From: Clinical and genetic spectrum of primary ciliary dyskinesia in Chinese patients: a systematic review
Parameters | Total (n = 244) | Age at diagnosis < 18 n = 189 | Age at diagnosis ≥ 18 n = 55 | P values |
---|---|---|---|---|
Age at diagnosis (n = 237), mean (SD) | 13.1 ± 11.3 | 8.2 ± 4.1(n = 189) | 32.1 ± 10.1(n = 48) | < 0.0001 |
Gender, female (%) | 116(47.5) | 90 (47.6) | 26 (47.3) | 0.96 |
Age at symptom onset | ||||
 Infancy | 120 (49.2) | 112 (59.3) | 8 (14.5) | < 0.0001 |
 Childhood | 85 (34.8) | 47 (24.9) | 38 (69.1) | < 0.0001 |
 Adulthood | 3(1.2) | NA | 3 (5.5) | NA |
 NA | 36 (14.8) | 30 (15.9) | 6 (10.9) | 0.36 |
Situs inversus totalis/heterotaxy | 120 (49.2) | 82 (43.4) | 38 (69.1) | 0.001 |
Family history | ||||
 Consanguineous patients | 24 (9.8) | 4 (2.1) | 20 (36.4) | < 0.0001 |
 PCD family history | 26 (10.7) | 11 (5.8) | 15 (27.3) | < 0.0001 |
Infertility history | ||||
 Female | 7 (2.9) | NA | 7 (12.7) | NA |
 Male | 16 (6.6) | NA | 16 (29.1) | NA |
Symptoms and Comorbidities | ||||
 Neonatal respiratory distress | 60 (24.6) | 60 (31.8) | 0 (0) | < 0.0001 |
 Chronic wet cough | 225 (92.2) | 170 (89.9) | 55 (100) | 0.03 |
 Sinusitis | 205 (84.0) | 153 (81.0) | 52 (94.5) | 0.02 |
 Otitis media | 67 (27.5) | 59 (31.2) | 8 (14.6) | 0.02 |
 Hearing impairment | 51 (20.9) | 40 (21.2) | 11 (20.0) | 0.85 |
 Asthma | 28 (11.5) | 22 (11.6) | 6 (10.9) | 0.88 |
 Congenital heart disease | 11 (4.5) | 10 (5.3) | 1 (1.8) | 0.47 |
 Thoracic deformity | 17 (7.0) | 16 (8.5) | 1 (1.8) | 0.16 |
 Diffuse panbronchiolitis | 2 (0.8) | 0 (0) | 2 (3.6) | 0.05 |
 Post infectious bronchiolitis obliterans | 6 (2.5) | 6 (3.2) | 0 (0) | 0.34 |
 Gastroesophageal reflux | 9 (3.7) | 9 (4.8) | 0 (0) | 0.21 |
 Congenital deafness | 3 (1.2) | 2 (1.1) | 1 (1.8) | 0.54 |
Nasal NO test (n = 102) | ||||
 Below diagnostic cut-off | 93 (91.2) | 89 (93.3) | 9 (75) | 0.12 |
Respiratory culture (n = 133) |  | 119 | 14 |  |
 Haemophilus influenzae | 22 (16.5) | 22 (18.6) | 0 (0) | 0.17 |
 Pseudomonas aeruginosa | 26 (19.5) | 18 (15.1) | 8 (57.1) | 0.001 |
 Streptococcus pneumoniae | 36 (27.1) | 36 (30.3) | 0 (0) | 0.04 |
 Streptococcus viridans | 1 (0.8) | 0 (0) | 1 (7.1) | 0.11 |
 Staphylococcus aureus | 7 (5.3) | 6 (5.0) | 1 (7.7) | 0.55 |
 Moraxella catarrhalis | 4 (3.0) | 4 (3.4) | 0 (0) | 1 |
 Legionella pneumophila | 1 (0.8) | 1 (0.8) | 0 (0) | 1 |
 Acinetobacter baumannii | 1 (0.8) | 1 (0.8) | 0 (0) | 1 |
 Monilia albican | 2 (1.5) | 2 (1.7) | 0 (0) | 1 |
 Aspergillus | 1 (0.8) | 0 (0) | 1 (7.1) | 0.11 |
 normal flora | 35 (26.3) | 32 (26.9) | 3 (21.4) | 0.91 |
Radiographic feature (n = 233) |  | 178 | 55 |  |
 Bronchiectasis | 164 (70.4) | 110 (61.8) | 54 (98.2) | < 0.0001 |
 Atelectasis | 88 (37.8) | 85 (47.8) | 3 (5.5) | < 0.0001 |
 Diffuse nodules | 29 (12.5) | 22 (12.4) | 7 (12.7) | 0.94 |
 Pneumonia | 19 (8.2) | 15 (8.4) | 4 (7.3) | 1 |
 Nearly normal | 7 (3.0) | 7 (4.0) | 0 (0) | 0.29 |
Lung function | ||||
 FEV1% of predicted, mean (SD) | 70.6 (25.5) (n = 45) | 83.7 (15.6) (n = 27) | 51.0 (25.1) (n = 18) | < 0.0001 |
 FVC % of predicted, mean (SD) | 80.9 (20.6) (n = 32) | 82.3 (17.5) (n = 25) | 75.9 (30.6) (n = 7) | 0.61 |