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Measurement of exhaled nitric oxide: comparison of different analysers.
MedLine Citation:
PMID:  20920124     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: Exhaled nitric oxide (NO) is used as a surrogate marker to monitor eosinophilic airway inflammation, assist in diagnosis, and support treatment decisions for asthma patients. The aim of this study was to compare five NO analysers: Medisoft (M), Aerocrine Niox (N), Aerocrine Niox flex (NF), Aerocrino Niox mino (NM) and EcoMedics (E).
METHODS: In 85 subjects (25 asthma patients, 25 COPD patients, 35 healthy volunteers; median age 36.5 years, range 23-79, 47% female), three NO measurements per individual were performed, using each analyser according to the American Thoracic Society/European Respiratory Society guidelines. Subjects evaluated the devices on the basis of comfort and ease of performing the measurement.
RESULTS: Median NO concentrations were 24.8 parts per billion (ppb) (range 6.3-262.7) for M, 14.5 ppb (0.0-196.6) for N, 15.2 ppb (5.6-67.7) for NF, 16.3 ppb (5.0-208.3) for NM, and 13.1 ppb (4.0-103.0) for E. There was significant correlation among the absolute NO values measured with all the devices (0.743 for M vs NF < r < 0.979 for N vs NF). Bland-Altman plots suggested an acceptable degree of agreement among the results obtained with the three Niox analysers. Measurements obtained with the Medisoft and Ecomedics analysers were not directly comparable with those obtained with the other devices. The greatest differences in absolute NO levels for individual patients were between measurements with the M and E analysers (8.3 ppb, range 27.4-159.7, P < 0.001). Acceptance of the measurements by patients was high, independent of the device used.
CONCLUSIONS: Exhaled NO values obtained with different devices were not directly comparable and may differ to a clinically relevant extent, depending on which device is used.
Authors:
Stephanie Korn; Ina Telke; Oliver Kornmann; Roland Buhl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  15     ISSN:  1440-1843     ISO Abbreviation:  Respirology     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1203-8     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors; Respirology © 2010 Asian Pacific Society of Respirology.
Affiliation:
Pulmonary Department, Mainz University Hospital, Germany. stephanie.korn@ukmainz.de
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