Spirometry in preschools with asthma: evaluate the success rate

Gaspar, Guilherme Rache; Faria, Isabella; Baptista, Fabíola Vieira Duarte; Rêgo, Larissa Germano; Sulmonett, Nara; Lasmar, Laura Maria de Lima Belizário Facury

doi:10.5935/2238-3182.20150106

Cited by 2 publications

(5 citation statements)

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“…however, there are still many questions regarding age and participation in paediatric clinical trials. Admittedly, success rate of spirometry increases with age, 8 Gaspar et al 43 School performance was another factor that showed a strong relation to the number of manoeuvres, that is, children with higher performance required a lower number of manoeuvres to complete the test. This finding reinforces the fact that the execution of spirometry depends on the understanding of verbal commands and learning components.…”

Section: Discussionmentioning

confidence: 99%

“…Spirometry is currently indicated for children over 5 years old 21 ; however, there are still many questions regarding age and participation in paediatric clinical trials. Admittedly, success rate of spirometry increases with age, 8 Gaspar et al 43 investigated asthma in children and observed a significant relationship between age and exam success, namely an 85% increase in the success rate in children older than 8 years. Heinzmann and Donadio 44 evaluated the success rate for the manovacuometry test in children aged 4 to 12 years, test which also requires FEM for their MEP measurement.…”

Section: Discussionmentioning

confidence: 99%

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Which factors can influence the number of forced expiratory manoeuvres on spirometry in schoolchildren?

Minsky

Scalco

Meira

et al. 2021

Int. J. Clin. Pract.

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Pulmonary function tests are crucial to understand respiratory physiology and disease management. 1 In children, they allow monitoring pulmonary growth and development, as well as changes in respiratory mechanics. Additionally, they are involved in epidemiological and clinical researches and indicated for evaluation, control and longterm treatment of children with respiratory diseases [2][3][4] ; the exam is inexpensive and simple which supports its application. 1,5 However, subject's participation influences considerably the quality of spirometry, 6,7 as it involves understanding commands that reproduce specific respiratory manoeuvres, requiring association between motor function and cognitive performance. [8][9][10] There is a consensus among clinicians and health professionals on the difficulty in conducting successful spirometry testing in children from 6 to 10 years old. [10][11][12] During childhood lung disorders are most frequently of obstructive type such as asthma, cystic fibrosis, recurrent wheezing, bronchopulmonary dysplasia, bronchiolitis obliterans, plastic bronchitis among

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Which factors can influence the number of forced expiratory manoeuvres on spirometry in schoolchildren?

Minsky

Scalco

Meira

et al. 2021

Int. J. Clin. Pract.

View full text Add to dashboard Cite

show abstract

“…23 , 24 Therefore, age is determinant in the execution of the test, since it is directly related with motor and cognitive acquisitions, enabling the better understanding of the commands, including the ones involved in spirometry maneuvers. 8 , 16 The young age is the reason for some of the limitations of this test. 8 …”

Section: Discussionmentioning

confidence: 99%

“… 4 The test is conducted in a standardized manner and is established for adults and preschoolers, basically following the same criteria for adults and children aged more than six years. 5 , 6 However, children have technical difficulties to perform the maneuvers, often demonstrating lack of attention and difficulty to understand and cooperate during the examination, 7 , 8 which can be justified by the age. The literature states that the main difficulty in this age group is to perform the maneuver of forced expiration, and maintaining the expiration during the period.…”

Section: Introductionmentioning

confidence: 99%

“…The interpretation of the spirometry helps to monitor respiratory conditions in childhood, and translates the scenario and the severity of pediatric diseases, 8 as well as the response to different therapies. 11 Besides, this instrument is used to confirm healthiness, 3 growth control and pulmonary development 12 , and epidemiological studies.…”

Section: Introductionmentioning

confidence: 99%

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Espirometria Em Escolares Durante Estudos De Campo: Realização Em Dias Diferentes Altera O Resultado Do Exame?

Scalco

Minsky

Schivinski

2017

Rev. paul. pediatr.

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Objective: To analyze if there is variation in the results of spirometry performed by healthy schoolchildren on different days.Methods: Cross-sectional study with healthy schoolchildren aged 7 to 12 years old, in Florianópolis, Santa Catarina, Southern Brazil. Prepubescent children, non-athletes, born at full term, without cardiorespiratory, rheumatic, musculoskeletal, neurological and visual or hearing deficit were included. The child’s health was assessed by a health questionnaire and by the survey International Study of Asthma and Allergies in Childhood. The spirometric test was performed on 3 different days, not exceeding the interval of 15 days between the first and last exams, following the guidelines of the American Thoracic Society. The absolute values and percentages of predicted values of forced vital capacity, forced volume in the first second and peak expiratory flow were analyzed. Statistical analysis was performed using the Shapiro-Wilk normality test followed by one-way analysis of variance or Friedman test and by Bonferroni’s post-hoc test for multiple parametric comparisons. Also, the intraclass correlation coefficient was applied to compare results on the same patients on the different tested days.Results: Twenty-two children were analyzed, with a mean age of 9.3±1.1 years. All the spirometric parameters showed a reduction in absolute value after the first exam, but without significant difference. Regarding reproducibility of spirometry results, the tests presented intraclass correlation coefficient >0.70.Conclusions: There was no change in the results of spirometry performed by healthy schoolchildren on three different days.

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Spirometry in preschools with asthma: evaluate the success rate

Cited by 2 publications

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Which factors can influence the number of forced expiratory manoeuvres on spirometry in schoolchildren?

Which factors can influence the number of forced expiratory manoeuvres on spirometry in schoolchildren?

Espirometria Em Escolares Durante Estudos De Campo: Realização Em Dias Diferentes Altera O Resultado Do Exame?

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