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Oscillometry in Chronic Obstructive Lung Disease: In vitro and in vivo evaluation of the impulse oscillometry and tremoflo devices
Meakins-Christie Laboratories, McGill University, Montréal, QC, Canada; Thorasys Thoracic Medical Equipment Inc., Montréal, QC, Canada.
Malmö University, Faculty of Health and Society (HS), Department of Biomedical Science (BMV).
Department of Respiratory Medicine and Allergology, Lund University, Malmö, Sweden.
Department of Translational Medicine, Lund University, Malmö, Sweden.
2019 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 9, no 1, article id 11618Article in journal (Refereed) Published
Abstract [en]

Impedance, or oscillometry, measurements of the respiratory system can generate information about the function of the respiratory system not possible with traditional spirometry. There are currently several instruments on the market using different perturbations. We have compared a new respiratory oscillometry instrument, the tremoflo, with Impulse Oscillometry (IOS). Patients with a physician's diagnosis of chronic obstructive lung disease (COPD) and healthy subjects were recruited. They underwent assessment of respiratory function with oscillometry using the IOS and tremoflo devices and the resulting impedance data from the two methods were compared. The two devices were also tested against a reference respiratory phantom with variable resistances. Whereas both devices detected impairments in the patients' lung function commensurate with small airways pathology, the tremoflo appeared to be more sensitive than the IOS. We found systematic differences between the two instruments especially for reactance measurements where the area over the reactance curve (AX) was significantly lower with the IOS compared with the tremoflo (p < 0.001). Moreover, the agreement between the two devices was reduced with increasing severity of the disease as determined with a Bland-Altman test. Testing both instruments against a respiratory phantom unit confirmed that the resistance measured by the tremoflo compares closely with the known resistance of test loads, whereas the IOS'resistance correlated with a test load of 0.19, kPa.s.L-1 at higher loads it deviated significantly from the known resistance (p < 0.0028). We conclude that the absolute values measured with the two devices may not be directly comparable and suggest that differences in the calibration procedures might account for the differences.

Place, publisher, year, edition, pages
Nature Publishing Group, 2019. Vol. 9, no 1, article id 11618
Keywords [en]
Multidisciplinary Sciences
National Category
Natural Sciences
Identifiers
URN: urn:nbn:se:mau:diva-4568DOI: 10.1038/s41598-019-48039-xISI: 000480385200011PubMedID: 31406190Scopus ID: 2-s2.0-85070589149Local ID: 30215OAI: oai:DiVA.org:mau-4568DiVA, id: diva2:1401400
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-06-17Bibliographically approved

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Miletic, Ruzica

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