Validation of an App-Based Portable Spirometer in Adolescents With Asthma

Background: Objective measurements of asthma impairment could aid teens in recognition of changes in asthma status over time. Ready access to a conventional spirometer is not realistic outside of the clinical setting. In this proof-of-concept study, we compared the performance of the VitalFlo mobile spirometer to the nSpire KoKo sx1000 spirometer for accuracy in measuring Forced Expiratory Volume in one second (kg/m2) and Forced Vital Capacity (FVC) in adolescents with asthma. Methods: Two hundred forty pulmonary function measurements were collected from 48 adolescents with persistent asthma from the University of North Carolina’s pediatric allergy and pulmonology subspecialty clinics. Participants performed spirometry with the nSpireKoKo sx1000 spirometer and the VitalFlo spirometer during their clinic visits. 119 simulated FVC maneuvers were conducted on both devices to standardize measurements. Pearson correlations, Bland-Altman analysis, and two-sample comparison tests were performed to assess the relationship between the two spirometers. Results: VitalFlo measurements were significantly highly correlated with nSpireKoKo spirometer values for kg/m2, (r2 = 0.721, [95% CI, 0.749 ± 0.120], P