Academic Journal

Office Spirometry in Primary Care Pediatrics: A Pilot Study

التفاصيل البيبلوغرافية
العنوان: Office Spirometry in Primary Care Pediatrics: A Pilot Study
المؤلفون: Zanconato, Stefania, Meneghelli, Giorgio, Braga, Raffaele, Zacchello, Franco, Baraldi, Eugenio
سنة النشر: 2005
المجموعة: Istituto Nazionale di Fisica Nucleare (INFN): Open Access Repository
مصطلحات موضوعية: Pediatrics, Perinatology and Child Health
الوصف: Objective. The aim of this study was to investigate the validity of office spirometry in primary care pediatric practices. Methods. Ten primary care pediatricians undertook a spirometry training program that was led by 2 pediatric pulmonologists from the Pediatric Department of the University of Padova. After the pediatricians' training, children with asthma or persistent cough underwent a spirometric test in the pediatrician's office and at a pulmonary function (PF) laboratory, in the same day in random order. Both spirometric tests were performed with a portable turbine flow sensor spirometer. We assessed the quality of the spirometric tests and compared a range of PF parameters obtained in the pediatricians' offices and in the PF laboratory according to the Bland and Altman method. Results. A total of 109 children (mean age: 10.4 years; range: 6–15) were included in the study. Eighty-five (78%) of the spirometric tests that were performed in the pediatricians' offices met all of the acceptability and reproducibility criteria. The 24 unacceptable test results were attributable largely to a slow start and failure to satisfy end-of-test criteria. Only the 85 acceptable spirometric tests were considered for analysis. The agreement between the spirometric tests that were performed in the pediatrician's office and in the PF laboratory was good for the key parameters (forced vital capacity, forced expiratory volume in 1 second, and forced expiratory flow between 25% and 75%). The repeatability coefficient was 0.26 L for forced expiratory volume in 1 second (83 of 85 values fall within this range), 0.30 L for forced vital capacity (81 values fall within this range), and 0.58 L/s for forced expiratory flow between 25% and 75% (82 values fall within this range). In 79% of cases, the primary care pediatricians interpreted the spirometric tests correctly. Conclusions. It seems justifiable to perform spirometry in pediatric primary care, but an integrated approach involving both the primary care pediatrician and ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: url:https://www.openaccessrepository.it/communities/itmirror; https://www.openaccessrepository.it/record/181192
DOI: 10.1542/peds.2005-0487
الاتاحة: https://www.openaccessrepository.it/record/181192
https://doi.org/10.1542/peds.2005-0487
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.270AB66
قاعدة البيانات: BASE