儿童急性哮喘加重治疗反应的声学评价

Adam Rao, Grant Pemberton, Sean Rubin, E. Wu, Aaron E. Kornblith
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引用次数: 0

摘要

哮喘是最常见的儿科慢性疾病,儿童急性哮喘加重每年导致大量急诊(ED)就诊。目前衡量儿童对治疗反应的方法依赖于定性和定量措施的混合,需要有经验的从业人员。在这项工作中,我们提出了一种儿童友好的声学装置,旨在加速和量化评估这一弱势群体的治疗反应。该设备从数字听诊器获取测量值,同时使用定制的胸部激励器将声音发送到胸部。在这项工作中,我们比较了患者在使用医院硫酸沙丁胺醇雾化器前后的声音传播。从10名因急性哮喘加重而到急诊科就诊的儿童中收集了140段录音。这些患者的初步数据显示,在治疗和症状缓解后,血压升高约2db。使用已建立的哮喘评估评分系统也验证了这种改善。
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Acoustic Assessment of Treatment Response for Children with Acute Asthma Exacerbation
Asthma is the most common pediatric chronic illness and acute asthma exacerbations in children lead to numerous emergency department (ED) visits each year. Current methods to gauge a child’s response to treatment rely on a mixture of qualitative and quantitative measures and require experienced practitioners. In this work, we present a child-friendly acoustic device developed with the aim of expediting and quantifying assessment of treatment responsiveness for this vulnerable population. The device acquires measurements from a digital stethoscope as sound is sent through the chest using a custom chest exciter. In this work, we compared sound transmission from patients before and after administration of hospital albuterol sulfate nebulizer. One hundred and forty recordings were collected from ten children that presented to the ED for acute asthma exacerbation. Preliminary data is presented for these patients, demonstrating a shift of approximately 2 dB after treatment and relief of symptoms. This improvement was also validated using an established asthma assessment scoring system.
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