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Bigler, A; Yammine, S; Singer, F; Riedel, T; Latzin, P.
Feasibility of automated slope III and Scond analysis in children.
Pediatr Pulmonol. 2015; 50(8):805-13 Doi: 10.1002/ppul.23080
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Co-authors Med Uni Graz
Singer Florian
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Abstract:
BACKGROUND: Multiple breath washout (MBW) derived Scond is an established index of ventilation inhomogeneity. Time-consuming post hoc calculations of the expirogram's slope of alveolar phase III (SIII) and the lack of available software hampered widespread application of Scond. METHODS: Seventy-two school-aged children (45 with cystic fibrosis; CF) performed 3 nitrogen MBW. We tested a new automated algorithm for Scond analysis (Scondauto ) which comprised breath selection for SIII detection, calculation and reporting of test quality. We compared Scondauto to (i) standard Scond analysis (Scondmanual ) with manual breath selection and to (ii) pragmatic Scond analysis including all breaths (Scondall ). Primary outcomes were success rate and agreement between different Scond protocols, and Scond fitting quality (linear regression R(2) ). RESULTS: Average Scondauto (0.06 for CF and 0.01 for controls) was not different from Scondmanual (0.06 for CF and 0.01 for controls) and showed comparable fitting quality (R(2) 0.53 for CF and 0.13 for controls vs. R(2) 0.54 for CF and 0.13 for controls). Scondall was similar in CF and controls but with inferior fitting quality compared to Scondauto and Scondmanual . CONCLUSIONS: Automated Scond calculation is feasible and produces robust results comparable to the standard manual way of Scond calculation. This algorithm provides a valid, fast and objective tool for regular use, even in children.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent - administration & dosage
Algorithms - administration & dosage
Breath Tests - administration & dosage
Case-Control Studies - administration & dosage
Child - administration & dosage
Cystic Fibrosis - metabolism
Feasibility Studies - administration & dosage
Female - administration & dosage
Humans - administration & dosage
Male - administration & dosage
Nitrogen - metabolism

Find related publications in this database (Keywords)
children
cystic fibrosis
multiple-breath washout
respiratory function test
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