Curvilinearity provides additional information to lung clearance index only in a minority of children with early cystic fibrosis lung disease

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. 2022 Apr 4;8(2):00582-2021.


doi: 10.1183/23120541.00582-2021.


eCollection 2022 Apr.

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Free PMC article

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Samantha Irving et al.


ERJ Open Res.


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Free PMC article

Abstract

Curvilinearity, as calculated from multiple-breath washout, is abnormal in a small number of children with cystic fibrosis when other tests are still normal https://bit.ly/3p9QAV4.

Conflict of interest statement

Conflict of interest: S. Irving has nothing to disclose. Conflict of interest: K. Bayfield has nothing to disclose. Conflict of interest: J.C. Davies has nothing to disclose. Conflict of interest: A. Bush has nothing to disclose.

Figures


FIGURE 1



FIGURE 1

Curvilinearity (Curv) versus lung clearance index (LCI) in patients with cystic fibrosis. a) The overall result is not linear. b) The correlation between LCI and Curv in patients with mild changes (LCI<10 Pearson’s r of 0.8, p<0.001). c) There is no correlation between LCI and Curv at higher LCI values. #: outliers, shown in both relevant panels. ***: p<0.001.

References

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    1. Gustafsson PM, Aurora P, Lindblad A. Evaluation of ventilation maldistribution as an early indicator of lung disease in children with cystic fibrosis. Eur Respir J 2003; 22: 972–979doi:10.1183/09031936.03.00049502



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    1. Lum S, Stocks J, Stanojevic S, et al. . Age and height dependence of lung clearance index and functional residual capacity. Eur RespirJ 2013; 41: 1371–1377. doi:10.1183/09031936.00005512



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    1. Driskel M, Horsley A, Fretwell L, et al. . Lung clearance index in detection of post-transplant bronchiolitis obliterans syndrome. ERJ Open Res 2019; 5: 00164-2019. doi:10.1183/23120541.00164-2019



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    1. Rowan SA, Bradley JM, Bradbury I, et al. . Lung clearance index is a repeatable and sensitive indicator of radiological changes in bronchiectasis. Am J Respir Crit Care Med 2014; 189: 586–592. doi:10.1164/rccm.201310-1747OC



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