Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adults

Abstract Introduction A portable spirometer is a promising alternative to a traditional pulmonary function test (PFT) spirometer for respiratory function evaluation. Objectives This study aimed to investigate the accuracy of automated interpretation of the PFT measured by a portable Yue Cloud spirom...

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Main Authors: Jun Zhou, Ping Wang, Leixin Guo, Jin Cao, Min Zhou, Ranran Dai
Format: Article
Language:English
Published: Wiley 2022-08-01
Series:The Clinical Respiratory Journal
Subjects:
Online Access:https://doi.org/10.1111/crj.13525
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author Jun Zhou
Ping Wang
Leixin Guo
Jin Cao
Min Zhou
Ranran Dai
author_facet Jun Zhou
Ping Wang
Leixin Guo
Jin Cao
Min Zhou
Ranran Dai
author_sort Jun Zhou
collection DOAJ
description Abstract Introduction A portable spirometer is a promising alternative to a traditional pulmonary function test (PFT) spirometer for respiratory function evaluation. Objectives This study aimed to investigate the accuracy of automated interpretation of the PFT measured by a portable Yue Cloud spirometer in Chinese adults. Methods The PFT was performed to evaluate subjects prospectively enrolled at Ruijin Hospital (n = 220). A Yue Cloud spirometer and a conventional Jaeger MasterScreen device were applied to each patient with a 20‐min quiescent period between each measurement. Pulmonary function parameters, including forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF), maximal expiratory flow at 25%, 50%, and 75% of the FVC (MEF25, MEF50, and MEF75, respectively), and maximal mid‐expiratory flow (MMEF), were compared by correlation analyses and Bland–Altman methods. The Yue Cloud spirometer automatically interpreted the PFT results, and a conventional strategy was performed to interpret the PFT results obtained by the Jaeger machine. Concordance of the categorization of pulmonary dysfunction, small airway dysfunction, and severity was analyzed by the kappa (κ) statistic. Results Significantly similar correlations of all variables measured with the two spirometers were observed (all p < 0.001). No significant bias was observed in any of the measured spirometer variables. A satisfactory concordance of pulmonary function and severity classification was observed between the automated interpretation results obtained with the Yue Cloud spirometer vs. a conventional spirometer interpretation strategy (all κ > 0.80). Conclusion The portable Yue Cloud spirometer not only yields reliable measurements of pulmonary function but also can automatically interpret the PFT results.
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spelling doaj.art-e18eba358d7b46c688c91b96c6f768d92022-12-22T01:34:59ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2022-08-0116855556110.1111/crj.13525Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adultsJun Zhou0Ping Wang1Leixin Guo2Jin Cao3Min Zhou4Ranran Dai5Department of Respiratory and Critical Care Medicine, Ruijin Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiratory and Critical Care Medicine, Ruijin Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiratory and Critical Care Medicine, Ruijin Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiratory and Critical Care Medicine, Ruijin Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiratory and Critical Care Medicine, Ruijin Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiratory and Critical Care Medicine, Ruijin Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaAbstract Introduction A portable spirometer is a promising alternative to a traditional pulmonary function test (PFT) spirometer for respiratory function evaluation. Objectives This study aimed to investigate the accuracy of automated interpretation of the PFT measured by a portable Yue Cloud spirometer in Chinese adults. Methods The PFT was performed to evaluate subjects prospectively enrolled at Ruijin Hospital (n = 220). A Yue Cloud spirometer and a conventional Jaeger MasterScreen device were applied to each patient with a 20‐min quiescent period between each measurement. Pulmonary function parameters, including forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF), maximal expiratory flow at 25%, 50%, and 75% of the FVC (MEF25, MEF50, and MEF75, respectively), and maximal mid‐expiratory flow (MMEF), were compared by correlation analyses and Bland–Altman methods. The Yue Cloud spirometer automatically interpreted the PFT results, and a conventional strategy was performed to interpret the PFT results obtained by the Jaeger machine. Concordance of the categorization of pulmonary dysfunction, small airway dysfunction, and severity was analyzed by the kappa (κ) statistic. Results Significantly similar correlations of all variables measured with the two spirometers were observed (all p < 0.001). No significant bias was observed in any of the measured spirometer variables. A satisfactory concordance of pulmonary function and severity classification was observed between the automated interpretation results obtained with the Yue Cloud spirometer vs. a conventional spirometer interpretation strategy (all κ > 0.80). Conclusion The portable Yue Cloud spirometer not only yields reliable measurements of pulmonary function but also can automatically interpret the PFT results.https://doi.org/10.1111/crj.13525automated interpretationconcordanceportable spirometerpulmonary function test
spellingShingle Jun Zhou
Ping Wang
Leixin Guo
Jin Cao
Min Zhou
Ranran Dai
Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adults
The Clinical Respiratory Journal
automated interpretation
concordance
portable spirometer
pulmonary function test
title Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adults
title_full Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adults
title_fullStr Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adults
title_full_unstemmed Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adults
title_short Automated interpretation of the pulmonary function test by a portable spirometer in Chinese adults
title_sort automated interpretation of the pulmonary function test by a portable spirometer in chinese adults
topic automated interpretation
concordance
portable spirometer
pulmonary function test
url https://doi.org/10.1111/crj.13525
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