TY - JOUR
T1 - Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis
AU - Van Ginderdeuren, Filip
AU - Vandenplas, Yvan
AU - Deneyer, Michel
AU - vanlaethem, sylvie
AU - Buyl, Ronald
AU - Kerckhofs, Eric
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Objective : To evaluate the effectiveness of two airway clearance techniques (ACT’s) in children < 24 months hospitalized with mild to moderate bronchiolitis. Design : One hundred and three children were randomly allocated to receive one 20-min session daily, either assisted autogenic drainage (AAD), intrapulmonary percussive ventilation (IPV) or bouncing (B) (control group), ninety-three finished the study. Outcome measures : Mean time to recovery in days was our primary outcome measure. The impact of the treatment and the daily improvement was also assessed by a validated clinical and respiratory severity score (WANG score), heart rate (HR) and oxygen saturation (Sa02). Results : Mean time to recovery was 4.5±1.9 days for the control group, 3.6±1.4 days, P<0.05 for the AAD group and 3.5±1.3 days, P=0.03 for the IPV group. Wang scores improved significantly for both physiotherapy techniques compared to the control group. Conclusion : Both ACT’s reduced significantly the length of hospital stay compared to no physiotherapy.
AB - Objective : To evaluate the effectiveness of two airway clearance techniques (ACT’s) in children < 24 months hospitalized with mild to moderate bronchiolitis. Design : One hundred and three children were randomly allocated to receive one 20-min session daily, either assisted autogenic drainage (AAD), intrapulmonary percussive ventilation (IPV) or bouncing (B) (control group), ninety-three finished the study. Outcome measures : Mean time to recovery in days was our primary outcome measure. The impact of the treatment and the daily improvement was also assessed by a validated clinical and respiratory severity score (WANG score), heart rate (HR) and oxygen saturation (Sa02). Results : Mean time to recovery was 4.5±1.9 days for the control group, 3.6±1.4 days, P<0.05 for the AAD group and 3.5±1.3 days, P=0.03 for the IPV group. Wang scores improved significantly for both physiotherapy techniques compared to the control group. Conclusion : Both ACT’s reduced significantly the length of hospital stay compared to no physiotherapy.
KW - airway clearance techniques
KW - autogenic drainage
KW - bronchiolitis
KW - intrapulmonary percussive ventilation
KW - respiratory physiotherapy
UR - http://www.scopus.com/inward/record.url?scp=84995783742&partnerID=8YFLogxK
U2 - 10.1002/ppul.23495
DO - 10.1002/ppul.23495
M3 - Article
VL - 52
SP - 225
EP - 231
JO - Pediatric Pulmonology
JF - Pediatric Pulmonology
SN - 8755-6863
IS - 2
M1 - 52
ER -