Turkish Thoracic Journal
Original Article

Evaluation of Noncystic Fibrosis Bronchiectasis Using Clinical and Radiological Scorings in Children

1.

Division of Pediatric Pulmonology, Akdeniz University School of Medicine, Antalya, Turkey

2.

Department of Pediatrics, Akdeniz University School of Medicine, Antalya, Turkey

3.

Division of Pediatric Allergy Immunology, Akdeniz University School of Medicine, Antalya, Turkey

4.

Department of Radiology, Akdeniz University School of Medicine, Antalya, Turkey

Turk Thorac J 2018; 19: 159-164
DOI: 10.5152/TurkThoracJ.2018.17081
Read: 914 Downloads: 320 Published: 18 July 2019

Abstract

OBJECTIVES: The aim of this study was to evaluate radiological, clinical, and demographic data of patients with noncystic fibrosis bronchiectasis and to compare high-resolution computed tomography (HRCT) scores based on the demographic and clinical characteristics.


MATERIALS AND METHODS
: A total of 34 patients (18 male, 16 female) were assessed in terms of age at symptom onset, age at diagnosis, annual attack frequency, cough severity score, physical examination findings, and pulmonary function test results. Modified Bhalla scoring system (B total) and anatomical prevalence degree score (D total) were used for HRCT examination.


RESULTS
: There was a strong negative correlation between forced expiratory volume at first second (FEV1) and bronchial dilatation degree (SBRDIL). There was a moderate negative correlation of FEV1, forced vital capacity (FVC), and maximum mid-expiratory flow rate (MEF; 25-75) with bronchiectasis degree (EXBRNC), bronchial wall thickness degree (SBWTHICK), and mucus accumulation in the major airways (PMPLA). The B total, D total, EXBRNC, and SBRDIL scores were significantly higher in patients with hemoptysis and sputum. In comparing B and D total scoring systems, B total provided better results in terms of rale, annual exacerbation frequency (AEF), cough severity score (CSS), and FEV1 values.


CONCLUSION
: As it is proved using HRCT, pulmonary function impairment, sputum production, hemoptysis, and increase in AEF strongly correlating with objective HRCT scoring can be accepted as markers for pathological changes due to bronchiectasis.


Cite this article as
: Başaran AE, Başaran A, Maslak İC, et al. Evaluation of Noncystic Fibrosis Bronchiectasis Using Clinical and Radiological Scorings in Children. Turk Thorac J 2018; 19(4): 159-64.

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