15.01.2015 Views

Lung function measurements in children - copsac

Lung function measurements in children - copsac

Lung function measurements in children - copsac

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

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 />

12

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!