Evidence map›Paper›PMID 37539845›Full record

ArticlePediatric pulmonology2023

Oscillometry and spirometry are not interchangeable when assessing the bronchodilator response in children and young adults born preterm.

Elizabeth F Smith, Tiffany K Bradshaw, Rhea C Urs, Denby J Evans, Naomi R Hemy, Graham L Hall, Andrew C Wilson, Shannon J Simpson

Open access · hybridAbstract read
In one paragraph

Article in Pediatric pulmonology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Bronchodilator response is linked with uncontrolled moderate-to-severe childhood asthma and elevated IL-4 and IL-13.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Elizabeth F SmithWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.
Tiffany K BradshawWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.ORCID 0000-0003-2696-1398
Rhea C UrsWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.
Denby J EvansWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.ORCID 0000-0003-0483-0880
Naomi R HemyWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.
Graham L HallWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.
Andrew C WilsonWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.
Shannon J SimpsonWal-Yan Respiratory Research Centre, Telethon Kids Institute, Perth Children's Hospital, Nedlands, Australia.
The Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe European Respiratory Society Oscillometry Taskforce identified that clinical correlates of bronchodilator responses are needed to advance oscillometry in clinical practice. The understanding of bronchodilator-induced oscillometry changes in preterm lung disease is poor. Here we describe a comparison of bronchodilator assessments performed using oscillometry and spirometry in a population born very preterm and explore the relationship between bronchodilator-induced changes in respiratory function and clinical outcomes.

methodsParticipants aged 6-23 born ≤32 (N = 288; 132 with bronchopulmonary dysplasia) and ≥37 weeks' gestation (N = 76, term-born controls) performed spirometry and oscillometry. A significant bronchodilator response (BDR) to 400 μg salbutamol was classified according to published criteria.

resultsA BDR was identified in 30.9% (n = 85) of preterm-born individuals via spirometry and/or oscillometry, with poor agreement between spirometry and oscillometry definitions (k = 0.26; 95% confidence interval [CI] 0.18-0.40, p < .001). Those born preterm with a BDR by oscillometry but not spirometry had increased wheeze (33% vs. 11%, p = .010) and baseline resistance (Rrs

conclusionIn the preterm population, oscillometry is a feasible and clinically useful supportive test to assess the airway response to inhaled salbutamol. Changes measured by oscillometry reflect related but distinct physiological changes to those measured by spirometry, and thus these tests should not be used interchangeably.

Indexed as

AlbuterolBronchodilator AgentsChildForced Expiratory VolumeHumansInfant, NewbornLungOscillometryRespiratory Function TestsSpirometryYoung AdultAlbuterolBronchodilator Agentsbronchodilator responsepretermrespiratory physiology

Identifiers

PMID37539845
PMCPMC10947568
OpenAlexW4385563553

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.