Detection of chronic obstructive pulmonary disease (COPD) in primary health care: role of spirometry and respiratory symptoms
(1999) In Scandinavian Journal of Primary Health Care 17(4). p.232-237- Abstract
- Objective - To evaluate the role of spirometry and respiratory symptoms in the detection of chronic obstructive pulmonary disease (COPD) in primary health care. Design - A cross-sectional study. Setting - A primary health centre in Landskrona, southern Sweden. Subjects - 164 subjects who in 1992 had answered a postal questionnaire concerning obstructive pulmonary diseases and respiratory symptoms. They were aged 45-64 years, with a mean of 55 years. Main outcome measures - In 1997, the subjects were invited to perform a spirometry and a medical examination and to answer the same questionnaire as in 1992. Subjects with a forced expiratory volume in 1 second (FEV1) <85% of the predicted normal value performed reversibility tests. Results... (More)
- Objective - To evaluate the role of spirometry and respiratory symptoms in the detection of chronic obstructive pulmonary disease (COPD) in primary health care. Design - A cross-sectional study. Setting - A primary health centre in Landskrona, southern Sweden. Subjects - 164 subjects who in 1992 had answered a postal questionnaire concerning obstructive pulmonary diseases and respiratory symptoms. They were aged 45-64 years, with a mean of 55 years. Main outcome measures - In 1997, the subjects were invited to perform a spirometry and a medical examination and to answer the same questionnaire as in 1992. Subjects with a forced expiratory volume in 1 second (FEV1) <85% of the predicted normal value performed reversibility tests. Results - 131 subjects participated in the examinations. 15 subjects (11.5%) were diagnosed as having COPD. Only three of them had been previously diagnosed as having a respiratory disease. Many commonly occurring respiratory symptoms were associated with a reduction in FEV1. Conclusions - Spirometry examinations in primary health care improve the probability of detecting COPD. A spirometry examination should be considered for patients with respiratory symptoms. It should also be considered for middle-aged smokers, even if they are symptom-free. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1114877
- author
- Nihlén, Ulf LU ; Montnemery, Peter LU ; Lindholm, Lars Hjalmar and Löfdahl, Claes-Göran LU
- organization
- publishing date
- 1999
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- spirometry, respiratory symptoms, primary health care, COPD
- in
- Scandinavian Journal of Primary Health Care
- volume
- 17
- issue
- 4
- pages
- 232 - 237
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:0343550459
- ISSN
- 0281-3432
- DOI
- 10.1080/028134399750002467
- language
- English
- LU publication?
- yes
- id
- 36e1b045-fc4c-4e44-9901-171a6951e5c9 (old id 1114877)
- date added to LUP
- 2016-04-01 11:41:36
- date last changed
- 2022-01-26 08:50:29
@article{36e1b045-fc4c-4e44-9901-171a6951e5c9, abstract = {{Objective - To evaluate the role of spirometry and respiratory symptoms in the detection of chronic obstructive pulmonary disease (COPD) in primary health care. Design - A cross-sectional study. Setting - A primary health centre in Landskrona, southern Sweden. Subjects - 164 subjects who in 1992 had answered a postal questionnaire concerning obstructive pulmonary diseases and respiratory symptoms. They were aged 45-64 years, with a mean of 55 years. Main outcome measures - In 1997, the subjects were invited to perform a spirometry and a medical examination and to answer the same questionnaire as in 1992. Subjects with a forced expiratory volume in 1 second (FEV1) <85% of the predicted normal value performed reversibility tests. Results - 131 subjects participated in the examinations. 15 subjects (11.5%) were diagnosed as having COPD. Only three of them had been previously diagnosed as having a respiratory disease. Many commonly occurring respiratory symptoms were associated with a reduction in FEV1. Conclusions - Spirometry examinations in primary health care improve the probability of detecting COPD. A spirometry examination should be considered for patients with respiratory symptoms. It should also be considered for middle-aged smokers, even if they are symptom-free.}}, author = {{Nihlén, Ulf and Montnemery, Peter and Lindholm, Lars Hjalmar and Löfdahl, Claes-Göran}}, issn = {{0281-3432}}, keywords = {{spirometry; respiratory symptoms; primary health care; COPD}}, language = {{eng}}, number = {{4}}, pages = {{232--237}}, publisher = {{Taylor & Francis}}, series = {{Scandinavian Journal of Primary Health Care}}, title = {{Detection of chronic obstructive pulmonary disease (COPD) in primary health care: role of spirometry and respiratory symptoms}}, url = {{http://dx.doi.org/10.1080/028134399750002467}}, doi = {{10.1080/028134399750002467}}, volume = {{17}}, year = {{1999}}, }