Arch Dis Child 2001;84:35-39 ( January )

Survey of respiratory sounds in infants

H E Elphick, P Sherlock, G Foxall, E J Simpson, N A Shiell, R A Primhak, M L Everard

Paediatric Respiratory Unit, Sheffield Children's Hospital, University of Sheffield, Western Bank, Sheffield S10 2TH, UK

Correspondence to: Dr Everard m.l.everard{at}sheffield.ac.uk

Accepted 9 August 2000

BACKGROUNDOver the last decade there has been an apparent increase in childhood wheeze. We speculated that much of the reported increase may be attributed to the term wheeze being adopted by parents to describe a variety of other forms of noisy breathing.
AIMSTo investigate terminology used by parents to describe their children's breath sounds.
METHODSAn interview was carried out with the parents of 92 infants with noisy breathing, beginning with an open question and then directed towards a more detailed description. Finally, the parents were asked to choose from a wheeze, ruttle, and stridor on imitation by the investigator and video clips of children.
RESULTSWheeze was the most commonly chosen word on initial questioning (59%). Only 36% were still using this term at the end of the interview, representing a decrease of one third, whereas the use of the word ruttles doubled.
CONCLUSIONSOur results reflect the degree of inaccuracy involved in the use of the term wheeze in clinical practice, which may be leading to over diagnosis. Imprecise use of this term has potentially important implications for therapy and clinical trials.


Keywords: respiratory sounds; wheeze

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© 2001 by Archives of Disease in Childhood
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