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Table 2 COPD study: inspiratory flow profile from acoustic monitoring

From: Inspiratory flow profile and usability of the NEXThaler, a multidose dry powder inhaler, in asthma and COPD

 

GOLD Grade

Total (N = 69)

1 (N = 19)

2 (N = 20)

3 (N = 20)

4 (N = 10)

Flow at BAM firing, L/min

 First inhalation

42.9 ± 6.4 (28.8–52.1)

40.3 ± 4.2 (33.8–50.9)

41.1 ± 7.0 (18.1–51.4)

44.8 ± 7.5 (29.2–56.2)

41.9 ± 6.3 (18.1–56.2)

 Second inhalation

43.6 ± 7.4 (32.5–57.1)

40.8 ± 5.6 (26.6–47.4)

43.4 ± 5.2 (34.1–56.5)

41.0 ± 6.9 (30.1–48.6)

42.4 ± 6.2 (26.6–57.1)

PIF, L/min

 First inhalation

74.1 ± 20.8 (47.7–125.4)

69.1 ± 17.7 (45.3–103.4)

63.5 ± 15.0 (40.5–97.5)

63.5 ± 20.2 (31.5–104.5)

68.0 ± 18.4 (31.5–125.4)

 Second inhalation

71.9 ± 22.1 (45.1–135.9)

70.5 ± 12.9 (45.4–90.7)

66.4 ± 17.8 (41.3–101.7)

55.3 ± 14.3 (32.0–82.3)

67.6 ± 17.9 (32.0–135.9)

Time to BAM firing, s

 First inhalation

0.10 (0.06–0.49)

0.14 (0.05–0.49)

0.16 (0.02–0.63)

0.14 (0.07–0.49)

0.13 (0.02–0.63)

 Second inhalation

0.21 (0.06–0.53)

0.13 (0.05–0.31)

0.16 (0.07–0.72)

0.15 (0.05–0.31)

0.16 (0.05–0.72)

Time to PIF, s

 First inhalation

0.58 (0.38–1.56)

0.54 (0.36–1.17)

0.54 (0.11–1.46)

0.53 (0.42–0.99)

0.54 (0.11–1.56)

 Second inhalation

0.56 (0.38–1.70)

0.60 (0.36–1.31)

0.63 (0.11–1.37)

0.45 (0.19–1.05)

0.59 (0.11–1.70)

Total inhalation time, s

 First inhalation

2.73 (1.86–4.24)

2.38 (0.96–3.34)

2.33 (0.98–4.03)

2.21 (0.77–3.20)

2.51 (0.77–4.24)

 Second inhalation

2.68 (1.87–4.30)

2.33 (1.18–3.50)

2.40 (1.45–3.78)

2.11 (0.46–3.09)

2.44 (0.46–4.30)

Total inhaled volume, L

 First inhalation

2.28 ± 0.67 (1.27–4.05)

1.70 ± 0.60 (0.51–2.66)

1.75 ± 0.73 (0.38–3.65)

1.51 ± 0.62 (0.31–2.26)

1.85 ± 0.70 (0.31–4.05)

 Second inhalation

2.15 ± 0.76 (1.18–4.36)

1.73 ± 0.54 (0.68–2.42)

1.73 ± 0.56 (0.65–2.83)

1.23 ± 0.62 (0.17–1.97)

1.78 ± 0.67 (0.17–4.36)

  1. Data are mean ± SD (range) for flow at BAM firing, PIF, and total inhaled volume, and median (range) for time to BAM firing, time to PIF, and total inhalation time
  2. GOLD Global Initiative for Chronic Obstructive Lung Disease, BAM breath-actuated mechanism, PIF peak inspiratory flow