Evidence map›Paper›PMID 32491255›Full record

ArticleClinical physiology and functional imaging2020

Cut-off values to evaluate exercise-induced asthma in eucapnic voluntary hyperventilation test for children.

Janne Burman, Varpu Elenius, Heikki Lukkarinen, Tom Kuusela, Mika J Mäkelä, Olli Kesti, Katri Väätäinen, Maria Maunula, Sami Remes, Tuomas Jartti

Open access · hybridAbstract read
In one paragraph

Article in Clinical physiology and functional imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 27% of its field
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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. 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

10 authors at 3 institutions in 1 country.

Janne BurmanSkin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0002-1177-455X
Varpu EleniusDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0001-9264-9904
Heikki LukkarinenDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Tom KuuselaDepartment of Physics and Astronomy, University of Turku, Turku, Finland.
Mika J MäkeläSkin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0002-2933-3111
Olli KestiDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Katri VäätäinenDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Maria MaunulaDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Sami RemesDepartment of Pediatrics, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0002-3204-5639
Tuomas JarttiDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0003-2748-5362
University of Turku · FIUniversity of Helsinki · FIKuopio University Hospital · FI

Funding

Asthma and Allergy Foundation of HelsinkiJalmari and Rauha Ahokas FoundationKerttu and Kalle Viik FoundationSigrid Juselius Foundation
6 · The paper itself

Abstract

BACKGROUND AND

aimThe eucapnic voluntary hyperventilation (EVH) testing is a diagnostic tool for diagnostics of exercise-induced bronchoconstriction; while the testing has become more common among children, data on the test's feasibility among children remain limited. Our aim was to investigate EVH testing feasibility among children, diagnostic testing cut-off values, and which factors affect testing outcomes.

methodsWe recruited 134 patients aged 10-16 years with a history of exercise-induced dyspnoea and 100 healthy control children to undergo 6-min EVH testing. Testing feasibility was assessed by the children's ability to achieve ≥70% of the target minute ventilation of 30 times forced expiratory volume in 1 s (FEV1). Bronchoconstriction was assessed as a minimum of 8%, 10%, 12%, 15% or 20% fall in FEV1. Patient characteristics were correlated with EVH outcomes.

resultsOverall, 98% of the children reached ≥70%, 88% reached ≥80%, 79% reached ≥90% and 62% reached ≥100% of target ventilation in EVH testing; of children with a history of exercise-induced dyspnoea, the decline percentages were as follows: 24% (≥8% fall), 17% (≥10% fall), 10% (≥12% fall), 6% (≥15% fall) and 5% (≥20% fall) in FEV1, compared to 11%, 4%, 3%, 1% and 0% among the healthy controls, respectively. Healthy controls and boys performed testing at higher ventilation rates (p < .05).

conclusionEucapnic voluntary hyperventilation testing is feasible among children aged 10-16 years and has diagnostic value in evaluating exercise-induced dyspnoea among children. A minimum 10% fall in FEV1 is a good diagnostic cut-off value. Disease status appears to be important covariates.

Indexed as

Asthma, Exercise-InducedBronchoconstrictionChildForced Expiratory VolumeHumansHyperventilationMaleRespiratory Function Testsasthmabronchoconstrictionchildreneucapnic voluntary hyperventilation testexercise-induced dyspnoeafeasibilitypulmonary function

Identifiers

PMID32491255
PMCPMC7496314
OpenAlexW3032517560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.