Table 7 Combination of Pimax, Sniff Pnasal and Sniff Poes results
Inspiratory muscle weakness
Diagnosed as weak (%)SE (95% CI)
(1) Pimax40.1 (73/182)3.64 (32.9 to 47.3)
(2) Sniff Pnasal41.8 (76/182)3.67 (34.5 to 41.8)
(3) Sniff Poes37.9 (69/182)3.61 (30.8 to 45.0)
(4) Pimax + Sniff Pnasal32.4 (59/182)3.48 (25.6 to 39.3)
(5) Pimax + Sniff Poes29.7 (54/182)3.40 (23.0 to 36.4)
(6) Pimax + Sniff Pnasal + Sniff Poes29.1 (53/182)3.38 (22.5 to 35.8)
  • Pimax, maximum inspiratory pressure; Pnasal, nasal pressure; Poes, oesophageal pressure; Pdi, transdiaphragmatic pressure, Pemax, maximum expiratory pressure; Pgas, gastric pressure; SE, standard error of the mean; CI, confidence interval.

  • Combination of Pimax, Sniff Pnasal and Sniff Poes results reduces diagnosis of global inspiratory weakness to 29.1%. This is a relative reduction of 27.4% compared with Pimax alone, 30.4% reduction compared with Sniff Pnasal alone and 23.2% reduction compared with Sniff Poes alone. A combination of two tests (4 and 5) reduced the rate to 32.4% and 29.7%, respectively. There was no significant difference between the single tests. Performing all three tests achieved the highest precision.