Continuous monitoring of lung sounds by electronic auscultation – reliable method for assessing asthma control



如何引用文章

全文:

详细

Introduction. The assessment of asthma control typically relies on clinical evaluation, patient questionnaires, and pulmonary function tests (PFT). Lung sound monitoring has the potential to optimize the diagnosis of nocturnal asthma and assess the degree of asthma control.

Objective. To evaluate the reliability of continuous monitoring of respiratory sounds in patients with varying degrees of asthma control and to assess the dynamics of wheezing.

Materials and Methods. Eighty-six patients with asthma were enrolled in the study. Patients were categorized into three groups: Group 1, well-controlled asthma; Group 2, partially controlled asthma; and Group 3, uncontrolled asthma. Spirometry was performed using a Vitalograph ALPHA spirometer (UK). Lung sounds were monitored using an electronic auscultation method developed in-house. The resulting audio files underwent computer-based analysis.

Results. Episodes of wheezing demonstrated a direct correlation with the degree of asthma control and the severity of asthma. In Group 3, the mean frequency of nocturnal episodes reached 3.3 ± 0.4 (p < 0.05). Monitoring revealed a strong positive correlation between the number of wheezing episodes and the degree of asthma control (r = 0.74, p < 0.05). A moderate positive correlation was observed between wheezing episode frequency and obstructive PFT abnormalities, as well as subjective symptom scores (r = 0.39, p < 0.05). A weak positive correlation was noted between the duration of wheezing episodes and the severity of PFT abnormalities (r = 0.23, p < 0.05).

Conclusion. Continuous lung sound monitoring is a reliable method for monitoring the course of asthma, enabling the registration and assessment of respiratory sound dynamics.

全文:

受限制的访问

作者简介

Sergei Glotov

Ryazan State Medical University

Email: sergeyglot@mail.ru
ORCID iD: 0000-0002-4445-4480
SPIN 代码: 7524-9816
Scopus 作者 ID: 57203780371
Researcher ID: AAI-4243-2021

MD, Cand. Sci. (Medicine), Docent of the Department of Faculty Therapy named after Professor V.Ya. Garmash, Ryazan State Medical University, Russia, Ryazan

俄罗斯联邦, 390026, Russia, Ryazan, Vysokovoltnaya str., 9

Oleg Uryasev

Ryazan State Medical University

Email: uryasev08@yandex.ru
ORCID iD: 0000-0001-8693-4696
SPIN 代码: 7903-4609

MD, Dr. Sci.(Medicine), Professor, Head of the Department of Faculty Therapy named after Professor V.Ya. Garmash, Ryazan State Medical University, Russia, Ryazan

俄罗斯联邦, 390026, Russia, Ryazan, Vysokovoltnaya str., 9

Yuriy Byalovskiy

Ryazan State Medical University

Email: b_uu@mail.ru
ORCID iD: 0000-0002-6769-8277
SPIN 代码: 6389-6643

MD, Dr. Sci.(Medicine), Professor, Head of the Department of Pathophysiology, Ryazan Statе Mеdical Univеrsity, Ryazan, Russia

俄罗斯联邦, 390026, Russia, Ryazan, Vysokovoltnaya str., 9

Irina Ponomareva

Ryazan State Medical University

Email: docib@yandex.ru
ORCID iD: 0000-0002-0273-4388
SPIN 代码: 3984-1944

MD, Cand. Sci. (Medicine), Docent of the Department of Faculty Therapy named after Professor V.Ya. Garmash, Ryazan State Medical University, Russia, Ryazan

俄罗斯联邦, 390026, Russia, Ryazan, Vysokovoltnaya str., 9

Svetlana Berstneva

Ryazan State Medical University

编辑信件的主要联系方式.
Email: berst.ru@mail.ru
ORCID iD: 0000-0002-3141-4199
SPIN 代码: 6722-3203

MD, Dr. Sci.(Medicine), Docent of the Department of Faculty Therapy named after Professor V.Ya. Garmash, Ryazan State Medical University, Russia, Ryazan

俄罗斯联邦, 390026, Russia, Ryazan, Vysokovoltnaya str., 9

Vadim Lunyakov

Ryazan State Medical University

Email: lunyakov62@mail.ru
ORCID iD: 0000-0002-3370-7593
SPIN 代码: 9628-5750

MD, Cand. Sci. (Medicine), Docent of the Department of Faculty Therapy named after Professor V.Ya. Garmash, Ryazan State Medical University, Russia

俄罗斯联邦, 390026, Russia, Ryazan, Vysokovoltnaya str., 9

Nadezhda Molotkova

Ryazan State Medical University

Email: nad.olo@yandex.ru
ORCID iD: 0009-0003-9519-0950
SPIN 代码: 1373-2304

MD, assistant at the Department of Faculty Therapy named after Professor V.Ya. Garmash, Ryazan State Medical University, Russia

390026, Russia, Ryazan, Vysokovoltnaya str., 9

参考

  1. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Up-dated 2023. Available at: https://ginasthma. org/wp-content/uploads/2023/05/GINA-2023-Full-Report-2023-WMS.pdf [Accessed: May 01, 2023].
  2. Chuchalin AG, Avdeev SN, Aisanov ZR., et al. Federal guidelines on diagnosis and treatment of bronchial asthma. Pul’monologiya. 2022;32(3):393–447. EDN: HZEHSI doi: 10.18093/0869-0189-2022-32-3-393-447
  3. Rogachykov AI, Uryasev OM. Technique of inhalation medicines and the control over bron-chial asthma. Rossijskij mediko-biologicheskij vestnik im. akad. I.P. Pavlova. 2016;24(3):86–91. EDN: WLYXKJ doi: 10.17816/PAVLOVJ2016386-91 (in Russ).
  4. Tribuntseva LV, Budnevsky AV, Ivanchuk YuS, et al. Comorbid pathology in patients with bronchial asthma: literature review. Science of the young (Eruditio Juvenium). 2021;9(1):136–46. EDN: RWFIYQ doi: 10.23888/HMJ202191136-146
  5. Schatz M, Mosen DM, Kosinski M, et al. Validity of the Asthma Control Test completed at home. Am J Manag Care. 2007;3:661–7.
  6. Raherison C, Abouelfath A, Le Gros V, et al. Underdiagnosis of nocturnal symptoms in asth-ma in general practice. J Asthma. 2006;43(3):199–202. doi: 10.1080/02770900600566744
  7. Pinyochotiwong C, Chirakalwasan N, Collop N. Nocturnal Asthma. Asian Pac J Allergy Im-munol. 2021;39(2):78–88. doi: 10.12932/AP-231020-0986.
  8. Andres E, Gass R, Charloux A, et al. Respiratory sound analysis in the era of evidence-based medicine and the world of medicine 2.0. J Med Life. 2018;11(2):89–106. Available at: https://pubmed.ncbi.nlm.nih.gov/30140315/
  9. Pasterkamp H, Kraman SS, Wodicka GR. Respiratory sounds: advances beyond the stetho-scope. Am J Respir Crit Care Med. 1997;156:974–87. doi: 10.1164/ajrccm.156.3.9701115
  10. Khalid I, Morris ZQ, Digiovine B. Specific conductance criteria for a positive methacholine challenge test: are the American Thoracic Society guidelines rather generous? Respir Care. 2009;54(9):1168-74
  11. Mehra R. Understanding nocturnal asthma. The plot thickens. Am J Respir Crit Care Med. 2014;190(3):243–4. doi: 10.1164/rccm.201406-1130ED
  12. Bentur L, Beck R, Irving CS, et al. Nocturnal wheeze measuremen in young asthmatics. Pedi-atric Asthma, Allergy and Immunology. 2004;17(3):191–7. doi: 10.1089/pai.2004.17.191
  13. Lenniger P, Gross V., Kunsch S, et al. Nocturnal long-term monitoring of lung sounds in pa-tients with gastro-oesophageal reflux disease. Pneumologie. 2010;64(4):255–8. doi: 10.1055/s-0029-1215344
  14. Lenclud C, Cuttitta G, Van Gansbeke D, et al. Evaluation of nocturnal bronchoconstriction by all night tracheal sound monitoring. Thorax. 1996;51:694–698. doi: 10.1136/thx.51.7.694
  15. Bentur L, Beck R, Shinawi M., et al. Wheeze monitoring in children for assessment of noc-turnal asthma and response to therapy. Eur Respir J. 2003;21(4):621–6. doi: 10.1183/09031936.03.00036302
  16. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–81.
  17. Haefeli M, Elfering A. Pain assessment. Eur Spine J. 2006;15(1):S17–24. doi: 10.1007/s00586-005-1044-x
  18. Graham BL, Steenbruggen I, Miller MR, et al. Standardization of Spirometry 2019 Update An Official American Thoracic Society and European Respiratory Society Technical Statement. Am J Respir Crit Care Med. 2019;200(8):e70–88. doi: 10.1164/rccm.201908-1590ST.
  19. Patent RUS No. 238304 / 10.03.2010 Byul. No.7. Kuznetsov VI, Abrosimov VN, Glotov SI, Labutin G.I. Electronic acoustic interface for a stethoscope. Available from: https://patents.s3.yandex.net/
  20. Patent RUS No. No. 64495 / 2007.07.10. Kuznetsov VI, Abrosimov VN, Labutin GI. Sensor lock and frame for its implementation. Available from: https://yandex.ru/patents/doc/RU64495U1_20070710
  21. Gavriely N. Acoustic monitoring of athma. The 41st annual conference of international lung sounds association. Final program and abstracts. Tokyo, Japan. 2016:S13.
  22. Makoto Y, Kazuma S, Takafumi K. Play back of respiratory sounds recorded with blue-tooth®-based wireless microphone. The 41st annual conference of international lung sounds associa-tion. Final program and abstracts. Tokyo, Japan. 2016:S18.
  23. Fischer P, Steinbrecher L, Schudt ., et al.. Monitoring of nocturnal respiratory symptoms in COPD patients by using LEOSound lung sound monitor. The 42st annual conference of internation-al lung sounds association. Final program and abstracts. Tromsø, Norway. 2017:S13.

补充文件

附件文件
动作
1. JATS XML

版权所有 © Eco-Vector,



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 70763 от 21.08.2017 г.