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Is there a role for screening spirometry?

Publication ,  Journal Article
MacIntyre, NR; Selecky, PA
Published in: Respir Care
January 2010

In obstructive lung disease, the characteristic change in spirometry is a reduction in the forced expiratory volume in the first second (FEV(1)) with respect to the vital capacity. Moreover, the severity of the obstruction can be graded by referencing spirometric measurements to age, sex, and height predicted normal values. Spirometry, however, should be considered a medical test, and not simply a vital sign that anyone can perform. Indeed, both technical issues and tester skills can profoundly affect the results and interpretations. Properly done spirometry can guide therapies and predict outcomes, but using spirometry to screen for obstructive lung disease in asymptomatic populations can be problematic, and the effects of screening spirometry on outcomes have yet to be determined. The value of spirometry is increased when it is of good quality, is interpreted properly, and is used in high-risk populations as a case-finding rather than a screening tool.

Duke Scholars

Published In

Respir Care

ISSN

0020-1324

Publication Date

January 2010

Volume

55

Issue

1

Start / End Page

35 / 42

Location

United States

Related Subject Headings

  • Vital Capacity
  • Spirometry
  • Respiratory System
  • Mass Screening
  • Lung Diseases, Obstructive
  • Humans
  • Forced Expiratory Volume
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences
 

Citation

APA
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ICMJE
MLA
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MacIntyre, N. R., & Selecky, P. A. (2010). Is there a role for screening spirometry? Respir Care, 55(1), 35–42.
MacIntyre, Neil R., and Paul A. Selecky. “Is there a role for screening spirometry?Respir Care 55, no. 1 (January 2010): 35–42.
MacIntyre NR, Selecky PA. Is there a role for screening spirometry? Respir Care. 2010 Jan;55(1):35–42.
MacIntyre, Neil R., and Paul A. Selecky. “Is there a role for screening spirometry?Respir Care, vol. 55, no. 1, Jan. 2010, pp. 35–42.
MacIntyre NR, Selecky PA. Is there a role for screening spirometry? Respir Care. 2010 Jan;55(1):35–42.

Published In

Respir Care

ISSN

0020-1324

Publication Date

January 2010

Volume

55

Issue

1

Start / End Page

35 / 42

Location

United States

Related Subject Headings

  • Vital Capacity
  • Spirometry
  • Respiratory System
  • Mass Screening
  • Lung Diseases, Obstructive
  • Humans
  • Forced Expiratory Volume
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences