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Validity of the Espiro Mobile Application in the Interpretation of Spirometric Patterns: An App Accuracy Study

  • Dades identificatives

    Identificador: imarina:9351736
    Autors:
    Savic-Pesic, DChamorro, NLopez-Rodriguez, VDaniel-Diez, JCreixenti, ATEl Mesnaoui, MINavas, VKBCotte, JDCCano, IAAzevedo, FADPenas, MTVoelcker-Sala, IVillalobos, FSatue-Gracia, EMMartin-Lujan, FHung, IFN
    Resum:
    Spirometry is a pulmonary function test where correct interpretation of the results is crucial for accurate diagnosis of disease. There are online tools to assist in the interpretation of spirometry results; however, as yet none are validated. We evaluated the interpretation accuracy of the Espiro app using pulmonologist interpretations as the gold standard. This is an observational descriptive study in which 118 spirometry results were interpreted by the Espiro app, two pulmonologists, two primary care physicians, and two residents of a primary care training program. We determined the interpretation accuracy of the Espiro app and the concordance of the pattern and severity interpretation between the Espiro app and each of the observers using Cohen's kappa coefficient (k). We obtained a sensitivity and specificity for the Espiro app of 97.5% (95% confidence interval (CI): 86.8-99.9%) and 94.9% (95%CI: 87.4-98.6%) with pulmonologist 1 and 100% (95%CI: 91.6-100%) and 98.7% (95%CI: 92.9-99.9%) with pulmonologist 2. The concordance for the pattern interpretation was greater than k 0.907, representing almost perfect agreement. The concordance of the severity interpretation was greater than k 0.807, representing substantial to almost perfect agreement. We concluded that the Espiro app is a valid tool for spirometry interpretation.
  • Altres:

    Autor segons l'article: Savic-Pesic, D; Chamorro, N; Lopez-Rodriguez, V; Daniel-Diez, J; Creixenti, AT; El Mesnaoui, MI; Navas, VKB; Cotte, JDC; Cano, IA; Azevedo, FAD; Penas, MT; Voelcker-Sala, I; Villalobos, F; Satue-Gracia, EM; Martin-Lujan, F; Hung, IFN
    Departament: Medicina i Cirurgia
    Autor/s de la URV: López Rodríguez, Vanessa / Martín Lujan, Francisco Manuel / Savic Pesic, Darinka
    Paraules clau: Spirometry interpretation Respiratory illness Pulmonary-function tests Primary-care Primary care Performance Office spirometry Copd Clinician tools American thoracic society
    Resum: Spirometry is a pulmonary function test where correct interpretation of the results is crucial for accurate diagnosis of disease. There are online tools to assist in the interpretation of spirometry results; however, as yet none are validated. We evaluated the interpretation accuracy of the Espiro app using pulmonologist interpretations as the gold standard. This is an observational descriptive study in which 118 spirometry results were interpreted by the Espiro app, two pulmonologists, two primary care physicians, and two residents of a primary care training program. We determined the interpretation accuracy of the Espiro app and the concordance of the pattern and severity interpretation between the Espiro app and each of the observers using Cohen's kappa coefficient (k). We obtained a sensitivity and specificity for the Espiro app of 97.5% (95% confidence interval (CI): 86.8-99.9%) and 94.9% (95%CI: 87.4-98.6%) with pulmonologist 1 and 100% (95%CI: 91.6-100%) and 98.7% (95%CI: 92.9-99.9%) with pulmonologist 2. The concordance for the pattern interpretation was greater than k 0.907, representing almost perfect agreement. The concordance of the severity interpretation was greater than k 0.807, representing substantial to almost perfect agreement. We concluded that the Espiro app is a valid tool for spirometry interpretation.
    Àrees temàtiques: Medicine, general & internal Internal medicine Clinical biochemistry
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: vanessa.lopez@urv.cat darinka.savic@urv.cat darinka.savic@urv.cat paco.martin@urv.cat
    Identificador de l'autor: 0000-0003-0359-3588
    Data d'alta del registre: 2024-08-03
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.mdpi.com/2075-4418/14/1/29
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Diagnostics. 14 (1):
    Referència de l'ítem segons les normes APA: Savic-Pesic, D; Chamorro, N; Lopez-Rodriguez, V; Daniel-Diez, J; Creixenti, AT; El Mesnaoui, MI; Navas, VKB; Cotte, JDC; Cano, IA; Azevedo, FAD; Penas (2024). Validity of the Espiro Mobile Application in the Interpretation of Spirometric Patterns: An App Accuracy Study. Diagnostics, 14(1), -. DOI: 10.3390/diagnostics14010029
    DOI de l'article: 10.3390/diagnostics14010029
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2024
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Clinical Biochemistry,Medicine, General & Internal
    Spirometry interpretation
    Respiratory illness
    Pulmonary-function tests
    Primary-care
    Primary care
    Performance
    Office spirometry
    Copd
    Clinician tools
    American thoracic society
    Medicine, general & internal
    Internal medicine
    Clinical biochemistry
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