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Validating RespMech: an automated, free and open-source platform for respiratory mechanics analysis at rest and in exercise

A Liu, Y Molgat-Seon, N Y W Yuen, P B Dominelli, M D James, D E O'Donnell, N J Domnik, E S Walsted
European Respiratory Journal 2022 60: 2737; DOI: 10.1183/13993003.congress-2022.2737
A Liu
1Physiology and Pharmacology, Western University, London (ON), Canada
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Y Molgat-Seon
2Kinesiology and Applied Health, University of Winnipeg, Winnipeg (MB), Canada
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N Y W Yuen
3Schulich School of Medicine, Western University, Windsor (ON), Canada
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P B Dominelli
4Kinesiology and Health Sciences, University of Waterloo, London (ON), Canada
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M D James
5Medicine/Kingston Health Sciences Centre, Queen’s University, Kingston (ON), Canada
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D E O'Donnell
5Medicine/Kingston Health Sciences Centre, Queen’s University, Kingston (ON), Canada
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N J Domnik
6Western University; Queen's University, London; Kingston (ON), Canada
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E S Walsted
7Department of Respiratory Medicine, Bispebjerg Hospital, Copenhagen, Denmark
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Abstract

Respiratory mechanics analysis provides valuable clinical and physiological data but relies on costly software or manual analysis. We developed RespMech, an automated, free, open-source and citable Python-based alternative enabling robust analysis and ease of use.

We retrospectively assessed key respiratory mechanical variables at rest, 40W, highest within-group iso-work rate, and peak exercise from CPETs with oesophageal manometry-coupled open-circuit spirometry in 17 mature (8m:9f; age 62±9y) healthy controls and 10 patients with COPD (4m:6f; age 68±7y; FEV1=56±21%pred) using RespMech vs. custom software (GNAR; National Instruments LabView) that has been published extensively.

Agreement between RespMech and GNAR was excellent, with ICC 0.9-1.0 (Table 1). Bland-Altman analysis additionally established limits of agreement between the methods to be well within acceptable ranges.

RespMech is non-inferior to GNAR with the advantages of being automated, free, open-source, and citable. It additionally enables customizable quality control and optional concurrent automated analysis of diaphragmatic electromyography signals (RMS, integral, and sample entropy) including ECG artefact removal.

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  • COPD
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Footnotes

Cite this article as Eur Respir J 2022; 60: Suppl. 66, 2737.

This article was presented at the 2022 ERS International Congress, in session “-”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2022
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Validating RespMech: an automated, free and open-source platform for respiratory mechanics analysis at rest and in exercise
A Liu, Y Molgat-Seon, N Y W Yuen, P B Dominelli, M D James, D E O'Donnell, N J Domnik, E S Walsted
European Respiratory Journal Sep 2022, 60 (suppl 66) 2737; DOI: 10.1183/13993003.congress-2022.2737

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Validating RespMech: an automated, free and open-source platform for respiratory mechanics analysis at rest and in exercise
A Liu, Y Molgat-Seon, N Y W Yuen, P B Dominelli, M D James, D E O'Donnell, N J Domnik, E S Walsted
European Respiratory Journal Sep 2022, 60 (suppl 66) 2737; DOI: 10.1183/13993003.congress-2022.2737
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