Use of forced vital capacity and forced expiratory volume in 1 second quality criteria for determining a valid test
Identifieur interne : 000966 ( Main/Exploration ); précédent : 000965; suivant : 000967Use of forced vital capacity and forced expiratory volume in 1 second quality criteria for determining a valid test
Auteurs : John L. Hankinson [États-Unis] ; Bill Eschenbacher [États-Unis] ; Mary Townsend [États-Unis] ; Janet Stocks [Royaume-Uni] ; Philip H. Quanjer [Pays-Bas]Source :
- The European Respiratory Journal [ 0903-1936 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Algorithmes, Bases de données factuelles, Capacité vitale, Contrôle de qualité, Diagnostic assisté par ordinateur, Enfant, Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Jeune adulte, Mâle, Plan de recherche, Pneumologie (normes), Spirométrie (), Sujet âgé, Sujet âgé de 80 ans ou plus, Valeurs de référence, Volume expiratoire maximal par seconde.
- MESH :
- normes : Pneumologie.
- Adolescent, Adulte, Adulte d'âge moyen, Algorithmes, Bases de données factuelles, Capacité vitale, Contrôle de qualité, Diagnostic assisté par ordinateur, Enfant, Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Jeune adulte, Mâle, Plan de recherche, Spirométrie, Sujet âgé, Sujet âgé de 80 ans ou plus, Valeurs de référence, Volume expiratoire maximal par seconde.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Algorithms, Child, Databases, Factual, Diagnosis, Computer-Assisted, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Practice Guidelines as Topic, Pulmonary Medicine (standards), Quality Control, Reference Values, Research Design, Spirometry (methods), Vital Capacity, Young Adult.
- MESH :
- methods : Spirometry.
- standards : Pulmonary Medicine.
- Adolescent, Adult, Aged, Aged, 80 and over, Algorithms, Child, Databases, Factual, Diagnosis, Computer-Assisted, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Practice Guidelines as Topic, Quality Control, Reference Values, Research Design, Vital Capacity, Young Adult.
Abstract
The 2005 American Thoracic Society (ATS)/European Respiratory Society (ERS) spirometry guidelines define valid tests as having three acceptable blows and a repeatable forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1). The aim of this study was to determine how reviewer and computer-determined ATS/ERS quality could affect population reference values for FVC and FEV1.
Spirometry results from 7777 normal subjects aged 8–80 years (NHANES (National Health and Nutrition Examination Survey) III) were assigned quality grades A to F for FVC and FEV1 by a computer and one reviewer (reviewer 1). Results from a subgroup of 1466 Caucasian adults (aged 19–80 years) were reviewed by two additional reviewers. Mean deviations from NHANES III predicted for FVC and FEV1 were examined by quality grade (A to F).
Reviewer 1 rejected (D and F grade) 5.2% of the 7777 test sessions and the computer rejected ∼16%, primarily due to end-of-test (EOT) failures. Within the subgroup, the computer rejected 11.5% of the results and the three reviewers rejected 3.7–5.9%. Average FEV1 and FVC were minimally influenced by grades A to C allocated by reviewer 1.
Quality assessment of individual blows including EOT assessments should primarily be used as an aid to good quality during testing rather than for subsequently disregarding data. Reconsideration of EOT criteria and its application, and improved grading standards and training in over-reading are required. Present EOT criteria results in the exclusion of too many subjects while having minimal impact on predicted values.
Url:
DOI: 10.1183/09031936.00116814
PubMed: 25537554
PubMed Central: 4416111
Affiliations:
- Pays-Bas, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Géorgie (États-Unis), Hollande-Méridionale, Ohio, Pennsylvanie
- Londres, Rotterdam
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>The 2005 American Thoracic Society (ATS)/European Respiratory Society (ERS) spirometry guidelines define valid tests as having three acceptable blows and a repeatable forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1). The aim of this study was to determine how reviewer and computer-determined ATS/ERS quality could affect population reference values for FVC and FEV1.</p>
<p>Spirometry results from 7777 normal subjects aged 8–80 years (NHANES (National Health and Nutrition Examination Survey) III) were assigned quality grades A to F for FVC and FEV1 by a computer and one reviewer (reviewer 1). Results from a subgroup of 1466 Caucasian adults (aged 19–80 years) were reviewed by two additional reviewers. Mean deviations from NHANES III predicted for FVC and FEV1 were examined by quality grade (A to F).</p>
<p>Reviewer 1 rejected (D and F grade) 5.2% of the 7777 test sessions and the computer rejected ∼16%, primarily due to end-of-test (EOT) failures. Within the subgroup, the computer rejected 11.5% of the results and the three reviewers rejected 3.7–5.9%. Average FEV1 and FVC were minimally influenced by grades A to C allocated by reviewer 1.</p>
<p>Quality assessment of individual blows including EOT assessments should primarily be used as an aid to good quality during testing rather than for subsequently disregarding data. Reconsideration of EOT criteria and its application, and improved grading standards and training in over-reading are required. Present EOT criteria results in the exclusion of too many subjects while having minimal impact on predicted values.</p>
</div>
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<name sortKey="Townsend, Mary" sort="Townsend, Mary" uniqKey="Townsend M" first="Mary" last="Townsend">Mary Townsend</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Stocks, Janet" sort="Stocks, Janet" uniqKey="Stocks J" first="Janet" last="Stocks">Janet Stocks</name>
</region>
</country>
<country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Quanjer, Philip H" sort="Quanjer, Philip H" uniqKey="Quanjer P" first="Philip H." last="Quanjer">Philip H. Quanjer</name>
</region>
<name sortKey="Quanjer, Philip H" sort="Quanjer, Philip H" uniqKey="Quanjer P" first="Philip H." last="Quanjer">Philip H. Quanjer</name>
</country>
</tree>
</affiliations>
</record>
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