RT info:eu-repo/semantics/article
T1 Spirometry and respiratory oscillometry: Feasibility and concordance in schoolchildren with asthma
A1 Domínguez Martín, Clara
A1 Cano Garcinuño, Alfredo
A1 Díez Monge, Nuria
A1 Alonso Rubio, Ana María
A1 Pérez García, Isabel
A1 Arroyo Romo, María Teresa
A1 Casares Alonso, Irene
A1 Barbero Rodríguez, Ana María
A1 Grande Álvarez, Reyes
A1 Martínez Rivera, María Teresa
A1 Sanz Fernández, Mónica
K1 Asthma
K1 Child
K1 Cross‐sectional studies
K1 Oscillometry
K1 Spirometry
K1 32 Ciencias Médicas
K1 3201.10 Pediatría
AB Objective:The purpose of this study was to describe the feasibility of respiratory oscillometry (RO) in schoolchildren with asthma, and the concordance of its results with those of spirometry, to determine its clinical usefulness.Methods:RO and spirometry were performed in 154 children (6 to 14-year-old) with asthma, following strict quality criteria for the tests. Their feasibility (probability of valid test, time of execution, number of maneuvers needed to achieve a valid test, and perceived difficulty) was compared. The factors that influence feasibility were analyzed with multivariate methods. FEV1, FEV1/FVC, FVC and FEF25-75 for spirometry, and R5, AX and R5-19 for RO, were converted into z-scores and their concordance was investigated through intraclass correlation coefficients (ICC) and kappa indices for normal/abnormal values.Results:There were no differences in the probability of obtaining a valid RO or spirometry (83.1% vs. 81.8%, p = 0.868). RO required a lower number of maneuvers [mean (SD) 4.2 (1.8) versus 6.0 (1.6), p < 0.001] and less execution time [5.1 (2.7) versus 7.6 (2.4) minutes, p < 0.001], and patients considered it less difficult. Age increased the probability of obtaining valid RO and spirometry. The concordance of results between RO and spirometry was low, and only between zFEV1 and zAX could it be considered moderate (ICC = 0.412, kappa = 0.427).Conclusion:RO and spirometry are feasible in children with asthma. RO has some practical advantages, but the concordance of its results with spirometry is low.
PB Wiley
SN 8755-6863
YR 2023
FD 2023
LK https://uvadoc.uva.es/handle/10324/59255
UL https://uvadoc.uva.es/handle/10324/59255
LA eng
NO Pediatric Pulmonology, 2023.
NO Producción Científica
DS UVaDOC
RD 23-may-2024