Concordance between the Piko 鈥?1 portable device and pneumotachography in measuring PEF and FEVb>1b> in asthmatic children
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摘要

Objective

To assess concordance in the measurement of peak expiratory flow (PEF) and forced expiratory volume in one second (FEVb>1b>) between the portable device Piko-1 (Ferraris) and a pneumotachograph.

Patients and methods

Forced spirometry (Master Screen Jaeger) was performed according to ATS/ERS norms, selecting the best value of three curves, and three measurements with the Piko-1 were recorded, following the recommendations of the manufacturer.

Results

Eighty patients between 5鈥?8 years of age were studied. Based on the Bland-Altman method, the mean differences obtained were 9.82 (95%CI: 2.43鈥?7.21) for PEF and 0.17 (95%CI: 0.12鈥?.21) for FEVb>1b>. The intraclass correlation coefficient was 0.96 (p<0,001; 95%CI: 0.93鈥?.97) for FEVb>1b> and 0.93 (p<0,001; 95%CI: 0.89鈥?.95) for PEF.

Conclusions

Piko-1 offers FEVb>1b> measurements close to those obtained with forced spirometry, thus allowing more exact patient assessment in home-based follow-up, emergency services, or hospital wards.

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