Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis. Van Ginderdeuren F., Vandenplas Y., Deneyer M., Vanlaethem S., Buyl R., & Kerckhofs E. 2017.
Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis [link]Paper  abstract   bibtex   
Objective: To evaluate the effectiveness of two airway clearance techniques (ACT's) in children \textless24 months hospitalized with mild to moderate bronchiolitis. Design: One hundred and three children were randomly allocated to receive one 20-min session daily, either assisted autogenic drainage (AAD), intrapulmonary percussive ventilation (IPV), or bouncing (B) (control group), ninety-three finished the study. Outcome measures: Mean time to recovery in days was our primary outcome measure. The impact of the treatment and the daily improvement was also assessed by a validated clinical and respiratory severity score (WANG score), heart rate (HR), and oxygen saturation (SaO2). Results: Mean time to recovery was 4.5 +/- 1.9 days for the control group, 3.6 +/- 1.4 days, P \textless 0.05 for the AAD group and 3.5 +/- 1.3 days, P = 0.03 for the IPV group. Wang scores improved significantly for both physiotherapy techniques compared to the control group. Conclusion: Both ACT's reduced significantly the length of hospital stay compared to no physiotherapy. Pediatr Pulmonol. 2017;52:225-231. © 2016 Wiley Periodicals, Inc. Copyright © 2016 Wiley Periodicals, Inc.
@misc{van_ginderdeuren_f._effectiveness_2017,
	title = {Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis},
	url = {http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1099-0496},
	abstract = {Objective: To evaluate the effectiveness of two airway clearance techniques (ACT's) in children {\textless}24 months hospitalized with mild to moderate bronchiolitis. Design: One hundred and three children were randomly allocated to receive one 20-min session daily, either assisted autogenic drainage (AAD), intrapulmonary percussive ventilation (IPV), or bouncing (B) (control group), ninety-three finished the study. Outcome measures: Mean time to recovery in days was our primary outcome measure. The impact of the treatment and the daily improvement was also assessed by a validated clinical and respiratory severity score (WANG score), heart rate (HR), and oxygen saturation (SaO2). Results: Mean time to recovery was 4.5 +/- 1.9 days for the control group, 3.6 +/- 1.4 days, P {\textless} 0.05 for the AAD group and 3.5 +/- 1.3 days, P = 0.03 for the IPV group. Wang scores improved significantly for both physiotherapy techniques compared to the control group. Conclusion: Both ACT's reduced significantly the length of hospital stay compared to no physiotherapy. Pediatr Pulmonol. 2017;52:225-231. © 2016 Wiley Periodicals, Inc. Copyright © 2016 Wiley Periodicals, Inc.},
	journal = {Pediatric Pulmonology},
	author = {{Van Ginderdeuren F.} and {Vandenplas Y.} and {Deneyer M.} and {Vanlaethem S.} and {Buyl R.} and {Kerckhofs E.}},
	year = {2017},
	keywords = {*assisted autogenic drainage, *breathing exercise, *bronchiolitis, *bronchiolitis/th [Therapy], *hospital patient, *intrapulmonary percussive ventilation, *lung clearance, Child, WANG score, arterial oxygen saturation, article, artificial ventilation, clinical effectiveness, control group, controlled clinical trial, controlled study, disease severity, disease severity assessment, female, heart rate, hospitalization, human, infant, length of stay, major clinical study, male, outcome assessment, oxygen saturation, randomized controlled trial}
}

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