Evaluation of daily home spirometry for school children with asthma: new insights.

Evaluation of daily home spirometry for school children with asthma: new insights. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Evaluation of daily home spirometry for school children with asthma: new insights. Abstract Text:

Rohan Thompson,Ralph J Delfino,Thomas Tjoa,Eliezer Nussbaum,Dan Cooper,

Home spirometers are useful for monitoring asthma therapy and for research, but the validity of maneuvers in children is in question. We evaluated the quality of PEF, FEV(1), and FVC data obtained from 67 children with persistent asthma who self-administered spirometry at home using the hand-held ndd EasyOne Frontline Spirometer with full expiratory curve data, electronic measurements of maneuver quality, and on-screen incentives. Half were studied in 2003 in one region, and half in 2004 in another region of Southern California. Subjects were followed at home weekly over 2 months and daily over 10 consecutive days. We retained completed spirometry sessions (9,916) consisting of three of six best maneuvers in the morning, afternoon, and evening. Percent compliance, software assessed repeatability and acceptability modified from American Thoracic Society criteria, and visually assessed quality of maneuvers, were compared across daily and weekly follow-up, study regions, and subject characteristics. Compliance was higher for daily (>90%) than for weekly follow-up (>84%), but not significantly different, and was consistent across subject characteristics. The number with two reproducible and acceptable maneuvers was significantly lower in the first than second region for daily (70 vs. 90%) and weekly follow-up (66 vs. 87%). Of 22,926 software accepted maneuvers, 1,944 (8.5%) were visually rejected (variable effort, cough, glottic closure). Maneuver quality was significantly lower for subjects age 9-12 versus 13-18 years, for subjects not taking anti-inflammatory medications, and for subjects with <80% predicted FEV(1). Longitudinal data collection is possible in children with asthma by employing repeated home training and follow-up, and using spirometers with built in quality assurance and incentive software. Region, age, and multiple indicators of persistent asthma, predict ability to perform reliable and accurate lung function maneuvers.

Evaluation of daily home spirometry for school children with asthma: new insights. Publishing Authors By Initials

R Thompson,RJ Delfino,T Tjoa,E Nussbaum,D Cooper,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Evaluation of daily home spirometry for school children with asthma: new insights. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Pediatric pulmonology

VOLUME: 41

Page Numbers: 819-28

Journal Abbreviation:

ISSN: 8755-6863

DAY: 3

MONTH: Sep

YEAR: 2006

Evaluation of daily home spirometry for school children with asthma: new insights. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8510590

Evaluation of daily home spirometry for school children with asthma: new insights. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Evaluation of daily home spirometry for school children with asthma: new insights. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Evaluation of daily home spirometry for school children with asthma: new insights.

AFFILIATION: Department of Medicine, Pediatric Pulmonology Division, Miller Children's Hospital, Long Beach, California,USA.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Pediatr Pulmonol

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Evaluation of daily home spirometry for school children with asthma: new insights Related Publications

• A bichromatic fluorescent reporter for cell-based screens of alternative splicing.
• A classical likelihood based approach for admixture mapping using EM algorithm.
• Adherence to HAART: a systematic review of developed and developing nation patient-reported barriers and facilitators.
• Binding of myotrophin/V-1 to actin-capping protein: implications for how capping protein binds to the filament barbed end.
• Body fat and circulating leukocytes in children.
• CD28 costimulation provided through a CD19-specific chimeric antigen receptor enhances in vivo persistence and antitumor efficacy of adoptively transferred T cells.
• Colorectal cancer screening in the elderly population: disparities by dual Medicare-Medicaid enrollment status.
• Do circulating leucocytes and lymphocyte subtypes increase in response to brief exercise in children with and without asthma?
• Effect of rhIL-6 infusion on GH-->IGF-I axis mediators in humans.
• Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD.
• Evaluation of daily home spirometry for school children with asthma: new insights.
• Identification of prognostic signatures in breast cancer microarray data using Bayesian techniques.
• Issues in maintenance and repairs of wheelchairs: A pilot study.
• LINE-1 Endonuclease-Dependent Retrotranspositional Events Causing Human Genetic Disease: Mutation Detection Bias and Multiple Mechanisms of Target Gene Disruption.
• Lymphoid reconstruction and vaccines.
• Macrophage cell lines produce osteoinductive signals that include bone morphogenetic protein-2.
• Measurement of some novel concepts in psychiatry.
• Patient-specific models for predicting the outcomes of patients with community acquired pneumonia.
• Primitive hematopoietic cell populations reside in the spleen: Studies in the pig, baboon, and human.
• Progress in xenotransplantation following the introduction of gene-knockout technology.
• Quantification of small molecule-receptor affinities and kinetics by acoustic profiling.
• Regional Strength in CAM.
• Regulation of DNA synthesis in bacteria: Analysis of the Bates/Kleckner licensing/initiation-mass model for cell cycle control.
• Shoulder joint kinetics and pathology in manual wheelchair users.
• Stem Cells and CAM.
• The effect of genetic variation in angiotensinogen on serum levels and blood pressure: a comparison of Nigerians and US blacks.
• The impact of FSANZ labelling changes on knowledge of nutrition and allergens by consumer's, health professional's and allergen sufferers.
• The role of titanium surface topography on J774A.1 macrophage inflammatory cytokines and nitric oxide production.
• Titanium surface topography alters cell shape and modulates bone morphogenetic protein 2 expression in the J774A.1 macrophage cell line.
• eCAM: On To Year 4.