Study of correlation between exhaled NO measured by portable device and bronchial hyperresponsiveness in subjects with chronic cough
Journal Title: JOURNAL OF FUNCTIONAL VENTILATION AND PULMONOLOGY - Year 2018, Vol 9, Issue 27
Abstract
Introduction. Measurement of nitric oxide (NO) in exhaled breath may help to diagnose asthmatic patients have nocturnal chronic cough as a main symptom. However, the correlation between the level of fractional exhaled NO (FENO) and bronchial hyperresponsiveness (BHR) in asthma has not been clearly demonstrated. Objective. This study aimed to evaluate the level of FENO and BHR in subjects with chronic cough, the correlation between the level of FENO and concentration of PD20 – methacholine, and the cut-off of FENO for diagnosis of BHR. Method. Subjects with chronic cough were included in this study. They underwent FENO measurements, methacholine challenge and lung functional testing. Results. There were 32 healthy control subjects and 67 subjects with chronic cough were included in this study. The mean age and male - female ratio were not different between two groups (43±7 vs 42±6 years; 1.4 vs 1.3). The level of FENO in subjects with chronic cough was significant higher than that in control subjects (37±12 vs 15±8 ppb; P <0.01). The percentage of subjects had the positive BHR in subjects with chronic cough was significantly higher control subjects (55.2 vs 3.1 %; P<0.001). In subjects with BHR (+), FENO level was tightly correlated with log PD20 (R = -0.83; P<0.001). The cut-off of FENO level for diagnosis of BHR (+) is >36 ppb with the highest sensitivity and specificity (>80% and >75%). Conclusion. The measurement of FENO with portable device is a useful tool to diagnose subjects with bronchial hyperresponsiveness, especially for subjects with chronic cough.
Authors and Affiliations
Sy DUONG-QUY
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