Short and long term variability of the interrupter technique under field and standardised conditions in 3-6 year old children.

Beelen, R M J; Smit, H A; van Strien, R T; Koopman, L P; Brussee, J E; Brunekreef, B; Gerritsen, J; Merkus, P J F M · Thorax · 2003

rct · Level II

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Abstract

The short and long term variability of the interrupter technique was assessed to determine whether interrupter resistance is a stable individual characteristic over time. The effect of field and standardised measurement conditions on the within-subject variability of the interrupter technique was also examined. The interrupter technique was studied under field and standardised conditions in children aged 3-6 years. Under field conditions, five investigators performed the measurements using two different measurement devices in random sequence. Both short term (20-30 minutes) and long term variability (median 38 days) were assessed in 32 children. Under standardised conditions, a single investigator conducted all measurements using a single device; the repeated measurements were conducted at the same time of day in a familiar quiet classroom. Long term variability (median 11 days) was estimated in 15 children. Within-subject standard deviations were estimated by analysis of variance with adjustment for the effects of different investigators and measurement devices on within-subject variability under field conditions. Under field conditions within-subject standard deviations for short and long term variability were 0.10 kPa/l/s (adjusted 0.10 kPa/l/s) and 0.13 kPa/l/s (adjusted 0.14 kPa/l/s), respectively. Under standardised conditions the within-subject standard deviation for long term variability was 0.10 kPa/l/s. Measurement of interrupter resistance under field conditions only slightly increased the within-subject variability compared with standardised conditions. The results indicate that interrupter resistance is a stable individual characteristic over a period of some weeks.

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