Evidence map›Paper›PMID 35453824›Full record

ArticleDiagnostics (Basel, Switzerland)2022

An Experimental Apparatus for E-Nose Breath Analysis in Respiratory Failure Patients.

Carmen Bax, Stefano Robbiani, Emanuela Zannin, Laura Capelli, Christian Ratti, Simone Bonetti, Luca Novelli, Federico Raimondi, Fabiano Di Marco, Raffaele L Dellacà

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Carmen BaxDepartment of Chemistry, Materials and Chemical Engineering "Giulio Natta" (DCMC), Politecnico di Milano, 20133 Milano, Italy.ORCID 0000-0003-3820-2321
Stefano RobbianiTechRes Lab, Department of Electronics Information and Bioengineering (DEIB), Politecnico di Milano, 20133 Milano, Italy.ORCID 0000-0002-0728-1613
Emanuela ZanninTechRes Lab, Department of Electronics Information and Bioengineering (DEIB), Politecnico di Milano, 20133 Milano, Italy.ORCID 0000-0002-5834-3837
Laura CapelliDepartment of Chemistry, Materials and Chemical Engineering "Giulio Natta" (DCMC), Politecnico di Milano, 20133 Milano, Italy.ORCID 0000-0003-0002-3619
Christian RattiDepartment of Chemistry, Materials and Chemical Engineering "Giulio Natta" (DCMC), Politecnico di Milano, 20133 Milano, Italy.
Simone BonettiUnit of Pneumology, Azienda Ospedaliera Socio Sanitaria Territoriale Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-4978-1659
Luca NovelliUnit of Pneumology, Azienda Ospedaliera Socio Sanitaria Territoriale Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-2705-248X
Federico RaimondiUnit of Pneumology, Azienda Ospedaliera Socio Sanitaria Territoriale Papa Giovanni XXIII, 24127 Bergamo, Italy.
Fabiano Di MarcoUnit of Pneumology, Azienda Ospedaliera Socio Sanitaria Territoriale Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-1743-0504
Raffaele L DellacàTechRes Lab, Department of Electronics Information and Bioengineering (DEIB), Politecnico di Milano, 20133 Milano, Italy.ORCID 0000-0002-3672-4591
Politecnico di Milano · ITOspedale Papa Giovanni XXIII · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-invasive, bedside diagnostic tools are extremely important for tailo ring the management of respiratory failure patients. The use of electronic noses (ENs) for exhaled breath analysis has the potential to provide useful information for phenotyping different respiratory disorders and improving diagnosis, but their application in respiratory failure patients remains a challenge. We developed a novel measurement apparatus for analysing exhaled breath in such patients. Methods: The breath sampling apparatus uses hospital medical air and oxygen pipeline systems to control the fraction of inspired oxygen and prevent contamination of exhaled gas from ambient Volatile Organic Compounds (VOCs) It is designed to minimise the dead space and respiratory load imposed on patients. Breath odour fingerprints were assessed using a commercial EN with custom MOX sensors. We carried out a feasibility study on 33 SARS-CoV-2 patients (25 with respiratory failure and 8 asymptomatic) and 22 controls to gather data on tolerability and for a preliminary assessment of sensitivity and specificity. The most significant features for the discrimination between breath-odour fingerprints from respiratory failure patients and controls were identified using the Boruta algorithm and then implemented in the development of a support vector machine (SVM) classification model. Results: The novel sampling system was well-tolerated by all patients. The SVM differentiated between respiratory failure patients and controls with an accuracy of 0.81 (area under the ROC curve) and a sensitivity and specificity of 0.920 and 0.682, respectively. The selected features were significantly different in SARS-CoV-2 patients with respiratory failure versus controls and asymptomatic SARS-CoV-2 patients (p < 0.001 and 0.046, respectively). Conclusions: the developed system is suitable for the collection of exhaled breath samples from respiratory failure patients. Our preliminary results suggest that breath-odour fingerprints may be sensitive markers of lung disease severity and aetiology.

Indexed as

breath analysisCOVID-19diagnosiselectronic noseodour analysis

Identifiers

PMID35453824
PMCPMC9026987
OpenAlexW4221136485

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.