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Pediatrics |

Children Can Achieve Spirometry According to Acceptability Criteria

Roxana Nemes*, PhD; Mihaela Oros, MD
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Institute of Pulmonology, Bucharest, Romania


Chest. 2012;142(4_MeetingAbstracts):775A. doi:10.1378/chest.1389277
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Abstract

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 Information

Institute of Pulmonology, Bucharest, Romania

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spirometry

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