Using quality assured spirometry to support diagnosis

نویسنده

  • Andrew Booth
چکیده

Spirometry Reversibility Asthma Chronic obstructive pulmonary disease Guidelines Spirometry is very easy to do, and very easy to get wrong (Martin, 2010; personal communication). Not only is quality assured spirometry dependent on the effort exerted by the patient, and the technical ability of the spirometer operator, but also on the understanding of the results by the person interpreting them. Interpretation of the results is essential if any meaningful decision is to be made about the patient’s care. This article aims to help understand how spirometry fits in to the diagnostic workup of a patient with suspected asthma or chronic obstructive pulmonary disease (COPD). It also looks at why quality assurance is important, and why poor-quality spirometry may lead to misdiagnosis. As well as referring to national guidelines on asthma and COPD, this article takes information published in the Guide to Quality Assured Diagnostic Spirometry in Primary Care (Primary Care Commissioning [PCC], 2013), which is endorsed by the British Thoracic Society (BTS), the Primary Care Respiratory Society (PCRS), and the Association for Respiratory Technology and Physiology (ARTP). This guide provides a summary of spirometry standards as established by Miller et al (2005).

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تاریخ انتشار 2016