The Value of Tidal Respiratory Lung Function and Allergen Testing in Predicting Re-aspiration in Children with Wheezing Pneumonia
Objective To study the value of tidal respiratory lung function,in vitro allergen testing,and personal re-lated data in predicting re-aspiration in children with wheezing pneumonia.Methods The clinical data of 200 chil-dren with wheezing pneumonia admitted to the Department of Pediatrics of Wuming District Maternal and Child Health Hospital from January 2021 to March 2023 were retrospectively selected.They were categorized into re-aspiration group(124 cases)and no re-aspiration group(76 cases)according to whether re-aspiration occurred or not.Analyzed the predictive value of tidal respiratory lung function,allergen testing,and personal related information for re-aspiration.Results Logistic regression analysis showed that personal history of allergy,family history of allergy,smoking in the living environment,and positive inhalation allergens were independent risk factors for re-aspiration(OR=3.154,2.273,1.993,3.322,all P<0.05),whereas the peak time ratio and peak volume ratio were independent protective factors for re-aspiration(OR=0.937,0.921,both P<0.05).The AUC of personal allergy history,family al-lergy history,living environment smoking,positive inhalation allergens,peak time ratio,and peak volume ratio for re-aspiration were 0.743,0.624,0.785,0.804,0.841,and 0.862,respectively.Conclusion Personal history of allergy,family history of allergy,smoking in the living environment,and positive inhalation allergens were independent risk factors for re-aspiration.Peak time ratio and peak volume ratio had a protective effect on the occurrence of re-aspiration,and were predictive of the occurrence of re-aspiration.
Infants and childrenWheezingTidal respiratory lung functionAllergen detection