Is Plug-and-play Spirometry the Future?
نویسندگان
چکیده
Patients with major respiratory disorders currently impose a large burden on healthcare systems worldwide and this burden is expected to increase over the next decade. Spirometry plays a central role in the diagnosis, monitoring and management of these patients [1, 2]. The role of spirometry is predicted to expand across healthcare tiers and beyond respiratory medicine because of two main factors. Firstly, there is strong evidence that the two main spirometry variables, maximum expired volume (forced vital capacity) and forced expiratory volume during the first second of the test (FEV1) [1, 2], are positively associated with survival rate in the general population. Secondly, novel strategies addressing integrated management of patients with prevalent noncommunicable diseases indicate the need to assess chronic patients for highly clustered comorbid conditions, such as chronic obstructive pulmonary disease (COPD), coronary artery disease, and type II diabetes mellitus and metabolic syndrome [3]. This is because the presence of these comorbid conditions has implications on patients’ clinical features and a well-established influence on prognosis [3, 4]. Moreover, due to the recognised under-diagnosis of COPD [5], spirometry has also a role in casefinding strategies [5–8]. These trends indicate a need to develop strategies facilitating ubiquitous spirometry in the healthcare system, including administration of the tests by professionals (respirologists) with a wide scope of skills and self-administration by patients. However, it must be emphasised that while equipment may be ‘‘plug and
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