QUALITY ASSESMENT OF SPIROMETRY PERFORMED BY TRAINED GENERAL PRACTITIONERS IN FRAME OF THE RESPECT STUDY IN SAINT PETERSBURG. PART I

Abstract


Spirometry is the main diagnostic method of the chronic obstructive pulmonary disease in primary care level. Quality spirometry is a key role in the study of the prevalence of airway obstruction. Aim: to assess the quality of spirogram according to the American Thoracic Society (ATS)/European Respiratory Society (ERS) criteria, performed by GPs in frame of the RESPECT study (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). Methods: Spirogram quality assessment was performed according to ATS/ERS criteria for reproducibility and acceptability. Results: Altogether 2093 spirograms before and 1533 spirograms after reversibility test were evaluated. Mean Evol less than 150 ml was obtained for the majority of spirograms (for 1817 spirograms without reversibility test, 90,9%; and for 1343 spirograms with reversibility test, 89,6%). In other cases mean Evol was less than 5% forced vital capacity (FVC). The mean forced expiratory time (FET) more than 6 sec was carried out for 970 spirograms without bronchodilator (48,6%) and for 584 spirograms with bronchodilator test (39%). In remain cases with FET less than 6 sec the plateau on the curve «volume-time» was achieved. The reproducibility, based on FVC and forced expiratory volume for the 1 sec (FEV1), was obtained for 92,1% spirograms without reversibility test (n = 1839) and for 89,8% spirograms with reversibility test (n = 1346). In total, 12,3% (n = 260) spirograms without bronchodilator and 12,2% (n = 187) with bronchodilator were assumed as unreproducible and unacceptable. Conclusion: The RESPECT investigators are able to perform spirometry with acceptable quality according to ATS/ERS criteria. The spirometry educational course makes it possible to implement spirometry in the daily work in the primary care, likewise early detection of airway obstruction.

M A Pokhaznikova

North-Western State Medical University named after I. I. Mechnikov

E A Andreeva

Northern State Medical University

O Yu Kuznetsova

North-Western State Medical University named after I. I. Mechnikov

A K Lebedev

North-Western State Medical University named after I. I. Mechnikov

J -M Degryse

Universite' Catholique de Louvain (UCL)

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Copyright (c) 2014 Pokhaznikova M.A., Andreeva E.A., Kuznetsova O.Y., Lebedev A.K., Degryse J.-.

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