title: Inaccuracy of portable peak flow meters: correction is not needed. Dutch CNSLD Study Group.
abstract: This study examined whether correction of peak expiratory flow (PEF) values for the inaccuracy of the meter would affect asthma management in 102 children (7-14 y old). PEF was recorded with a mini Wright meter twice daily for 2 weeks. As expected, measured PEF overestimated PEF level and asthma control in these children on many diary days. The actual numerical differences between measured and corrected PEF on these days were very small (>5% in only five patients, maximum 10%). It is unlikely that such small changes in PEF justify changes in asthma management, even if these changes cause PEF levels to cross arbitrary borders between various levels of asthma control used in self-management plans. The clinical importance of the inaccuracy of portable PEF meters is negligible.
authors.affiliation: Department of Paediatric Pulmonology, Beatrix Children's Hospital, Groningen, The Netherlands.
authors.forename: P L
authors.initials: PL
authors.lastname: Brand
authors.forename: H J
authors.initials: HJ
authors.lastname: Waalkens
authors.forename: E J
authors.initials: EJ
authors.lastname: Duiverman
authors.forename: E E
authors.initials: EE
authors.lastname: van Essen-Zandvliet
mesh_terms: D000280:Administration, Inhalation; D000293:Adolescent; D000318:Adrenergic beta-Agonists / Q000008:administration & dosage*; D001249:Asthma / Q000188:drug therapy* / Q000503:physiopathology; D002138:Calibration; D002648:Child; D006801:Humans; D008168:Lung / Q000503:physiopathology; D010366:Peak Expiratory Flow Rate; D015203:Reproducibility of Results; D012129:Respiratory Function Tests / Q000295:instrumentation*
chemical_list: D000318:Adrenergic beta-Agonists