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J Korean Med Assoc > Volume 53(5); 2010 > Article
Lim, Kim, Son, and Rha: Spirometric Pulmonary Function Test in Preschool Children

Abstract

Children aged 3~5 years old represent the challenge in pulmonary function assessment, since evaluating lung function in preschool age group is important for the appropriate treatment for patient with chronic and recurrent cough and wheeze during this period. The joint American Thoracic Society/European Respiratory Society task force has produced recommendations for the spirometric lung function test currently used in the preschool age group. The reliable scientific evidence, documented references and reviews by the experts were used as a support. Reference data of spirometry lung function in preschool children were available in several countries including USA, Norway, Czech, Israel, Canada, and Taiwan. Spirometric pulmonary function tests are feasible in 3~ to 5~year~old children. However, the existing data are not sufficient to make definitive recommendations. Recommendations will need to be revised periodically until sufficient evidence has been collected to make definitive guidelines in various situations.

References

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Table 1
Common problems in the registration of ventilatory (in particular forced expiratory) maneuvers (Adopted from Ref. 15)
jkma-53-417-i001-l.jpg

*TLC: total lung capacity

Table 2
Published prediction equations for spirometry indices in preschool children (Adopted from Ref. 13, 23)
jkma-53-417-i002-l.jpg

*The authors report that presence of asthmatic symptoms did not influence lung function.

Jeng and colleagues: a, age (month); g, gender (boy=1, girl=0); h, height (cm); w, weight (kg)

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