Confidence bounds on respiratory mechanical properties estimated from transfer versus input impedance in humans...

Using parameters typical of a dog, we have shown that estimates for the parameters in the six-element model of Dubois et al. would be very unreliable if either input (Z(in)) or transfer (Ztr) data from only 2-32 Hz were fit. It has subsequently been shown that this model is not appropriate for human Z(in) from 2-320 Hz. However, several studies have continued to apply the model to human Ztr data from only 2-32 Hz. In this study a sensitivity analysis is used to determine whether and why the six-element model could be applicable to lower frequency (less than 64 Hz) Ztr data in humans, but not Z(in) data over any frequency range. We first predicted the joint parameter uncertainty bounds assuming a fit to either 2-32 Hz Z(in) or Ztr data created from literature based mean parameter values. Consistent with previous studies, we predicted that the estimates will be very unreliable if obtained from Z(in) data for humans or dogs, or from Ztr data from dogs. Surprisingly, however, the reliability of several parameter estimates from human Ztr data from only 2-32 Hz are reasonable. We next evaluated the variability in 2-64 Hz based Ztr parameter estimates by comparing experimental variability in two healthy human subjects (over 10 and 13 trials) to theoretical and Monte Carlo numerical predictions based on a single trial. Again, the Ztr parameters were reliable. A simulation study was used to describe the reasons for enhanced reliability when using human Ztr data. It is shown that this reliability is largely dependent on alveolar gas compressibility, Cg.(ABSTRACT TRUNCATED AT 250 WORDS)