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. 2019 May 30;14:1209–1217. doi: 10.2147/COPD.S178040

Table 4.

Inhalation misuse by inhaler devices

Critical errors (%)a nº % of incorrect use 1 2 3
pMDI (12 with spacer) 69 53.6 5.8 30.6 17.4
SMI 81 28.4 0 16 12.3
sDPI 132 24.2 9.1 5.3 9.8
 Breezhaler® 72 19.4 6.9 5.6 6.9
 Handihaler® 51 37.3 13.7 5.9 17.6
 Aeroliser® 9 0 0 0 0
mDPI 239 26.8 8.4 11.3 7.1
 Diskus® 75 29.3 2.7 16 10.7
 Genuair® 53 22.6 11.3 5.7 5.7
 Spiromax® 43 25.6 0 20.9 4.7
 Turbuhaler® 37 35.1 29.7 2.7 2.7
 Ellipta® 31 16.1 3.2 6.5 6.5
(P<0.001) (P<0.001)

Notes: aCritical errors related to: 1=priming/loading; 2=inhalation maneuver; 3=1+2. bIncorrect use=presence of critical errors.