, Yum H, et al. Oscillometric and spirometric bronchodilator response in preschool children with and without asthma. Can Respir J. 2012;19:273-7.
43. Saadeh C, Cross B, Saadeh C, Gaylor M. Retrospective observations on the ability to diagnose and manage patients with asthma through the use of impulse oscillometry: comparison with spirometry and overview of the literature. Pulm Med. 2014;2014:376890.
44. Assumpc¸ão MS, Ribeiro JD, Wamosy RM, Figueiredo FC, Parazzi PL, Schivinski CI. Impulse oscillometry and obesity in children. J Pediatr (Rio J). 2017.
45. Tomalak W, Radlinski ´ J, Latawiec W. The quality of spirometric measurements in children younger than 10 years of age in the light of recommendations. Pol Pneumonol Allergol. 2008;76:421-5.
46. Hellinckx J, De Boeck K, Bande-Knops J, van der Poel M, Demedts M. Bronchodilator response in 3-6.5 years old healthy and stable asthmatic children. Eur Respir J. 1998;12:438-43.
47. Thamrin C, Gangell C, Udomittipong K, Kusel M, Patterson H, Fukushima T, et al. Assessment of bronchodilator responsiveness in preschool children using forced oscillations. Thorax. 2007;62:814-9.
48. Shi Y, Aledia A, Galant S, George S. Peripheral airway impairment measured by oscillometry predicts loss of asthma control in children. J Allergy Clin Immunol. 2013;131: 718-23.
49. Manoharan A, Anderson WJ, Lipworth J, Lipworth BJ. Assessment of spirometry and impulse oscillometry in relation to asthma control. Lung. 2015;193:47-51.
50. Naji N, Keung E, Kane J, Watson RM, Killian KJ, Gauvreau GM. Comparison of changes in lung function measured by plethysmography and IOS after bronchoprovocation. Respir Med. 2013;107:503-10.
51. Vink GR, Arets HG, van der Laag J, van der Ent CK. Impulse oscillometry: a measure for airway obstruction. Pediatr Pulmonol. 2003;35:214-9.
52. Schulze J, Smith HJ, Fuchs J, Herrmann E, Dressler M, Rose MA, et al. Methacholine challenge in young children as evaluated by spirometry and impulse oscillometry. Respir Med. 2012;106:627-34.
53. Larsen GL, Morgan W, Heldt GP, Mauger DT, Boehmer SJ, Chinchilli VM, et al. Impulse oscillometry versus spirometry in a long-term study of controller therapy for pediatric asthma. J Allergy Clin Immunol. 2009;123: 861-7.
54. Sakarya A, Uyan ZS, Baydemir C, Anık Y, Erdem E, Gokdemir Y, et al. Evaluation of children with cystic fibrosis by impulse oscillometry when stable and at exacerbation. Pediatr Pulmonol. 2016;51:1151-8.
55. Li Y, Liu L, Qiao H, Cheng H, Cheng H. Post-infectious bronchiolitis obliterans in children: a review of 42 cases. BMC Pediatr. 2014;14:238.
56. Mandaliya P, Morten M, Kumar R, James A, Deshpande A, Murphy V, et al. Ventilation inhomogeneities in children with congenital thoracic malformations. BMC Pulm Med. 2015;15:25.
57. Komarow H, Sokolic R, Hershfield M, Kohn D, Young M, Metcalfe D, et al. Impulse oscillometry identifies peripheral airway dysfunction in children with adenosine deaminase deficiency. Orphanet J Rare Dis. 2015;10:159.
58. Sharifi A, Ansarin K. Effect of gastroesophageal reflux disease on disease severity and characteristics of lung functional changes in patients with asthma. J Cardiovasc Thorac Res. 2014;6:223-8.
59. Eidani E, Hashemi S, Raji H, Askarabadi M. A Comparison of impulse oscillometry and spirometry values in patients with gastroesophageal reflux disease. Middle East J Dig Dis. 2013;5:22-8.
60. Gong S, Yang W, Liu J, Liu W, Zheng W. Change in pulmonary function in chronic obstructive pulmonary disease stage 0 patients. Int J Clin Exp Med. 2015;8:21400-6.
61. Li Y, Chen Y, Wang P. Application of impulse oscillometry and bronchial dilation test for analysis in patients with asthma and chronic obstructive pulmonary disease. Int J Clin Exp Med. 2015;8:1271-5.
62. Mochizuki H, Hirai K, Tabata H. Forced oscillation technique and childhood asthma. Allergol Int. 2012;61:373-83.
63. Shimoda T, Obase Y, Nagasaka Y, Kishikawa R, Mukae H, Iwanaga T. Peripheral bronchial obstruction evaluation in patients with asthma by lung sound analysis and impulse oscillometry. Allergol Int. 2016;66:132-8.
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Oliveira Jorge, P. de, de Lima, J., Chong e Silva, D., Medeiros, D., Solé, D., & Wandalsen, G. (2019). Impulse oscillometry in the assessment of children’s lung function. Allergologia Et Immunopathologia, 47(3), 295-302. https://www.all-imm.com/index.php/aei/article/view/310
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How to Cite
Oliveira Jorge, P. de, de Lima, J., Chong e Silva, D., Medeiros, D., Solé, D., & Wandalsen, G. (2019). Impulse oscillometry in the assessment of children’s lung function. Allergologia Et Immunopathologia, 47(3), 295-302. https://www.all-imm.com/index.php/aei/article/view/310