Visual and quantitative control for the performance of spirometry
https://doi.org/10.33667/2078-5631-2019-2-12(387)-13-16
Abstract
Most spirometry errors reduce test results. The aim of the study was comparison results of spirometry performed with the ATS/ERS quantitative criteria and simple visual inspection criteria. 75 patients performed spirometry twice on the same day: according to criteria of the ATS/ERS quality for spirometry and on visual control. Statistical analysis was performed with Bland-Altman method. Forced expiratory volume (FVC) and forced expiratory volume in one second (FEV1) were greater for the cases with quantitative control. The mean difference between FVCs was 0.37 ± 0.29 L. The mean difference between FEV1s was 0.06 ± 0.2 L. Using ATS/ERS spirometry guide-lines may help improve results and avoids spirometry errors.
About the Authors
L. A. Popova
Central Research Institute of Tuberculosis
Russian Federation
Moscow
Russian Federation
Moscow
E. A. Shergina
Central Research Institute of Tuberculosis
Russian Federation
Moscow
Russian Federation
Moscow
M. I. Chushkin
Central Research Institute of Tuberculosis
Russian Federation
Moscow
Russian Federation
Moscow
References
1. Чучалин А. Г., Айсанов З. Р., Чикина С. Ю., Черняк А. В., Калманова Е. Н. Федеральные клинические рекомендации Российского респираторного общества по использованию метода спирометрии. // Пульмонология.— 2014.— № 6.— с. 11–23.
2. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. // Lancet.— 1986.— Vol. 1.— M. 8476.— P. 307–310.
3. Czajkowska-Malinowska M, Tomalak W, Radliński J. Quality of spirometry in the elderly. // Pneumonol Alergol Pol.— 2013.— Vol. 81.— N. 6.— P. 511–517.
4. García-Río F, Calle M, Burgos F, Casan P, Del Campo F, Galdiz JB, Giner J, González-Mangado N, Ortega F, Puente Maestu L; Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). Spirometry. // Arch Bronconeumol.— 2013.— Vol. 49.— N.9.— P. 388–401.
5. Giner J, Plaza V, Rigau J, Solà J, Bolíbar I, Sanchis J. Spirometric standards and patient characteristics: an exploratory study of factors affecting fulfillment in routine clinical practice. // Respir Care.— 2014.— Vol. 59.— N. 12.— P. 1832–1837.
6. Licskai CJ, Sands TW, Paolatto L, Nicoletti I, Ferrone M. Spirometry in primary care: an analysis of spirometery test quality in a regional primary care asthma program. // Can Respir J.— 2012.— Vol.19.— N.4.—P.249–254.
7. Mannino D.M., Ford E.S., Redd S.C. Obstructive and restrictive lung disease and functional limitation: data from the Third National Health and Nutrition Examination. // J. Intern. Med.— 2003.— Vol. 254.— P. 540–547.
8. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. Standardisation of spirometry. // Eur Respir J.— 2005.— Vol. 26.— N. 2.— P. 319–338.
9. Quanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. // Eur. Respir. J.— 1993.— Vol. 6.— P. 5–40.
10. Schermer TRJ, Crockett AJ, Poels PJ, van Dijke JJ, Akkermans RP, Vlek HF, Pieters WR. Quality of routine spirometry tests in Dutch general practices. Br J Gen Pract 2009; 59: 921–926.
Review
For citations:
Popova L.A., Shergina E.A., Chushkin M.I. Visual and quantitative control for the performance of spirometry. Medical alphabet. 2019;2(12):13-16. (In Russ.) https://doi.org/10.33667/2078-5631-2019-2-12(387)-13-16
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