Evaluate the Use of Spirometry for Diagnosis of COPD and Assessment of Its Severityl
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 4
Abstract
Abstract: The Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) has recommended spirometry as the gold standard for diagnosis of COPD in symptomatic individuals through spirometric testing that demonstrates irreversible airflow obstruction. Spirometry for case-finding diagnosis of all adults with persistent respiratory symptoms or having a history of exposure to pulmonary risk factors has been recommended in primary care settings for all current and former smokers who have persistent respiratory symptoms. The aim of this study was to evaluate the use of spirometry for diagnosis of COPD and assessment of its severity. A total of 50 subjects with pre-bronchodilator air flow obstruction underwent reversibility testing. Of these, 40 (80%) subjects had persistent airflow obstruction while 10 (20%) were no longer obstructed. For COPD patients, the Mean ± SD age was 58 ± 11 yrs. Of which 21 were current smokers; and the remaining 13 were ex-smokers. The Mean ± SD cigarettes smoked were 42 ± 29 pack-yrs. The Mean ± SD FEV1 was 1.35 ± 0.52 L (55 ± 17% of predicted) and Mean ± SD FEV1/FVC ratio was 0.55 ± 0.09 in these patients. These patients were classified according to GOLD classification in which 18 patients had severe, 11 patients had moderate, and 2 patients had mild and very severe COPD. Spirometry in addition to clinical examination improves COPD diagnostic accuracy compared to clinical examination alone and it is a useful diagnostic tool in individuals with symptoms suggestive of possible COPD. Keywords: Chronic obstructive pulmonary disease, Asthma, Spirometry, FEV1/FEV, Smokers, Bronchodilator.
Authors and Affiliations
Deepak Giri, Ashwin Rajbhoj, Amit Thopte, Kulbhushan Marathe, Sandip Patel, M. A. Ghanekar
Keywords
Related Articles
- EP ID EP375473
- DOI -
- Views 42
- Downloads 0
Screening of Gestational Diabetes Mellitus with 75gm OGTT and its effects on Feto-maternal Outcome
Our study was designed to find out the incidence of Gestational Diabetes Mellitus by using 75 gm oral glucose tolerance test as a single step procedure to both screen and diagnose and to know the effects of gestational d...
A Study to Evaluate the Effect of Dexmedetomidine as Intrathecal Adjuvant to Ropivacaine for Hemodynamic Stability and Postoperative Analgesia in Gynecological Surgeries
Abstract: Many adjuvants have been used with local anesthetics in spinal anesthesia but none has been found ideal. We have conducted this prospective randomized double blind study to evaluate the effect of intrathecal de...
Vaginal Hysterectomy versus Abdominal Hysterectomy for Enlarged Uterus: A Comparative Study
Abstract: Hysterectomy is the commonest gynecologic operation performed. There are many approaches to hysterectomy for benign disease. To compare operative time, blood loss, requirements of volume reduction techniques i...
Comparison of the Nutritive Values of Different Types of Evaporated Milk Available in Local Marketing in Benghazi City, Libya
Abstract: Milk is a primary source of nutrition for all mammals. Evaporated milk is available in cans and it is gaining popularity worldwide due to the long shelf life it enjoys. Evaporated milk does not require refriger...
Spectrum of Clinical Profile and Management of Typhoid Fever in a Rural Tertiary Care Teaching Hospital
Abstract: Enteric fever is a systemic illness and can be fatal, owing to a major public health problem in India due to poor sanitation. Patients present with varied symptoms and can pose a diagnostic challenge. Diagnosi...