Evaluation of Noncystic Fibrosis Bronchiectasis Using Clinical and Radiological Scorings in Children

Özet

OBJECTIVES: The aim of this study was to evaluate radiological, clinical, and demographic data of patients with noncystic fibrosis bronchiectasisand to compare high-resolution computed tomography (HRCT) scores based on the demographic and clinical characteristics.MATERIALS AND METHODS: A total of 34 patients (18 male, 16 female) were assessed in terms of age at symptom onset, age at diagnosis,annual attack frequency, cough severity score, physical examination findings, and pulmonary function test results. Modified Bhallascoring system (B total) and anatomical prevalence degree score (D total) were used for HRCT examination.RESULTS: There was a strong negative correlation between forced expiratory volume at first second (FEV1) and bronchial dilatation degree(SBRDIL). There was a moderate negative correlation of FEV1, forced vital capacity (FVC), and maximum mid-expiratory flow rate(MEF; 25-75) with bronchiectasis degree (EXBRNC), bronchial wall thickness degree (SBWTHICK), and mucus accumulation in the majorairways (PMPLA). The B total, D total, EXBRNC, and SBRDIL scores were significantly higher in patients with hemoptysis and sputum.In comparing B and D total scoring systems, B total provided better results in terms of rale, annual exacerbation frequency (AEF), coughseverity score (CSS), and FEV1 values.CONCLUSION: As it is proved using HRCT, pulmonary function impairment, sputum production, hemoptysis, and increase in AEFstrongly correlating with objective HRCT scoring can be accepted as markers for pathological changes due to bronchiectasis.