The Measurement of Lung Volumes Using Body Plethysmography: A Comparison of Methodologies.

BACKGROUND: The statement of the American Thoracic Society and European Respiratory Society on the measurement of static lung volumes (SLV) suggests a preferred and alternate method for measuring and calculating SLV. OBJECTIVE: To determine if differences in functional residual capacity (FRC), vital...

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Publicado en:Respiratory Care Vol. 57; no. 7; pp. 1076 - 1084
Autores principales: Borg, Brigitte M., Thompson, Bruce R.
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Jul2012
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The Measurement of Lung Volumes Using Body Plethysmography: A Comparison of Methodologies.
      aug:
        au:
          Borg, Brigitte M.
          Thompson, Bruce R.
        affil: Department of Allergy, Immunology, and Respiratory Medicine, Alfred Hospital, Melbourne, Victoria, Australia
      sug:
        subj:
          Lung Volume Measurements Methods
          Plethysmography
          Human
          Vital Capacity
          Total Lung Capacity
          Functional Residual Capacity
          Random Assignment
          Crossover Design
          Australia
          New Zealand
          Spirometry
          Paired T-Tests
          Wilcoxon Signed Rank Test
          Descriptive Statistics
          Male
          Female
          Adult
          Middle Age
          Aged
          Confidence Intervals
          Lung Volume Measurements Standards
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: BACKGROUND: The statement of the American Thoracic Society and European Respiratory Society on the measurement of static lung volumes (SLV) suggests a preferred and alternate method for measuring and calculating SLV. OBJECTIVE: To determine if differences in functional residual capacity (FRC), vital capacity (VC), residual volume (RV), and total lung capacity (TLC), obtained using preferred and alternate measurement and calculation methodologies, exist in a clinical setting. METHODS: Patients attending for SLV at a hospital-based laboratory were recruited. Following spirometry, SLV was measured via body plethysmography, using the preferred and alternate methods in random order. Volumes were calculated using the preferred and alternate calculation methods. Subjects were classified according to standard ventilatory function interpretative strategies. Differences of the means between the measurement methods, and calculation methods were assessed. RESULTS: One hundred eight data sets were analyzed. Significant, but small differences (< 150 mL) in the means for VC and TLC, and RV and TLC were found in the normal and restricted groups, respectively. No significant differences in SLV parameters were found in subjects with air-flow obstruction. Twelve of the 108 changed ventilatory function classification between methods, with the alternate method delivering a lower inspiratory capacity and TLC without a change in RV in 66% of this subgroup. Identical results were obtained when data were analyzed using both calculation methods. CONCLUSIONS: Differences in FRC, VC, RV, and TLC obtained using the preferred and alternate measurement methodologies exist in the clinical setting in select classification groups and individuals. Differing calculation methods dependent on measurement method used may be unnecessary.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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