Multiple breath washout quality control in the clinical setting.

Frauchiger, Bettina S.; Carlens, Julia; Herger, Andreas; Moeller, Alexander; Latzin, Philipp; Ramsey, Kathryn A. (2021). Multiple breath washout quality control in the clinical setting. Pediatric pulmonology, 56(1), pp. 105-112. Wiley-Blackwell 10.1002/ppul.25119

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BACKGROUND

Multiple breath washout (MBW) is increasingly used in the clinical assessment of patients with cystic fibrosis (CF). Guidelines for MBW quality control (QC) were developed primarily for retrospective assessment and central overreading. We assessed whether real-time QC of MBW data during the measurement improves test acceptability in the clinical setting.

METHODS

We implemented standardized real-time QC and reporting of MBW data at the time of the measurement in the clinical pediatric lung function laboratory in Bern, Switzerland, in children with CF aged 4-18 years. We assessed MBW test acceptability before (31 tests; 89 trials) and after (32 tests; 96 trials) implementation of real-time QC and compared agreement between reviewers. Further, we assessed the implementation of real-time QC at a secondary center in Zurich, Switzerland.

RESULTS

Before the implementation of real-time QC in Bern, only 58% of clinical MBW tests were deemed acceptable following retrospective QC by an experienced reviewer. After the implementation of real-time QC, MBW test acceptability improved to 75% in Bern. In Zurich, after the implementation of real-time QC, test acceptability improved from 38% to 70%. Further, the agreement between MBW operators and an experienced reviewer for test acceptability was 84% in Bern and 93% in Zurich.

CONCLUSION

Real-time QC of MBW data at the time of measurement is feasible in the clinical setting and results in improved test acceptability.

Item Type:

 Journal Article (Original Article)

Division/Institute:

 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Unit Childrens Hospital > Forschungsgruppe Pneumologie (Pädiatrie)
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Unit Childrens Hospital
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Paediatric Pneumology

Graduate School:

 Graduate School for Cellular and Biomedical Sciences (GCB)

UniBE Contributor:

 Frauchiger, Bettina Sarah, Latzin, Philipp, Ramsey, Kathryn Angela

Subjects:

 600 Technology > 610 Medicine & health

ISSN:

 8755-6863

Publisher:

 Wiley-Blackwell

Language:

 English

Submitter:

 Anette van Dorland

Date Deposited:

 01 Dec 2020 17:50

Last Modified:

 02 Mar 2023 23:33

Publisher DOI:

 10.1002/ppul.25119

PubMed ID:

 33058570

Uncontrolled Keywords:

 children cystic fibrosis lung clearance index multiple breath washout quality control

BORIS DOI:

 10.7892/boris.147782

URI:

 https://boris.unibe.ch/id/eprint/147782

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