Subjective and objective parameters in paediatric respiratory conditions: cultural adaptation to Portuguese population

Alexandrino, Ana Silva; Santos, Rita; Melo, Cristina; Mesquita-Bastos, José; Postiaux, Guy

doi:10.1590/1980-5918.030.001.ao05

Cited by 5 publications

(4 citation statements)

References 24 publications

(30 reference statements)

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“…On the other hand, the total mean (PRSS) increased on admission day pre and post at 1st, 2nd, 3rd and 4th day among the control group. This result in agreement with Alexandrino et al [13] they found a significant improvement in the total mean PRSS after the management of chest physiotherapy. Generally, our results revealed a positive impact of regular chest percussion for infants suffered from pneumonia which confirmed the correction of the study hypothesis.…”

Section: Discussionsupporting

confidence: 92%

“…At 3rd and 4th day post the intervention the highest percent of infants in the intervention group had mild respiratory condition compared to the control group. The results of the current study goes in line with Alexandrino et al [13] found that the highest percent of children presented a moderate respiratory impairment of the respiratory health condition mainly due to the presence of rhinorrhea and secretions. Other study conducted by Nayani et al [24] stated that regarding Clinical Respiratory scores (CRS), about one third of children had mild respiratory condition, more than half in moderate and nine percent in sever category.…”

Section: Discussionsupporting

confidence: 92%

“…2) PRSS scale was adapted by Alexandrino et al [13] to monitor and evaluate the respiratory health status in children less than 36 months of age. It included eight parameters: cough, nutrition, fever, rhinorrhea, dyspnea, respiratory sound, adventitious sounds and secretions.…”

Section: Tools Of Data Collectionmentioning

confidence: 99%

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Impact of regular chest percussion on outcome measures for infants with pneumonia

Hassan¹,

Amer²

2019

JNEP

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Objective: To evaluate the impact of regular chest percussion on outcome measures for infants with pneumonia.Methods: A two-group pre-post quasi-experimental design was conducted in the Pediatrics Medical Unit at Abu Elrish Children’s Hospital, Cairo University. The experiment involved 100 infants fifty (control group) followed the hospital routine care and other fifty applied regular chest percussion (intervention group). Chest condition was assessed subjectively and objectively throughout five days before and after the regular chest percussion using Pediatrics Respiratory Severity Scales. Physiological measurements of infant’s respiratory rate, heart rate, and temperature and oxygen saturation were assessed. All research ethics were applied.Results: The mean of Pediatric Respiratory Severity Score (PRSS), temperature, respiration, heart rate and oxygen saturation among infants was statistically improved throughout the intervention days than the control group 1st, 2nd, 3rd and 4th days post the regular chest percussion at a significance level as p < .05.Conclusions: The regular chest percussion had a significant improvement in the respiratory health conditions for infants with bacterial pneumonia. This study recommends regular chest percussion that should be applied in medicine and intensive care units. Further researches must be done to add more evidence -based practices regarding the effect of chest percussion for children with pneumonia.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

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Impact of regular chest percussion on outcome measures for infants with pneumonia

Hassan¹,

Amer²

2019

JNEP

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“…PRSS obtained excellent values of content validity (Cronbach's˛= 0.80) and test-retest reliability (ICC 2.1 = 0.91). 13 For nasal auscultation it was used a Littmann 3200 Electronic Stethoscope (3M Health Care ® , USA). Nasal auscultation sounds were collected within a 5 cm distance between the nose and the stethoscope diaphragm in an upright position in relation to the nostrils.…”

Section: Instrumentsmentioning

confidence: 99%

Immediate effects of a rhino-pharyngeal clearance protocol in nasal obstruction and middle ear condition of children under 3 years of age with upper respiratory infections: A randomized controlled trial

Alexandrino¹,

Santos²,

Melo³

et al. 2019

Acta Otorrinolaringologica (English Edition)

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Introduction and objectives: Children up to 2 years old are at high risk of respiratory infections and nasal irrigation is often prescribed. Yet, to date there is no sufficient knowledge about its immediate effects on the nasopharynx and middle ear. Therefore, this study aimed to analyze the effect of a rhino-pharyngeal clearance intervention protocol on nasal obstruction and middle ear condition in children under 3 years of age with URTI. Materials and methods: Randomized controlled trial in a day-care centre of Porto, including 44 children randomized to Intervention Group (IG) and Control Group (CG). Nasal auscultation and tympanometry were performed at baseline (M0) as well as after the intervention (M1), which consisted of nasal irrigation (NaCl .9%) followed by a forced nasal inspiration in the IG, and after 30 min of normal activities, in the CG. Results: In M1 there was a lower frequency of children classified as having an obstructed nasal sound in the IG when compared to the CG (IG = 33.3%; CG = 68.4%; p = 0.042). We also observed an improvement of mean peak pressure (PP) in the IG (Left ear: M0 = −124daPa; M1 = −92daPa; p = 0.022. Right ear: M0 = −102daPa; M1 = −77daPa; p = 0.021), which was not observed in the CG (Left ear: M0 = −105daPa; M1 = −115daPa; p = 0.485. Right ear: M0 = −105daPa; M1 = −131daPa; p = 0.105). There were no significant results concerning the compliance of the tympanic membrane. Conclusions: The rhino-pharyngeal clearance improved the nasal obstruction and PP of the middle ear of children under 3 years of age with URTI. 30 min de actividades normales en CG. Resultados: En M1 hubo una menor frecuencia de niños clasificados como con un sonido nasal obstruido en IG en comparación con CG (IG = 33,3%; CG = 68,4%; p = 0,042). También se observó una mejora de la presión máxima media (PP) en IG (oído izquierdo: M0 = −124 daPa; M1 = −92 daPa; p = 0,022; oído derecho: M0 = −102 daPa; M1 = −77 daPa; p = 0,021), que no se observó en CG (oído izquierdo: M0 = −105 daPa; M1 = −115 daPa; p = 0,485; oído derecho: M0 = −105 daPa; M1 = −131 daPa; p = 0,105). No hubo resultados significativos con respecto al cumplimiento de la membrana timpánica. Conclusiones: La limpieza nasal mejoró la obstrucción y la PP del oído medio de niños menores de 3 a˜nos con IRS.

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Caregivers’ education vs rhinopharyngeal clearance in children with upper respiratory infections: impact on children’s health outcomes

Alexandrino

Santos²,

Melo³

et al. 2017

Eur J Pediatr

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This study showed that the most positive impact on children's health outcomes occurred when combining health education of caregivers, regarding children's respiratory infections, with a rhinopharyngeal clearance protocol in children with URTI. What is Known: • Upper Respiratory Tract Infections are very common in children but still do not have an effective pharmacological treatment. • This generates a great burden of disease for the child and families, increasing the use of antibiotics. What is New: • This study is the first one that aims to analyze the effects of caregivers' health education in comparison to non-pharmacological intervention in acute respiratory infections in children. • It shows a positive impact on children's health outcomes, empowering caregivers regarding their child's health and reducing the burden of disease, medical consultations and the use of antibiotics.

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Subjective and objective parameters in paediatric respiratory conditions: cultural adaptation to Portuguese population

Abstract: Introduction: Young children are at high risk of respiratory infections. The severity of the disease is based

Cited by 5 publications

References 24 publications

Impact of regular chest percussion on outcome measures for infants with pneumonia

Impact of regular chest percussion on outcome measures for infants with pneumonia

Immediate effects of a rhino-pharyngeal clearance protocol in nasal obstruction and middle ear condition of children under 3 years of age with upper respiratory infections: A randomized controlled trial

Caregivers’ education vs rhinopharyngeal clearance in children with upper respiratory infections: impact on children’s health outcomes

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