[Methacholine challenge in young children: measurement of resistance by interruption]

Rev Mal Respir. 2005 Dec;22(6 Pt 1):959-66. doi: 10.1019/200530110.
[Article in French]

Abstract

The aims of this study were 1. To evaluate the measurement of resistance by interruption (Rint) of bronchoconstriction induced by inhalation of methacholine and 2. To determine a threshold of increase of resistance in young children to differentiate responders from non-responders. Forty-six children (mean age 5 [4.3-6.1] years) referred for methacholine challenge were tested by measurement of Rint and transcutaneous oxygen tension. A fall of 20% or more in oxygen tension from the baseline was used to define the responders. The children studied had a baseline Rint significantly higher than normal (0.84 [0.68-1.01] vs. 0.76 [0.60-0.90] kPa L(-1)s; p < 0.03). Forty-one children were responders and had an increase in Rint significantly different from the non-responders (p < 0/04). An increase in Rint of 35% distinguished responders from non-responders in young children with chronic cough. Interrupter resistance increases significantly during bronchial provocation in responding young children and may be used to measure the degree of bronchoconstriction.

Publication types

  • Comparative Study
  • Evaluation Study
  • Multicenter Study

MeSH terms

  • Age Factors
  • Airway Resistance / drug effects*
  • Airway Resistance / physiology
  • Blood Gas Monitoring, Transcutaneous
  • Bronchial Provocation Tests / methods*
  • Bronchoconstrictor Agents*
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Chronic Disease
  • Cough / diagnosis*
  • Cough / physiopathology
  • Data Interpretation, Statistical
  • Female
  • Humans
  • Methacholine Chloride*
  • Respiratory Function Tests / methods*
  • Sensitivity and Specificity

Substances

  • Bronchoconstrictor Agents
  • Methacholine Chloride