Breathing pattern disorders (dysfunctional breathing) characteristics and outcomes of children and young people, 2020, Newson et al

Andy · May 26, 2020

Full title: Breathing pattern disorders (dysfunctional breathing) characteristics and outcomes of children and young people attending a secondary care respiratory clinic

One patient recorded as having CFS.

Methods

We retrospectively audited the health records of 18 patients with breathing pattern disorders (BPDs), who were diagnosed in our respiratory clinic (2015‐2018), and then referred onto our dysfunctional breathing care pathway to a specialist speech and language therapist.

Results
The age of the patients ranged from 11 to 16 years (median: 14 years, 14 female/4 male patients). Comorbidities included the following: 16 patients had asthma, 2 patients had a tracheoesophageal fistula and esophageal atresia repair, one patient suffered from chronic regional pain syndrome, and one patient had chronic fatigue syndrome.

The commonest BPD was induced laryngeal obstruction (ILO) in 16 patients (exercise‐induced laryngeal obstruction [EILO] in 15). Other types of BPDs included hyperventilation syndrome in seven patients, psychogenic cough in eight, and dysphonia in one. A single BPD was present in 6 patients (mainly EILO), and two or more BPDs were present in 10 patients. Inducers of BPD symptoms were as follows: exercise in 16 patients, bullying in 3, anxiety in 14, emotions and stress in 11, weather in 3, posture in 1, and odors in 3. Significant school absenteeism was observed in most of the patients (2 weeks to 24 months). Significant delays in diagnosing BPD were noted (range: 1‐24 months and median: 6 months). Emergency calls occurred in 14 patients, with one patient presenting with ILO and comorbidity of asthma needing intubation and ventilation.

A 1‐year follow‐up of patients showed that there was a complete resolution of BPD in two patients, 14 had good control of BPD with confidence in ability to control their symptoms, showing improved morbidity, two had no improvement, and one lost to follow‐up.

Conclusion
It is important to recognize and treat BPD early to limit the significant morbidity that adversely impacts the quality of life.
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Paywall, https://onlinelibrary.wiley.com/doi/full/10.1002/ppul.24791
Sci hub, https://sci-hub.tw/10.1002/ppul.24791

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Breathing pattern disorders (dysfunctional breathing) characteristics and outcomes of children and young people, 2020, Newson et al

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Breathing pattern disorders (dysfunctional breathing) characteristics and outcomes of children and young people, 2020, Newson et al

Andy Committee Member

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