4.4 Article

Comparison of Nocturnal Cough Analysis in Healthy Subjects and in Patients with Cystic Fibrosis and Primary Ciliary Dyskinesia: A Prospective Observational Study

Journal

RESPIRATION
Volume 97, Issue 1, Pages 60-69

Publisher

KARGER
DOI: 10.1159/000493323

Keywords

Cystic fibrosis; Primary ciliary dyskinesia; Cough frequency; Objective cough count

Ask authors/readers for more resources

Background: Cough is a key symptom in patients with cystic fibrosis (CF) and primary ciliary dyskinesia (PCD). Objective: The study objectives were to test whether cough is related to parameters reflecting their disease severity and whether CF and PCD differ in cough frequency. Methods: In this prospective observational study, we used a microphone-based monitoring system (LEOSound (R) Monitor) to count the coughs in healthy subjects (HS) and in stable patients with CF and PCD (25 subjects per group) on 2 consecutive nights. Results: The median number of coughs/h in the HS, CF, and PCD groups was 0.0, 1.3, and 0.5 on the first night and 0.0, 2.3, and 0.2 on the second night, respectively. Patients with CF and PCD coughed more than HS (p < 0.001 and p = 0.009, respectively) and CF patients coughed more than PCD patients (p = 0.023). A multivariable mixed model analysis revealed forced expiratory volume in 1 s as an independent risk factor for increased cough frequency in patients. The reliability for repeated measurements was higher for cough epochs/h than for coughs/h (intraclass correlation coefficient: 0.75 and 0.49, respectively). Conclusions: Patients with CF cough more than patients with PCD. The cough frequency in CF and PCD is associated with parameters reflecting disease severity. Cough frequency is a possible endpoint in clinical trials and cough epochs/h may be more useful than coughs/h. (C) 2018 S. Karger AG, Basel

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Radiology, Nuclear Medicine & Medical Imaging

Using deep learning to assist readers during the arbitration process: a lesion-based retrospective evaluation of breast cancer screening performance

Laura Kerschke, Stefanie Weigel, Alejandro Rodriguez-Ruiz, Nico Karssemeijer, Walter Heindel

Summary: The study evaluated the potential of artificial intelligence in discriminating between benign and malignant mammographic abnormalities, showing AI's ability to reduce false-positive rates and improve accuracy in recalling lesions. AI demonstrated the ability to decrease false-positives and non-FPR at the expense of a slight sensitivity reduction compared to human reading, especially in cases of mass-related lesions. Further prospective studies are needed to assess the practical benefits of AI in breast cancer screening.

EUROPEAN RADIOLOGY (2022)

Review Cell Biology

Consensus nomenclature for dyneins and associated assembly factors

Bryony Braschi, Heymut Omran, George B. Witman, Gregory J. Pazour, K. Kevin Pfister, Elspeth A. Bruford, Stephen M. King

Summary: This review provides an updated consensus nomenclature for components of dynein motors and their assembly factors. Standardizing gene nomenclature facilitates cross-species discussion and genetic comparison. The review also details additional nomenclature updates for vertebrate-specific genes.

JOURNAL OF CELL BIOLOGY (2022)

Article Medicine, General & Internal

EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI): study protocol for a multicentre, observational trial

Raphael Weiss, Khaschayar Saadat-Gilani, Laura Kerschke, Carola Wempe, Melanie Meersch, Alexander Zarbock

Summary: The EPIS-AKI trial aims to evaluate the epidemiology of AKI after major surgery in 10,000 patients, with the primary endpoint being the incidence of AKI within 72 hours post-surgery. Preoperative and intraoperative risk factors will be assessed, along with urinary biomarkers for early detection of AKI.

BMJ OPEN (2021)

Article Critical Care Medicine

Comparison of the Lung Clearance Index in Preschool Children With Primary Ciliary Dyskinesia and Cystic Fibrosis

Jobst F. Roehmel, Friederike J. Doerfler, Cordula Koerner-Rettberg, Folke Brinkmann, Anne Schlegtendal, Martin Wetzke, Isa Rudolf, Simone Helms, Joerg Grosse-Onnebrink, Yin Yu, Thomas Nuesslein, Irena Wojsyk-Banaszak, Sebastian Becker, Olaf Eickmeier, Olaf Sommerburg, Heymut Omran, Mirjam Stahl, Marcus A. Mall

Summary: This study found that there is early onset of lung disease in preschool children with primary ciliary dyskinesia (PCD), and the severity of lung disease in PCD may be similar to that in cystic fibrosis (CF) during preschool years. These results support the importance of early diagnostic monitoring and therapy, and suggest that the lung clearance index (LCI) can serve as a noninvasive diagnostic tool and potential endpoint in clinical trials.

CHEST (2022)

Article Obstetrics & Gynecology

Termination of pregnancy in the second trimester - the course of different therapy regimens

Jana Franzis Franke, Kathrin Oelmeier, Mareike Moellers, Ute Moellmann, Janina Braun, Laura Kerschke, Helen Ann Koester, Walter Klockenbusch, Ralf Schmitz, Kerstin Hammer

Summary: The study compares the effects of two prostaglandin analogs and two application intervals on the time to abortion in second trimester termination of pregnancy. The results suggest that both application intervals and prostaglandin analogs are similarly effective.

JOURNAL OF PERINATAL MEDICINE (2022)

Article Oncology

Digital breast tomosynthesis plus synthesised mammography versus digital screening mammography for the detection of invasive breast cancer (TOSYMA): a multicentre, open-label, randomised, controlled, superiority trial

Walter Heindel, Stefanie Weigel, Joachim Gerss, Hans-Werner Hense, Alexander Sommer, Miriam Krischke, Laura Kerschke

Summary: Digital breast tomosynthesis plus s2D mammography showed a significantly higher detection rate for invasive breast cancer compared to digital mammography alone.

LANCET ONCOLOGY (2022)

Article Radiology, Nuclear Medicine & Medical Imaging

Respiratory motion correction in F-18-FDG PET/CT impacts lymph node assessment in lung cancer patients

Benjamin Noto, Wolfgang Roll, Laura Zinken, Robert Rischen, Laura Kerschke, Georg Evers, Walter Heindel, Michael Schaefers, Florian Buether

Summary: This study found that PET motion correction can improve the lymph node assessment scores of expert readers, but does not significantly improve subjective reader certainty. It also showed significant effects on quantitative PET parameters.

EJNMMI RESEARCH (2022)

Article Radiology, Nuclear Medicine & Medical Imaging

Artificial Intelligence for Indication of Invasive Assessment of Calcifications in Mammography Screening

Stefanie Weigel, Anne-Kathrin Brehl, Walter Heindel, Laura Kerschke

Summary: This study evaluated the performance of an artificial intelligence system in the diagnosis of breast calcifications. The results showed that the system had increasing positive predictive values with higher categories, and exhibited high accuracy in breast cancer detection.

ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN (2023)

Meeting Abstract Radiology, Nuclear Medicine & Medical Imaging

Impact of respiratory motion correction in F-18-FDG PET/ CT on staging in lung cancer patients

W. Roll, B. Noto, R. Rischen, L. Kerschke, G. Evers, W. Heindel, M. Schafers, F. Buther

EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING (2022)

Letter Biochemistry & Molecular Biology

Recessive Mutations in CFAP74 Cause Primary Ciliary Dyskinesia with Normal Ciliary Ultrastructure

Luisa Biebach, Sandra Cindric, Julia Koenig, Isabella Aprea, Gerard W. Dougherty, Johanna Raidt, Diana Bracht, Renate Ruppel, Jens Schreiber, Rim Hjeij, Heike Olbrich, Heymut Omran

AMERICAN JOURNAL OF RESPIRATORY CELL AND MOLECULAR BIOLOGY (2022)

Article Respiratory System

Limitations of Nasal Nitric Oxide Measurement for Diagnosis of Primary Ciliary Dyskinesia with Normal Ultrastructure

Johanna Raidt, Henrike Krenz, Johannes Tebbe, Joerg Grosse-Onnebrink, Heike Olbrich, Niki Tomas Loges, Luisa Biebach, Christian Schmalstieg, Christina Kessler, Julia Wallmeier, Bernd Dworniczak, Petra Pennekamp, Martin Dugas, Claudius Werner, Heymut Omran

Summary: In diagnosing PCD, measuring nNO below 77 nl/min may be less sensitive for individuals with normal ciliary structure. Adjusting the nNO cutoff to 107.8 nl/min in this subgroup can improve diagnostic accuracy and is dependent on underlying molecular PCD defects. Higher nNO production rates, residual CBFs, and lower prevalence of laterality defects hinder the diagnosis of PCD with normal ciliary structure.

ANNALS OF THE AMERICAN THORACIC SOCIETY (2022)

Meeting Abstract Medicine, General & Internal

Analysis of Symptom Diaries of COVID-19 Patients over a 20-day Disease Phase

Patricia Nicole Wiegele, Iyad Kabar, Laura Kerschke, Christopher Froemmel, Anna Huesing-Kabar, Hartmut Schmidt, Elena Vorona, Richard Vollenberg, Phil-Robin Tepasse

INTERNIST (2021)

Article Immunology

Symptom Diary-Based Analysis of Disease Course among Patients with Mild Coronavirus Disease, Germany, 2020

Patricia Nicole Wiegele, Iyad Kabar, Laura Kerschke, Christopher Froemmel, Anna Huesing-Kabar, Hartmut Schmidt, Elena Vorona, Richard Vollenberg, Phil-Robin Tepasse

Summary: Limited information is available on the clinical course of outpatients with mild COVID-19. Fatigue, cough, and headache were the most common symptoms and occurred early in the course of illness, while neurologic symptoms and dyspnea occurred later. Symptomatic patients should be tested more frequently for SARS-CoV-2 during influenza season to prevent further spread of COVID-19.

EMERGING INFECTIOUS DISEASES (2021)

Article Clinical Neurology

Teriflunomide treatment is associated with optic nerve recovery in early multiple sclerosis

Steffen Pfeuffer, Laura Kerschke, Tobias Ruck, Leoni Rolfes, Marc Pawlitzki, Philipp Albrecht, Heinz Wiendl, Sven G. Meuth

Summary: This study demonstrated that TRF treatment is associated with favorable outcomes in terms of functional optic nerve recovery following optic neuritis (ON) in early multiple sclerosis. Compared to IFN or GLAT, TRF-treated patients showed higher LCLA and shorter P100 latency, indicating better visual function recovery.

THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS (2021)

No Data Available