Pico de flujo espiratorio en escolares de 4 a 15 años de edad. Comparación de tres modelos de medidor
Peak espiratory flow rate in school-children 4-15 years old. Comparison between three different devices
V. Hernando Sastrec, L. García-Marcosb,
, J. Gómez Garcíac, U. Faura Martínezc, J. Rubio Péreza, M.D. Navarro Ortiza, J.A. Hernández Dólerad
Autor para correspondencia
a Servicio de Pediatría. Unidad de Alergia Pediátrica. Clínica Virgen de la Vega. Murcia
b Unidad de Investigación de Cartagena y Unidad de Pediatría. Universidad de Murcia
c Departamento de Métodos Cuantitativos para la Economía. Facultad de Económicas. Universidad de Murcia
d Gerencia de Atención Primaria. SEDU-061. Murcia
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Murcia" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Investigación de Cartagena y Unidad de Pediatría. Universidad de Murcia" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Métodos Cuantitativos para la Economía. Facultad de Económicas. Universidad de Murcia" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Gerencia de Atención Primaria. SEDU-061. Murcia" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Unidad de Investigación. Plza. San Agustín, 3. 30201 Cartagena." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Peak espiratory flow rate in school-children 4-15 years old. Comparison between three different devices" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-04-30" "fechaAceptado" => "2000-01-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186314" "palabras" => array:4 [ 0 => "Pico de flujo espiratorio" 1 => "Función pulmonar" 2 => "Niños" 3 => "Valores normales" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186313" "palabras" => array:4 [ 0 => "Peak espiratory flow rate" 1 => "Pulmonary function" 2 => "Children" 3 => "Normal values" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">a)</span> Establecer las posibles diferencias entre tres modelos de medidor, incluyendo por vez primera el PF-Control; <span class="elsevierStyleItalic">b)</span> determinar el normograma del pico de flujo espiratorio (PEF) para cada modelo de medidor, en función de la edad, talla, perímetro torácico inspiratorio y espiratorio; <span class="elsevierStyleItalic">c)</span> establecer las posibles diferencias en razón del sexo, y <span class="elsevierStyleItalic">d)</span> estudiar la correlación matemática entre los resultados obtenidos con los distintos modelos de medidor.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se midió el PEF en una muestra de 476 escolares, de edades comprendidas entre 4 y 15 años (233 varones y 243 mujeres), con una media de 9,3 años. La talla menor fue 96,8 cm y la mayor 178,8 cm, con una media de 137,95 cm. Se consideró como valor de PEF al mejor de tres intentos, con una diferencia menor del 10% entre ellos. Se utilizaron 3 aparatos de cada modelo (Vitalograph, Mini- Wright, PF-Control). Su uso fue siempre rotatorio, y el horario de 15 a 17 horas, en el propio centro escolar.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Existen diferencias significativas en razón del modelo de medidor. La variable que mejor se ajusta al PEF es la talla, con una r = 0,90-0,92 (según el modelo considerado) para el modelo exponencial. El factor sexo establece diferencias significativas en los valores del PEF, con los tres modelos de medidor.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">a)</span> La variable que mejor expresa los resultados del PEF es la talla; <span class="elsevierStyleItalic">b)</span> los valores del PEF de varones y mujeres son distintos, con significación estadística; <span class="elsevierStyleItalic">c)</span> existen diferencias significativas en razón del modelo de medidor utilizado; <span class="elsevierStyleItalic">d)</span> la monitorización del PEF en un sujeto determinado debe hacerse con el mismo modelo de medidor, y <span class="elsevierStyleItalic">e)</span> el modelo de regresión exponencial consigue un major ajuste.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">a)</span> To establish the possible differences between three different models of PEF-meter, including PF-Control for the first time; <span class="elsevierStyleItalic">b)</span> to build a normogram for each of the three models, as a function of different variables (age, height, and inspiratory and espiratory thoracic circumference); <span class="elsevierStyleItalic">c)</span> to search for differences between both sexes, and <span class="elsevierStyleItalic">d)</span> to study the mathematical correlation between the results yielded by the different models.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">PEF was measured in a sample of 476 school-children, in the range of 4 and 15 years (233 boys, 243 girls), with a mean age of 9,3 years and a height range between 96,8 cm and 178,8 cm (mean 137,9). PEF value was recorded as the best of three attemps when the difference them was, less than 10%. Three devices of each model were used (Vitalograph, Mini-Wright, PF-Control). The utilisation was always done in a rotatory fashion at school time (15-17 hours) in the children's school.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We found significant differences between the three models (p < 0,0004). The best predictive variable for PEF is height, with an r = 0,90-0,92 (depending on the model) when the exponential model is considered. Independently of the device, there were significant differences between sexes.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">a)</span> The variable that expresses PEF the better is height; <span class="elsevierStyleItalic">b)</span> PEF values are different between girls and boys; <span class="elsevierStyleItalic">c)</span> there were significant differences between the various models; <span class="elsevierStyleItalic">d)</span> Monitorization of a given child must be done with the same model of PEF-meter, and <span class="elsevierStyleItalic">e)</span> The best correlation is obtained with the exponential model, although differences with the lineal model were not statistically significant.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 17 | 17 | 34 |
| 2024 Octubre | 191 | 65 | 256 |
| 2024 Septiembre | 157 | 56 | 213 |
| 2024 Agosto | 149 | 72 | 221 |
| 2024 Julio | 103 | 55 | 158 |
| 2024 Junio | 92 | 49 | 141 |
| 2024 Mayo | 129 | 55 | 184 |
| 2024 Abril | 106 | 74 | 180 |
| 2024 Marzo | 113 | 47 | 160 |
| 2024 Febrero | 85 | 49 | 134 |
| 2024 Enero | 127 | 45 | 172 |
| 2023 Diciembre | 97 | 50 | 147 |
| 2023 Noviembre | 127 | 46 | 173 |
| 2023 Octubre | 197 | 38 | 235 |
| 2023 Septiembre | 94 | 36 | 130 |
| 2023 Agosto | 82 | 27 | 109 |
| 2023 Julio | 98 | 48 | 146 |
| 2023 Junio | 90 | 38 | 128 |
| 2023 Mayo | 126 | 42 | 168 |
| 2023 Abril | 90 | 46 | 136 |
| 2023 Marzo | 86 | 42 | 128 |
| 2023 Febrero | 74 | 35 | 109 |
| 2023 Enero | 85 | 48 | 133 |
| 2022 Diciembre | 67 | 27 | 94 |
| 2022 Noviembre | 83 | 76 | 159 |
| 2022 Octubre | 79 | 71 | 150 |
| 2022 Septiembre | 87 | 32 | 119 |
| 2022 Agosto | 56 | 67 | 123 |
| 2022 Julio | 55 | 74 | 129 |
| 2022 Junio | 49 | 46 | 95 |
| 2022 Mayo | 56 | 62 | 118 |
| 2022 Abril | 53 | 42 | 95 |
| 2022 Marzo | 79 | 53 | 132 |
| 2022 Febrero | 55 | 36 | 91 |
| 2022 Enero | 59 | 62 | 121 |
| 2021 Diciembre | 65 | 62 | 127 |
| 2021 Noviembre | 67 | 67 | 134 |
| 2021 Octubre | 77 | 84 | 161 |
| 2021 Septiembre | 66 | 68 | 134 |
| 2021 Agosto | 39 | 47 | 86 |
| 2021 Julio | 103 | 65 | 168 |
| 2021 Junio | 65 | 52 | 117 |
| 2021 Mayo | 70 | 65 | 135 |
| 2021 Abril | 194 | 92 | 286 |
| 2021 Marzo | 120 | 53 | 173 |
| 2021 Febrero | 97 | 55 | 152 |
| 2021 Enero | 70 | 38 | 108 |
| 2020 Diciembre | 66 | 45 | 111 |
| 2020 Noviembre | 87 | 25 | 112 |
| 2020 Octubre | 70 | 34 | 104 |
| 2020 Septiembre | 66 | 15 | 81 |
| 2020 Agosto | 74 | 56 | 130 |
| 2020 Julio | 87 | 63 | 150 |
| 2020 Junio | 66 | 57 | 123 |
| 2020 Mayo | 74 | 53 | 127 |
| 2020 Abril | 61 | 39 | 100 |
| 2020 Marzo | 49 | 20 | 69 |
| 2020 Febrero | 36 | 37 | 73 |
| 2020 Enero | 51 | 35 | 86 |
| 2019 Diciembre | 67 | 61 | 128 |
| 2019 Noviembre | 41 | 36 | 77 |
| 2019 Octubre | 50 | 58 | 108 |
| 2019 Septiembre | 53 | 58 | 111 |
| 2019 Agosto | 34 | 51 | 85 |
| 2019 Julio | 44 | 62 | 106 |
| 2019 Junio | 68 | 76 | 144 |
| 2019 Mayo | 77 | 130 | 207 |
| 2019 Abril | 117 | 116 | 233 |
| 2019 Marzo | 48 | 88 | 136 |
| 2019 Febrero | 35 | 49 | 84 |
| 2019 Enero | 29 | 40 | 69 |
| 2018 Diciembre | 25 | 34 | 59 |
| 2018 Noviembre | 44 | 42 | 86 |
| 2018 Octubre | 54 | 40 | 94 |
| 2018 Septiembre | 29 | 22 | 51 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Mayo | 7 | 0 | 7 |
| 2018 Abril | 13 | 1 | 14 |
| 2018 Marzo | 23 | 1 | 24 |
| 2018 Febrero | 13 | 0 | 13 |
| 2018 Enero | 10 | 1 | 11 |
| 2017 Diciembre | 13 | 0 | 13 |
| 2017 Noviembre | 20 | 0 | 20 |
| 2017 Octubre | 16 | 2 | 18 |
| 2017 Septiembre | 20 | 0 | 20 |
| 2017 Agosto | 8 | 1 | 9 |
| 2017 Julio | 13 | 3 | 16 |
| 2017 Junio | 20 | 35 | 55 |
| 2017 Mayo | 27 | 45 | 72 |
| 2017 Abril | 17 | 46 | 63 |
| 2017 Marzo | 11 | 42 | 53 |
| 2017 Febrero | 3 | 79 | 82 |
| 2017 Enero | 9 | 21 | 30 |
| 2016 Diciembre | 10 | 19 | 29 |
| 2016 Noviembre | 22 | 41 | 63 |
| 2016 Octubre | 23 | 33 | 56 |
| 2016 Septiembre | 26 | 36 | 62 |
| 2016 Agosto | 51 | 36 | 87 |
| 2016 Julio | 23 | 39 | 62 |
| 2016 Marzo | 2 | 0 | 2 |
| 2016 Enero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Septiembre | 2 | 0 | 2 |
| 2015 Agosto | 2 | 0 | 2 |
| 2015 Julio | 11 | 0 | 11 |
| 2015 Junio | 8 | 0 | 8 |
| 2015 Mayo | 18 | 0 | 18 |
| 2015 Abril | 9 | 0 | 9 |
| 2015 Marzo | 9 | 0 | 9 |
| 2015 Febrero | 8 | 0 | 8 |
| 2015 Enero | 15 | 0 | 15 |
| 2014 Diciembre | 19 | 2 | 21 |
| 2014 Noviembre | 14 | 0 | 14 |
| 2014 Octubre | 17 | 0 | 17 |
| 2014 Septiembre | 11 | 0 | 11 |
| 2014 Agosto | 15 | 0 | 15 |
| 2014 Julio | 13 | 2 | 15 |
| 2014 Junio | 15 | 0 | 15 |
| 2014 Mayo | 26 | 1 | 27 |
| 2014 Abril | 20 | 1 | 21 |
| 2014 Marzo | 18 | 9 | 27 |
| 2014 Febrero | 12 | 5 | 17 |
| 2014 Enero | 21 | 5 | 26 |
| 2013 Diciembre | 20 | 5 | 25 |
| 2013 Noviembre | 21 | 4 | 25 |
| 2013 Octubre | 16 | 9 | 25 |
| 2013 Septiembre | 21 | 7 | 28 |
| 2013 Agosto | 12 | 6 | 18 |
| 2013 Julio | 4 | 4 | 8 |
| 2013 Junio | 2 | 2 | 4 |
| 2013 Mayo | 7 | 1 | 8 |
| 2013 Abril | 5 | 2 | 7 |
| 2013 Marzo | 4 | 5 | 9 |
| 2013 Febrero | 26 | 2 | 28 |
| 2013 Enero | 28 | 2 | 30 |
| 2012 Diciembre | 16 | 1 | 17 |
| 2012 Noviembre | 14 | 2 | 16 |
| 2012 Octubre | 13 | 2 | 15 |
| 2012 Septiembre | 4 | 0 | 4 |
| 2012 Agosto | 1 | 0 | 1 |
| 2000 Marzo | 1621 | 0 | 1621 |
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