SESSION TYPE: Pediatric Pulmonology Posters
PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM
PURPOSE: To find which is the most common criteria in an "unacceptable" spirometry test in preschool and school children
METHODS: 72 children, 5-14 years old, performed spirometry manouvers during last year in functional respiratory labs from Institute of pulmonology and private paediatric clinic ; we analyzed specific spirometry criteria according to ATS/ERS for acceptable test as: obtain maximal forced expiration, achieve a rapid rise to PEF (peak expiratory flow) . All the tests were performed in a sitting position. We performed daily calibration using a 3-L syringe and measure antropometric data for all children: height (cm) and weight(kg). We do not used specific electronic incentive programme for expiratory maneuvers. We analyzed 198 spirometry tests.
RESULTS: The most common criteria associated with “unacceptable” test was: not achieve the maximal forced expiration (44% at 5 year old; 23% at 6 year old; 16% at 9 year old; 8% at 11 year old). There were 63% acceptable spirometry test at 6 year old and 96% for age 10 and 99% for 14 years old.
CONCLUSIONS: Even with a trained respiratory technician sometimes is very hard to obtain a good quality spirometry from a preschool children, but most of them do that
CLINICAL IMPLICATIONS: Children can perform a good quality spirometry but they obtain less acceptability criteria according with increasing age and good spirometry can support good clinical judgement
DISCLOSURE: The following authors have nothing to disclose: Roxana Nemes, Mihaela Oros
No Product/Research Disclosure InformationInstitute of Pulmonology, Bucharest, Romania