Mobile nocturnal long-term monitoring of wheezing and cough.
Changes in normal lung sounds are an important sign of pathophysiological processes in the bronchial system and lung tissue. For the diagnosis of bronchial asthma, coughing and wheezing are important symptoms that indicate the existence of obstruction. In particular, nocturnal long-term acoustic monitoring and assessment make sense for qualitative and quantitative detection and documentation. Previous methods used for lung function diagnosis require active patient cooperation that is not possible during sleep. We developed a mobile device based on the CORSA standard that allows the recording of respiratory sounds throughout the night. To date, we have recorded 133 patients with different diagnoses (80 male, 53 female), of whom 38 were children. In 68 of the patients we could detect cough events and in 87 we detected wheezing. The recording method was tolerated by all participating adults and children. Our mobile system allows non-invasive and cooperation-independent nocturnal monitoring of acoustic symptoms in the domestic environment, especially at night, when most ailments occur.
Gross
Volker
V
Klinik für Innere Medizin, Schwerpunkt Pneumologie, Philipps-Universität Marburg, Marburg, Germany. volker.gross@med.uni-marburg.de
Reinke
Christian
C
Dette
Frank
F
Koch
Roland
R
Vasilescu
Dragos
D
Penzel
Thomas
T
Koehler
Ulrich
U
D000328:Adult; D001314:Auscultation / Q000295:instrumentation* / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003371:Cough / Q000175:diagnosis* / Q000503:physiopathology; D003936:Diagnosis, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D017286:Polysomnography / Q000295:instrumentation* / Q000379:methods; D015203:Reproducibility of Results; D012135:Respiratory Sounds; D012680:Sensitivity and Specificity; D013018:Sound Spectrography / Q000295:instrumentation* / Q000379:methods