Evidence map›Paper›PMID 31321530›Full record

Trial reportEuropean journal of pediatrics2019

Time course of nocturnal cough and wheezing in children with acute bronchitis monitored by lung sound analysis.

Ulrich Koehler, Olaf Hildebrandt, Patrick Fischer, Volker Gross, Keywan Sohrabi, Nina Timmesfeld, Saskia Peter, Christof Urban, Jens-Oliver Steiß, Stephan Koelsch and 2 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in European journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ulrich KoehlerDepartment of Internal Medicine, Pneumology, Intensive Care and Sleep Medicine, University Hospital of Marburg and Gießen, Philipps-Universität, Baldingerstrasse 1, 35043, Marburg, Germany. koehleru@med.uni-marburg.de.
Olaf HildebrandtDepartment of Internal Medicine, Pneumology, Intensive Care and Sleep Medicine, University Hospital of Marburg and Gießen, Philipps-Universität, Baldingerstrasse 1, 35043, Marburg, Germany.
Patrick FischerFaculty of Health Sciences, University of Applied Sciences, Gießen, Germany.
Volker GrossFaculty of Health Sciences, University of Applied Sciences, Gießen, Germany.
Keywan SohrabiFaculty of Health Sciences, University of Applied Sciences, Gießen, Germany.
Nina TimmesfeldDepartment of Medicine, Institute of Medical Biometry and Epidemiology, Philipps-University Marburg, Marburg, Germany.
Saskia PeterDepartment of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg, St. Hedwig Campus, Regensburg, Germany.
Christof UrbanAlpenklinik Santa Maria, Oberjoch, Germany.
Jens-Oliver SteißDivision of Pediatric Pulmonology and Allergy, Department of Pediatrics and Neonatology, University Hospital of Marburg and Gießen, Gießen, Germany.
Stephan KoelschCHC Medical Affairs, Sanofi-Aventis Deutschland GmbH, Frankfurt am Main, Germany.
Sebastian KerzelDepartment of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg, St. Hedwig Campus, Regensburg, Germany.
Andreas WeissflogClinical Research Department, Thora Tech GmbH, Gießen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cough and wheezing are the predominant symptoms of acute bronchitis. Hitherto, the evaluation of respiratory symptoms was limited to subjective methods such as questionnaires. The main objective of this study was to objectively determine the time course of cough and wheezing in children with acute bronchitis. The impact of nocturnal cough on parent's quality of life was assessed as secondary outcome. In 36 children (2-8 years), the frequency of nocturnal cough and wheezing was recorded during three nights by automated lung sound monitoring. Additionally, parents completed symptom logs, i.e., the Bronchitis Severity Score (BSS), as well as the Parent-proxy Children's Acute Cough-specific Quality of Life Questionnaire (PAC-QoL). During the first night, patients had 34.4 ± 52.3 (mean ± SD) cough epochs, which were significantly reduced in night 5 (13.5 ± 26.5; p < 0.001) and night 9 (12.8 ± 28.1; p < 0.001). Twenty-two patients had concomitant wheezing, which declined within the observation period as well. All subjective parameters (BSS, Cough log and PAC-QoL) were found to be significantly correlated with the objectively assessed cough parameters.Conclusion: Long-term recording of cough and wheezing offers a useful opportunity to objectively evaluate the time course of respiratory symptoms in children with acute bronchitis. To assess putative effects of pharmacotherapy on nocturnal bronchitis symptoms, future studies in more homogeneous patient groups are needed. What is Known: • Cough and wheezing are the predominant symptoms of acute bronchitis. • There is a diagnostic gap in long-term assessment of these respiratory symptoms, which needs to be closed to optimize individual therapies. What is New: • Long-term recording of nocturnal cough and wheezing allows for objective evaluation of respiratory symptoms in children with acute bronchitis and provides a tool to validate the efficacy of symptomatic bronchitis therapies.

Indexed as

Acute DiseaseBronchitisChildChild, PreschoolCoughFemaleHumansLongitudinal StudiesMaleMonitoring, PhysiologicParentsPatient Acceptance of Health CareQuality of LifeRespiratory SoundsSeverity of Illness IndexTime Factorsacoustic long-term recordingacute bronchitiscoughtime coursewheezing

Identifiers

PMID31321530
PMCPMC6694092

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.