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

Autor: Savic-Pesic D; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain.; ISAC Research Group, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut IDIAP Jordi Gol, Gran Vía de Les Corts Catalanes, 591 Ático, 08007 Barcelona, Spain.; School of Medicine and Health Sciences, Universitat Rovira i Virgili, Carrer de Sant Llorenç, 21, 43201 Reus, Spain., Chamorro N; Pneumology Service, Hospital Universitari de Tarragona Joan XXII, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain., Lopez-Rodriguez V; Pneumology Service, Hospital Universitari de Tarragona Joan XXII, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain., Daniel-Diez J; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain., Torres Creixenti A; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain., El Mesnaoui MI; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain., Benavides Navas VK; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain., Castellanos Cotte JD; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain., Abellan Cano I; Primary Care Unit, Sanitat Conselleria, Generalitat Valenciana, Dpto 18, Carretera de Sax s/n, 03600 Elda, Spain., Da Costa Azevedo FA; Health Centre Group Cávado I, Largo Paulo Orósio, 4700-036 Braga, Portugal., Trenza Peñas M; Centro de Salud Aguilas Sur, Primary Care Unit, Servicio Murciano de Salud, Calle Rey Carlos III, s/n, 30880 Aguilas, Spain., Voelcker-Sala I; College of Medicine and Public Health, Flinders University, Flinders Drive, Bedford Park, SA 5042, Australia., Villalobos F; ISAC Research Group, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut IDIAP Jordi Gol, Gran Vía de Les Corts Catalanes, 591 Ático, 08007 Barcelona, Spain., Satue-Gracia EM; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain.; Primary Care Research Support Unit Reus-Tarragona, Institut Català de la Salut, Camí de Riudoms, 53-55, 43202 Reus, Spain., Martin-Lujan F; Camp de Tarragona Primary Care Unit, Institut Català de la Salut, Doctor Mallafrè Guasch, 4, 43005 Tarragona, Spain.; ISAC Research Group, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut IDIAP Jordi Gol, Gran Vía de Les Corts Catalanes, 591 Ático, 08007 Barcelona, Spain.; School of Medicine and Health Sciences, Universitat Rovira i Virgili, Carrer de Sant Llorenç, 21, 43201 Reus, Spain.; Primary Care Research Support Unit Reus-Tarragona, Institut Català de la Salut, Camí de Riudoms, 53-55, 43202 Reus, Spain.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2023 Dec 22; Vol. 14 (1). Date of Electronic Publication: 2023 Dec 22.
DOI: 10.3390/diagnostics14010029
Abstrakt: 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.
Databáze: MEDLINE
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