Right middle lobe atelectasis in children with asthma and prognostic factors

dc.contributor.authorSoyer, Ozge
dc.contributor.authorOzen, Cinar
dc.contributor.authorCavkaytar, Ozlem
dc.contributor.authorSenyucel, Cagri
dc.contributor.authorDallar, Yildiz
dc.date.accessioned2020-06-25T18:16:26Z
dc.date.available2020-06-25T18:16:26Z
dc.date.issued2016
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBackground: 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.citationSoyer, 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.doi10.1016/j.alit.2015.12.002
dc.identifier.endpage258en_US
dc.identifier.issn1323-8930
dc.identifier.issn1440-1592
dc.identifier.issue3en_US
dc.identifier.pmid26806056
dc.identifier.scopus2-s2.0-84956919797
dc.identifier.scopusqualityQ1
dc.identifier.startpage253en_US
dc.identifier.urihttps://doi.org/10.1016/j.alit.2015.12.002
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6530
dc.identifier.volume65en_US
dc.identifier.wosWOS:000379507500006
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJapanese Society Allergologyen_US
dc.relation.ispartofAllergology International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAsthma controlen_US
dc.subjectAtelectasisen_US
dc.subjectComplicationen_US
dc.subjectPediatricsen_US
dc.subjectPreventionen_US
dc.titleRight middle lobe atelectasis in children with asthma and prognostic factorsen_US
dc.typeArticle

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