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Related Experiment Videos

Pitfalls in processing home electronic spirometric data in asthma

H K Reddel1, S I Ware, C M Salome

  • 1Institute of Respiratory Medicine, Royal Prince Alfred Hospital and Dept of Medicine, University of Sydney, Camperdown, NSW, Australia.

The European Respiratory Journal
|November 17, 1998
PubMed
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Home spirometry with electronic devices shows excellent reproducibility in asthma patients. However, maintaining data quality requires careful attention to complex issues, making a paper diary essential for accurate monitoring.

Area of Science:

  • Pulmonary Medicine
  • Medical Technology
  • Clinical Trials

Background:

  • Electronic spirometers enable paperless home monitoring for asthma.
  • Data quality from home spirometry is not inherently superior to conventional methods.
  • Assessing adherence to international spirometry guidelines for self-recorded data is crucial.

Purpose of the Study:

  • To evaluate the quality and processing of self-recorded spirometric data in asthma patients.
  • To determine compliance with international spirometry guidelines during home monitoring.
  • To assess the reproducibility of spirometric measurements using electronic devices.

Main Methods:

  • 33 poorly controlled asthma patients participated in a 9-week budesonide trial.
  • Electronic spirometers (MicroMedical DiaryCard) recorded twice-daily spirometry maneuvers.

Related Experiment Videos

  • Within-session reproducibility of FEV1, FVC, and PEF was calculated during run-in and treatment weeks.
  • Main Results:

    • Excellent within-session reproducibility was observed for FEV1 (76 mL), FVC (116 mL), and PEF (18 L/min) during run-in.
    • Spirometry session timing varied, with some morning/evening overlap.
    • Non-asthma events (equipment faults, pain) impacted spirometric results, highlighting quality control challenges.

    Conclusions:

    • Home spirometric monitoring in asthma patients can achieve excellent reproducibility.
    • Quality control in home spirometry is complex and requires careful management.
    • An accompanying paper diary is essential for accurate interpretation of electronic spirometry data.