PMID- 19645846 OWN - NLM STAT- MEDLINE DCOM- 20091109 LR - 20161018 IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 23 IP - 3 DP - 2009 May-Jun TI - Reproducibility of airway responsiveness in horses using flowmetric plethysmography and histamine bronchoprovocation. PG - 631-5 LID - 10.1111/j.1939-1676.2009.0307.x [doi] AB - BACKGROUND: Inflammatory airway disease has a high prevalence in horses, but is often a diagnostic challenge. Flowmetric plethysmography and histamine bronchoprovocation (FP/HBP) is a simple and effective tool for diagnosis, but reproducibility of these measurements made over time has not been established. HYPOTHESIS: We hypothesize that the measurement of airway responsiveness in horses using FP/HBP is consistent over both short and long periods of time. ANIMALS: Twenty-nine healthy adult horses from 2 university herds. METHODS: In this prospective experimental study, airway responsiveness was determined in each horse at day 0 (baseline [BL]) with FP/ HBP, using PC35 (provocative concentration of histamine needed to increase Delta(flow) by 35%) as a measure of airway responsiveness. Each horse was re-tested 1-4 weeks after BL (short-term [ST]) and again at 3-12 months after BL (long-term [LT]). RESULTS: In the ST period, 23/27 (85%) of the horses had a PC35 that was within 1 doubling concentration of histamine of their BL value, with a mean change of 0.52 doubling concentrations (95% CI 0.26-0.79, range 0-2.06). For the LT data, 19/26 (73%) of horses were within 1 doubling concentration of their BL value, with a mean change of 0.81 doubling concentrations (95% CI 0.45-1.17, range 0.14-3.10). There was no significant difference in reproducibility between the 2 groups of subjects. CONCLUSIONS AND CLINICAL IMPORTANCE: Repeated measurements of airway responsiveness obtained with FP/HBP show acceptable reproducibility over time periods up to a year. However, caution must be used when testing horses when ambient air temperature is low. FAU - Nolen-Walston, R D AU - Nolen-Walston RD AD - Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, PA 19348, USA. rnolenw@vet.upenn.edu FAU - Kuehn, H AU - Kuehn H FAU - Boston, R C AU - Boston RC FAU - Mazan, M R AU - Mazan MR FAU - Wilkins, P A AU - Wilkins PA FAU - Bruns, S AU - Bruns S FAU - Hoffman, A M AU - Hoffman AM LA - eng PT - Journal Article PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - 820484N8I3 (Histamine) SB - IM MH - Animals MH - Histamine/*toxicity MH - Horse Diseases/*chemically induced MH - Horses MH - Plethysmography/methods/*veterinary MH - Reproducibility of Results MH - Respiratory Hypersensitivity/diagnosis/*veterinary EDAT- 2009/08/04 09:00 MHDA- 2009/11/10 06:00 CRDT- 2009/08/04 09:00 PHST- 2009/08/04 09:00 [entrez] PHST- 2009/08/04 09:00 [pubmed] PHST- 2009/11/10 06:00 [medline] AID - JVIM307 [pii] AID - 10.1111/j.1939-1676.2009.0307.x [doi] PST - ppublish SO - J Vet Intern Med. 2009 May-Jun;23(3):631-5. doi: 10.1111/j.1939-1676.2009.0307.x.