Lung function measurements in children - copsac
Lung function measurements in children - copsac
Lung function measurements in children - copsac
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Methods<br />
Designs<br />
Study I:<br />
Six centers <strong>in</strong> Denmark currently use identical hardware equipment, but software<br />
versions differed between centers (JLAB 4.51, 4.53 with different sub versions, 4.65<br />
and 4.67).<br />
Center agreement<br />
The seven <strong>children</strong> were brought to each center for sRaw <strong>measurements</strong>. The <strong>children</strong><br />
were not tra<strong>in</strong>ed <strong>in</strong> perform<strong>in</strong>g lung <strong>function</strong> measurement before enter<strong>in</strong>g the study.<br />
The order of center visits was randomized. At each center the <strong>children</strong> were measured<br />
by a center specific observer as well as one external observer visit<strong>in</strong>g each center (PP).<br />
The two observers were bl<strong>in</strong>ded for each other’s <strong>measurements</strong>. Measurements <strong>in</strong> the<br />
<strong>in</strong>dividual <strong>children</strong> were f<strong>in</strong>ished with<strong>in</strong> a period of 3 months.<br />
Normative data<br />
The <strong>children</strong> attended their local center where duplicate <strong>measurements</strong> were done by a<br />
local observer. The center numbers <strong>in</strong> the center agreement study represent the same<br />
center numbers <strong>in</strong> the normative study. Center no. 1-5 provided data for the healthy<br />
cohort. Center no. 6 did not participate <strong>in</strong> the second part of the study because a local<br />
<strong>in</strong>vestigator was unavailable.<br />
Wholebody Plethysmography<br />
Protocol of sRaw measurement<br />
Pr<strong>in</strong>ciple of measurement<br />
Whole body plethysmography was <strong>in</strong>troduced by DuBois <strong>in</strong> 1956 for specific airway<br />
resistance measurement (53).<br />
Our <strong>measurements</strong> were conducted <strong>in</strong> a constant volume whole body plethysmograph<br />
(Master Screen Body; E. Jaeger GmbH, Würzburg, Germany). A transducer measured<br />
pressure changes <strong>in</strong> the sealed box generated by the thoracic and abdom<strong>in</strong>al movements<br />
dur<strong>in</strong>g tidal breath<strong>in</strong>g. By calibration of the plethysmograph the changes <strong>in</strong> pressure<br />
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