Assessment of acoustic signal characteristics in children with community-acquired pneumonia according to the prevalence and nature of lung tissue damage using the new device «Trembita-Corona»
DOI:
https://doi.org/10.15574/SP.2023.130.79Keywords:
acoustic monitoring, “Trembita-Corona” device, community-acquired pneumonia, focal pneumonia, segmental pneumonia, childrenAbstract
Relevance. According to the new orders and guidelines of 2022, radiography is not performed for all children. Therefore, the creation of a fully automated system of control and assessment of breathing sounds, without exposing patients to radiation, is currently an urgent task.
Purpose - to determine the features of the acoustic signal in segmental and focal pneumonia in children with a new acoustic diagnostic device “Trembita-Corona”.
Materials and methods. 76 children aged from 1 month to 18 years were examined. The children were divided into two groups: the Group 1 - 47 patients with segmental pneumonia; the Group 2 - 29 patients with focal pneumonia. All children were also examined using the “Trembita-Corona” acoustic monitoring device.
Results. The acoustic signal was investigated in 12 octaves. The first 9 octaves were the most promising. Each octave was divided into third octaves. We found reliable differences in the average signal power in 0, 1, 4, 6, 7, 15, 20, 23-26 third octaves.
When studying the average signal power between children with segmental and focal pneumonia, the main differences were found precisely in the frequency of peaks in 0-3,10,11,14-16, 18,20,22 third octaves.
Conclusions. The use of the acoustic monitoring device “Trembita-Corona” in making a diagnosis is very promising method. The average signal power between children with segmental and focal pneumonia, the main differences were found precisely in the frequency of peaks in 0, 1, 2, 3, 10, 11, 14, 15, 16, 18, 20, 22 third octaves.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of all participating institutions. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors.
References
Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C et al. (2011). The management of communityacquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 53: e25-76. https://doi.org/10.1093/cid/cir531; PMid:21880587 PMCid:PMC7107838
Cao AMY, Choy JP, Mohanakrishnan LN, Bain RF, van Driel ML. (2013). Chest radiographs for acute lower respiratory tract infections. Cochrane Database Syst Rev: CD009119. https://doi.org/10.1002/14651858.CD009119.pub2; PMid:24369343 PMCid:PMC6464822
Doan Q, Enarson P, Kissoon N, Klassen TP, Johnson DW. (2014). Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department. Cochrane Database Syst Rev. CD006452. https://doi.org/10.1002/14651858.CD006452.pub4; PMid:25222468 PMCid:PMC6718218
Harris M, Clark J, Coote N, Fletcher P, Harnden A, McKean M, Thomson A. (2011). British Thoracic Society guidelines for the management of community acquired pneumonia in children: update. Thorax. 66 (2): ii1-23. https://doi.org/10.1136/thoraxjnl-2011-200598; PMid:21903691
Isaienko V, Kharchenko V, Astanin V, Shchegel G, Olefir V et al. (2020). System for acoustic diagnostics and symptomatic assistance to COVID-19 patients for use in extremal conditions "TREMBITA-CORONА NAU". Advances in Aerospace Technology. 1 (82): 58-63. https://doi.org/10.18372/2306-1472.82.14612
Lynch T, Bialy L, Kellner JD, Osmond MH, Klassen TP, Durec T et al. (2010). A systematic review on the diagnosis of pediatric bacterial pneumonia: when gold is bronze. PLoS ONE. 5: e11989. https://doi.org/10.1371/journal.pone.0011989; PMid:20700510 PMCid:PMC2917358
Marushko Yu, Khomych O. (2022). Frequency characteristics of acoustic features of sound signals in the lungs of children with pneumonia using a new acoustic diagnostic device "Trembita-Corona". Neonatology, surgery and perinatal medicine. 4 (46): 59-66. https://doi.org/10.24061/2413-4260.XII.4.46.2022.9
Marushko YuV, Khomych OV, Hyschak TV, Taryns'ka OL, Schehel' HO. (2021). State of the art usage of radiological and acoustic methods for the diagnosis of pneumonia, including those caused by SARSCOV-2 virus, in children. Medical science of Ukraine. 17 (2): 114-124. https://doi.org/10.32345/2664-4738.2.2021.16
Ministry of Health of Ukraine. (2022). Pneumonia in children. Evidence-based clinical practice. Ministry of Health of Ukraine dated 02.08.2022. URL: https://www.dec.gov.ua/wp-content/uploads/2022/08/2022_1380_kn_pnevmoniyi_u_ditej.pdf.
Ministry of Health of Ukraine. (2022). On the approval of the Standards of medical care "Out-of-hospital pneumonia in children" Order of the Ministry of Health of Ukraine dated August 2, 2022. No. 1380. URL: https://www.dec.gov.ua/wp-content/uploads/2022/08/2022_1380_nakaz.pdf.
Pavlenko PM, Marushko YuV, Olefir OI, Khomych OV, Schehel' HO, Khomych VM et al. (2021). Prystrii akustychnoho sposterezhennia iz os'ovoiu diahramoiu napravlenosti. Patent na korysnu model' No. 148836. Natsional'nyi aviatsiinyi universytet, patentovlasnyk.
Rose MA, Barker M, Liese J et al. (2020). Guidelines for the Management of Community Acquired Pneumonia in Children and Adolescents (Pediatric Community Acquired Pneumonia, pCAP) - Issued under the Responsibility of the German Society for Pediatric Infectious Diseases (DGPI) and the German Society for Pediatric Pulmonology (GPP). Pneumologie. 74 (8): 515-544. https://doi.org/10.1055/a-1139-5132; PMid:32823360
Rueda ZV, Aguilar Y, Maya MA et al. (2022). Etiology and the challenge of diagnostic testing of community-acquired pneumonia in children and adolescents. BMC Pediatr. 22 (1): 169. https://doi.org/10.1186/s12887-022-03235-z; PMid:35361166 PMCid:PMC8968093
Same RG, Amoah J, Hsu AJ et al. (2021). The Association of Antibiotic Duration With Successful Treatment of Community-Acquired Pneumonia in Children. J Pediatric Infect Dis Soc. 10 (3): 267-273. https://doi.org/10.1093/jpids/piaa055; PMid:32525203 PMCid:PMC8023315
Sun Y, Li H, Pei Z et al. (2020). Incidence of community-acquired pneumonia in urban China: A national population-based study. Vaccine. 38 (52): 8362-8370. https://doi.org/10.1016/j.vaccine.2020.11.004; PMid:33199077
Yun KW, Wallihan R, Juergensen A, Mejias A, Ramilo O. (2019). Community-Acquired Pneumonia in Children: Myths and Facts. Am J Perinatol. 36 (S02): S54-S57. https://doi.org/10.1055/s-0039-1691801; PMid:31238360
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