Concordance Level between Impulse Oscillometry and Spirometry for Pulmonary Function Test
DOI:
https://doi.org/10.36497/jri.v45i4.920Keywords:
IOS, obstruction, oscillometry, restriction, spirometry\Abstract
Background: The most widely used lung function test, spirometry, requires constant coaching and more effort. An alternative modality of impulse oscillometry (IOS) was introduced, which is simpler than spirometry, requiring only basic tidal breathing and less cooperation, but with less stringent standards.
Methods: This research was a diagnostic test research with medical records data of patients who underwent spirometry and oscillometry procedures within the same period. The study was conducted in Sebelas Maret University General Hospital from March to September 2024.
Results: A total of 77% of examinations gave the same results, namely restriction in 32 people (30.8%) and obstruction in 48 people (46.2%). Meanwhile, as many as 23% of IOS examinations gave different results compared to spirometry examinations (discordance). Six normal results from spirometry showed the impression of obstruction in IOS. The agreement between the IOS examination and spirometry was moderately significant (P=0.0001).
Conclusion: Impulse oscillometry is a useful adjunct to spirometry, which is still the gold standard, especially for patients who are incapable of performing forced maneuvers.
Downloads
References
1. Stanojevic S, Kaminsky DA, Miller MR, Thompson B, Aliverti A, Barjaktarevic I, et al. ERS/ATS technical standard on interpretive strategies for routine lung function tests. European Respiratory Journal. 2022;60(1):2101499.
2. Sharshar RS, Mohamed ASh. The utility of impulse oscillometry in asthma: A comparison of spirometry versus impulse oscillometry system. Egyptian Journal of Chest Diseases and Tuberculosis. 2017;66(2):207–9.
3. Unnithan J, Krishnamurthy S, Velayuthaswamy N, Srinivasan N. Can oscillometry replace spirometry as a major tool for lung function testing? – An overview. Journal of Association of Pulmonologist of Tamil Nadu. 2024;7(2):54–60.
4. Sewa DW, Ong TH. Pulmonary function test: Spirometry. Proceedings of Singapore Healthcare. 2014;23(1):57–64.
5. Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et al. Standardization of spirometry 2019 update. An official American Thoracic Society and European Respiratory Society Technical Statement. Am J Respir Crit Care Med. 2019;200(8):e70–88.
6. Houle MC, Cavacece CT, Gonzales MA, Anderson JT, Hunninghake JC, Holley AB, et al. Correlation of impulse oscillometry with spirometry in deployed military personnel with airway obstruction. Mil Med. 2023;188(Suppl 6):400–6.
7. Zhu D, Ding R, Ma Y, Chen Z, Shi X, He P. Comorbidity in lung cancer patients and its association with hospital readmission and fatality in China. BMC Cancer. 2021;21(1):557.
8. Gembillo G, Calimeri S, Tranchida V, Silipigni S, Vella D, Ferrara D, et al. Lung dysfunction and chronic kidney disease: A complex network of multiple interactions. J Pers Med. 2023;13(2):286.
9. Lu L, Peng J, Zhao N, Wu F, Tian H, Yang H, et al. Discordant spirometry and impulse oscillometry assessments in the diagnosis of small airway dysfunction. Front Physiol. 2022;13:892448.
10. Galant SP, Komarow HD, Shin HW, Siddiqui S, Lipworth BJ. The case for impulse oscillometry in the management of asthma in children and adults. Annals of Allergy, Asthma and Immunology. 2017;118(6):664–71.
11. Saadeh C, Saadeh C, Cross B, Gaylor M, Griffith M. Advantage of impulse oscillometry over spirometry to diagnose chronic obstructive pulmonary disease and monitor pulmonary responses to bronchodilators: An observational study. SAGE Open Med. 2015;3:2050312115578957.
12. Mandilwar S, Thorve SM, Gupta V, Prabhudesai P. Role of impulse oscillometry in diagnosis and follow-up in bronchial asthma. Lung India. 2023;40(1):24–32.
13. Lu L, Peng J, Wu F, Yang H, Zheng Y, Deng Z, et al. Clinical characteristics of airway impairment assessed by impulse oscillometry in patients with chronic obstructive pulmonary disease: Findings from the ECOPD study in China. BMC Pulm Med. 2023;23(1):52.
14. Saadeh C, Cross B, Saadeh C, Gaylor M. Retrospective observations on the ability to diagnose and manage patients with asthma through the use of impulse oscillometry: Comparison with spirometry and overview of the literature. Pulm Med. 2014;2014:376890.
15. Bickel S, Popler J, Lesnick B, Eid N. Impulse oscillometry: Interpretation and practical applications. Chest. 2014;146(3):841–7.
16. Sarkar S, Jadhav U, Ghewade B, Sarkar S. A comparative observational study of the diagnostic utility of impulse oscillometry versus spirometry in obstructive airway diseases. Cureus. 2024;16(10):e70589.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Brigitta Devi Anindita Hapsari; Melita Melita ; Sihsusetyaningtyas Tiominar Siregar, Hendrastutik Apriningsih, Artrien Adhiputri
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- The authors own the copyright of published articles. Nevertheless, Jurnal Respirologi Indonesia has the first-to-publish license for the publication material.
- Jurnal Respirologi Indonesia has the right to archive, change the format and republish published articles by presenting the authors’ names.
- Articles are published electronically for open access and online for educational, research, and archiving purposes. Jurnal Respirologi Indonesia is not responsible for any copyright issues that might emerge from using any article except for the previous three purposes.
