Right middle lobe atelectasis in children with asthma and prognostic factors
dc.contributor.author | Soyer, Ozge | |
dc.contributor.author | Ozen, Cinar | |
dc.contributor.author | Cavkaytar, Ozlem | |
dc.contributor.author | Senyucel, Cagri | |
dc.contributor.author | Dallar, Yildiz | |
dc.date.accessioned | 2020-06-25T18:16:26Z | |
dc.date.available | 2020-06-25T18:16:26Z | |
dc.date.issued | 2016 | |
dc.department | Kırıkkale Üniversitesi | |
dc.description.abstract | Background: Although right middle lobe (RML)-atelectasis of the lungs is a common complication of asthma, the relevant data is limited. The aim of this study is to define the characteristics of RML atelectasis in asthma during childhood. Methods: Children with asthma who had recently developed RML atelectasis were included; anti-inflammatory medications, clarithromycin, and inhaled salbutamol were prescribed, chest-physiotherapy (starting on the sixth day) was applied. Patients were reevaluated on the sixth, fourteenth, thirtieth, and ninetieth days, chest X-rays were taken if the atelectasis had not resolved at the time of the previous visit. Results: Twenty-seven patients (6.8 (4.8-8.3) years, 48.1% male) with RML atelectasis were included. Symptoms started 15 (7-30) days before admission. The thickness of the atelectasis was 11.8 +/- 5.8 mm; FEV1% was 75.9 +/- 14.2 and Childhood Asthma Control Test scores were 11.8 +/- 5.6 at the time of admission. The atelectasis had been resolved by the sixth (n = 3), fourteenth (n = 9), thirtieth (n = 10), and ninetieth days (n = 3). The treatment response of the patients whose atelectasis resolved in fourteen days was better on the sixth-day (atelectasis thickness: 4.7 +/- 1.7 vs. 11.9 +/- 7.3 mm, p = 0.021) compared to those whose atelectasis resolved later. Nearly half (54.5%) of the patients whose atelectasis had resolved by fourteen days were using controller medications at the time of admission. However, only two patients (13.3%) were on controller treatment in the latter group (p = 0.032). Regression analysis didn't reveal any prognostic factors for the early resolution of atelectasis. Conclusions: Early diagnosis and treatment of RML atelectasis prevents complications. Patients who had early resolution of atelectasis had already been on anti-inflammatory medications, and responded better to aggressive treatment within the first week. Copyright (C) 2015, Japanese Society of Allergology. Production and hosting by Elsevier B.V. | en_US |
dc.identifier.citation | Soyer, O., Ozen, C., Cavkaytar, O., Senyücel, C., & Dallar, Y. (2016). Right middle lobe atelectasis in children with asthma and prognostic factors. Allergology international : official journal of the Japanese Society of Allergology, 65(3), 253–258. | en_US |
dc.identifier.doi | 10.1016/j.alit.2015.12.002 | |
dc.identifier.endpage | 258 | en_US |
dc.identifier.issn | 1323-8930 | |
dc.identifier.issn | 1440-1592 | |
dc.identifier.issue | 3 | en_US |
dc.identifier.pmid | 26806056 | |
dc.identifier.scopus | 2-s2.0-84956919797 | |
dc.identifier.scopusquality | Q1 | |
dc.identifier.startpage | 253 | en_US |
dc.identifier.uri | https://doi.org/10.1016/j.alit.2015.12.002 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12587/6530 | |
dc.identifier.volume | 65 | en_US |
dc.identifier.wos | WOS:000379507500006 | |
dc.identifier.wosquality | Q2 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.language.iso | en | |
dc.publisher | Japanese Society Allergology | en_US |
dc.relation.ispartof | Allergology International | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Asthma control | en_US |
dc.subject | Atelectasis | en_US |
dc.subject | Complication | en_US |
dc.subject | Pediatrics | en_US |
dc.subject | Prevention | en_US |
dc.title | Right middle lobe atelectasis in children with asthma and prognostic factors | en_US |
dc.type | Article |
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