PT  - JOURNAL ARTICLE
AU  - S Saglani
AU  - S A McKenzie
AU  - A Bush
AU  - D N R Payne
TI  - A video questionnaire identifies upper airway abnormalities in preschool children with reported wheeze
AID  - 10.1136/adc.2004.071134
DP  - 2005 Sep 01
TA  - Archives of Disease in Childhood
PG  - 961--964
VI  - 90
IP  - 9
4099  - http://adc.bmj.com/content/90/9/961.short
4100  - http://adc.bmj.com/content/90/9/961.full
SO  - Arch Dis Child2005 Sep 01; 90
AB  - Background: Accurate characterisation of subjects is essential to interpret data from studies investigating preschool wheezing.Aim: To assess whether a video questionnaire (VQ) identifies upper airway abnormalities in preschool children with reported wheeze.Methods: Forty three children (median age 17 months, range 3–58) undergoing fibreoptic bronchoscopy for clinical investigation of troublesome noisy breathing at a tertiary centre were studied. Parents were shown a VQ with four clips (wheeze, stridor, and two other upper respiratory noises) and chose the clip(s) resembling their child’s main symptom. Doctor observed symptoms, parental reported symptoms, and symptoms identified on VQ were related to bronchoscopy.Results: Thirty subjects had wheeze as the main symptom: 19 had doctor observed wheeze (DOW) and 11 had parental reported wheeze (RW). Parents of two of the subjects with RW identified wheeze alone on VQ and both had normal bronchoscopic findings. Five of the remaining nine subjects with RW had upper airway abnormalities at bronchoscopy. Parents of six subjects with RW identified a noise other than wheeze on VQ; four of these had upper airway abnormalities. Parents of two subjects with RW did not identify a noise on VQ; one had upper airway abnormalities. Of the 19 with DOW, nine parents identified wheeze alone on VQ, and all had a normal upper airway. Parents of nine subjects with DOW identified a noise other than wheeze as an equal or only symptom, (no noise identified in one), and five had upper airway abnormalities.Conclusion: A VQ helps to identify upper airway abnormalities in preschool children with a history of wheezing.