| Title: | Bedside breath tests in children with abdominal pain: a prospective pilot feasibility study |
| Author(s): | Wong DC; Relton SD; Lane V; Ismail M; Goss V; Bytheway J; West RM; Deuchars J; Sutcliffe J; |
| Address: | "1Centre for Health Informatics, University of Manchester, Manchester, UK. ISNI: 0000000121662407. GRID: grid.5379.8 2Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. ISNI: 0000 0004 1936 8403. GRID: grid.9909.9 3Leeds Teaching Hospitals Trust, Leeds, UK. ISNI: 0000 0000 9965 1030. GRID: grid.415967.8 4Leeds Institute for Clinical Trials Research, University of Leeds, Leeds, UK. ISNI: 0000 0004 1936 8403. GRID: grid.9909.9 Public Contributor, ., USA. 6School of Biomedical Sciences, University of Leeds, Leeds, UK. ISNI: 0000 0004 1936 8403. GRID: grid.9909.9" |
| DOI: | 10.1186/s40814-019-0502-x |
| ISSN/ISBN: | 2055-5784 (Print) 2055-5784 (Electronic) 2055-5784 (Linking) |
| Abstract: | "BACKGROUND: There is no definitive method of accurately diagnosing appendicitis before surgery. We evaluated the feasibility of collecting breath samples in children with abdominal pain and gathered preliminary data on the accuracy of breath tests. METHODS: We conducted a prospective pilot study at a large tertiary referral paediatric hospital in the UK. We recruited 50 participants with suspected appendicitis, aged between 5 and 15 years. Five had primary diagnosis of appendicitis. The primary outcome was the number of breath samples collected. We also measured the number of samples processed within 2 h and had CO(2) >/= 3.5%. Usability was assessed by patient-reported pain pre- and post-sampling and user-reported sampling difficulty. Logistic regression analysis was used to predict appendicitis and evaluated using the area under the receiver operator characteristic curve (AUROC). RESULTS: Samples were collected from all participants. Of the 45 samples, 36 were processed within 2 h. Of the 49 samples, 19 had %CO(2) >/= 3.5%. No difference in patient-reported pain was observed (p = 0.24). Sampling difficulty was associated with patient age (p = 0.004). The logistic regression model had AUROC = 0.86. CONCLUSIONS: Breath tests are feasible and acceptable to patients presenting with abdominal pain in clinical settings. We demonstrated adequate data collection with no evidence of harm to patients. The AUROC was better than a random classifier; more specific sensors are likely to improve diagnostic performance. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03248102. Registered 14 Aug 2017" |
| Keywords: | Appendicitis Biomarkers Breathomics Child Exhalation Volatile organic compounds; |
| Notes: | "PubMed-not-MEDLINEWong, David C Relton, Samuel D Lane, Victoria Ismail, Mohamed Goss, Victoria Bytheway, Jane West, Robert M Deuchars, Jim Sutcliffe, Jonathan eng England 2019/11/14 Pilot Feasibility Stud. 2019 Nov 5; 5:121. doi: 10.1186/s40814-019-0502-x. eCollection 2019" |
