RT Journal Article SR Electronic T1 An evaluation of peak expiratory flow measured on the smart peak flow meter JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 654 DO 10.1183/13993003.congress-2020.654 VO 56 IS suppl 64 A1 Coelho, Shirley A1 Moore, Vicky A1 Walters, Gareth A1 Burge, Sherwood YR 2020 UL http://erj.ersjournals.com/content/56/suppl_64/654.abstract AB Background: Serial peak expiratory flow (PEF) readings are important to identify occupational asthma. The smart PEF meter (sPEF) allows integration with smart phone technology and real time data transfer. The sPEF meter records an acoustic signal from a rotating vane and uses ambient light without access to the phone’s battery.Aim: To compare PEF taken using the sPEF with the MiniWright (MW) meter.Methods: 10 workers from the respiratory physiology department recorded PEF readings on both meters; 6 times daily for 5 days, 3 readings per session on each. The meter used for the first reading alternated between and within each session. The mean within session coefficient of variation (CoV) for each meter and operator was calculated.Results: 347 readings were recorded on the MW and 336 on the sPEF, averaging 39 sessions per worker. Figure 1 shows the comparison of the mean CoV for each meter and operator.The mean CoV for MW was 3.12 and for sPEF was 15.7. The number of sessions on the sPEF were slightly lower due to technical issues such as, the session timing out and insufficient ambient light.Conclusion: The sPEF is more consistent in some workers than others. Reasons might include PEF itself (very low/very high), the environment (lighting, background noise) or the actual phone used and its connection (directly into the acoustic jack or via a cable). We are doing further studies to investigate these factors.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 654.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.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).