STANDARDIZATION OF SPIROMETRY: HOW TO IMPROVE THE RESULT
https://doi.org/10.21292/2075-1230-2019-97-2-26-32
Abstract
The majority of errors committed during spirometry results in the lower values of test results.
The objective: to compare spirometry results obtained when using standard criteria of American Thoracic Society / European Respiratory Society and visual quality control.
Subjects and methods. Spirometry was performed twice in 62 patients using different quality control methods. Bland – Altman method was used for statistic analysis.
Results. The values of forced volume vital capacity (FVL) and forced expiratory volume during the 1st second (FEV1) were higher when using standard criteria compared to visual quality control. The mean difference in FVL made 0.40 ± 0.28 L and in FEV1 – 0.07 ± 0.21 L.
Conclusion. Using the standard criteria during spirometry can significantly improve the quality of the test and prevent errors.
About the Authors
M. I. Chushkin
Central Tuberculosis Research Institute;
Multifield Medical Center of the Bank of Russia
Russian Federation
Russian Federation
Mikhail I. Chushkin Doctor of Medical Sciences, Leading Researcher of Clinical Diagnostic Department.
2, Yauzskaya Alleya, Moscow, 107564
L. A. Popova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Lidiya A. Popova Candidate of Medical Sciences, Senior Researcher of Clinical Diagnostic Department.
2, Yauzskaya Alleya, Moscow, 107564
O. N. Ots
Phthisiopulmonology Research Institute by I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Doctor of Medical Sciences, Phthisiopulmonology and Thoracic Surgery Department.
4, Dostoevsky St., Moscow, 127994
P. V. Struchkov
Professional Development Institute by the Russian Federal Medical Biological Agency;
Clinical Hospital no. 85 by the Russian Federal Medical Biological Agency
Russian Federation
Russian Federation
Petr V. Struchkov Doctor of Medical Sciences, Professor, Head of Functional Diagnostic Department.
16, Moskvorechye St., Moscow, 115409
References
1. Glants S. Mediko-biologicheskaya statistika. [Medical biological statistics]. Moscow, Praktika Publ., 1999, 459 p.
2. Chuchalin А.G., Аvdeev S.N., Аysanov Z.R., Belevskiy А.S., Leschenko I.V., Mescheryakova N.N., Ovcharenko S.I., Shmelev E.I. Federal clinical recommendations on diagnostics and treatment of chronic obstructive pulmonary disease. Pulmonoloiya, 2014, no. 3, pp. 15-54. (In Russ.)
3. Chuchalin А.G., Аysanov Z.R., Chikina S.Yu., Chernyak А.V., Kalmanova E.N. Federal clinical recommendations of the Russian Respiratory Society on spirometry. Pulmonoloiya, 2014, no. 6, pp. 11-23. (In Russ.)
4. Bland J.M., Altman D.G. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet, 1986, vol. 1, no. 8476, pp. 307-310.
5. Bland M. Comparing two methods of measurement. An Introduction to Medical Statistics, Oxford Medical Publications, 2000; pp. 272-275.
6. Calabro E., Randi G., La Vecchia C., Sverzellati N., Marchiano A., Villani M., Zompatori M., Cassandro R., Harari S., Pastorino U. Lung function predicts lung cancer risk in smokers: a tool for targeting screening programmes. Eur. Respir. J., 2010, vol. 35, no. 1, pp. 146-151.
7. Czajkowska-Malinowska M., Tomalak W., Radliński J. Quality of spirometry in the elderly. Pneumonol. Alergol. Pol., 2013, vol. 81, no. 6, pp. 511-517.
8. Chushkin M., Popova L., Ots O., Nenasheva O., Struchkov P. Comparison between results of spirometry performed with the ATS/ERS quantitative criteria and simple visual inspection criteria. Eur. Respir. J., 2017, vol. 50, suppl. 61. ‒ OA3440.
9. García-Río F., Calle M., Burgos F., Casan P., Del Campo F., Galdiz J.B., Giner J., González-Mangado N., Ortega F., Puente Maestu L. Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). Spirometry. Arch. Bronconeumol., 2013, vol. 49, no. 9, pp. 388-401.
10. Giavarina D. Understanding Bland Altman analysis. Biochemia, 2015, vol. 25, no. 2, pp. 141-151.
11. 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, no. 12, pp. 1832-1837.
12. Licskai C.J., Sands T.W., 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, no. 4, pp. 249-254.
13. Liistro G., Vanwelde C., Vincken W., Vandevoorde J., Verleden G., Buffels J. COPD Advisory Board. Technical and functional assessment of 10 office spirometers: A multicenter comparative study. Chest, 2006, vol. 130, pp. 657-665.
14. Miller M.R., Crapo R., Hankinson J., Brusasco V., Burgos F., Casaburi R., Coates A., Enright P., van der Grinten C.P., Gustafsson P., Jensen R., Johnson D.C., MacIntyre N., McKay R., Navajas D., Pedersen O.F., Pellegrino R., Viegi G., Wanger J. ATS/ERS Task Force. General consideration for lung function testing. Eur. Respir. J., 2005, vol. 26, no. 1, pp. 153-161.
15. Miller M.R., Hankinson J., Brusasco V., Burgos F., Casaburi R., Coates A., Crapo R., Enright P., van der Grinten C.P., Gustafsson P., Jensen R., Johnson D.C., MacIntyre N., McKay R., Navajas D., Pedersen O.F., Pellegrino R., Viegi G., Wanger J. ATS/ERS Task Force. Standardisation of spirometry. Eur. Respir J., 2005, vol. 26, no. 2, pp. 319-338.
16. Muller-Brandes C., Krämer U., Gappa M., Seitner-Sorge G., Hüls A., von Berg A., Hoffmann B., Schuster A., Illi S., Wisbauer M., Berdel D. LUNOKID: can numerical American Thoracic Society/European Respiratory Society quality criteria replace visual inspection of spirometry? Eur. Respir. J., 2014, vol. 43, pp. 1347-1356.
17. Pellegrino R., Viegi G., Brusasco V., Crapo R.O., Burgos F., Casaburi R., Coates A., van der Grinten C.P., Gustafsson P., Hankinson J., Jensen R., Johnson D.C., MacIntyre N., McKay R., Miller M.R., Navajas D., Pedersen O.F., Wanger J . Interpretative strategies for lung function tests. Eur. Respir. J., 2005, vol. 26, no. 5, pp. 948-968.
18. Young R.P., Hopkins R., Eaton T.E. Forced expiratory volume in one second: not just a lung function test but a marker of premature death from all causes. Eur. Respir. J., 2007, vol. 30, no. 4, pp. 616-622.
Review
For citations:
Chushkin M.I., Popova L.A., Ots O.N., Struchkov P.V. STANDARDIZATION OF SPIROMETRY: HOW TO IMPROVE THE RESULT. Tuberculosis and Lung Diseases. 2019;97(2):26-32. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-2-26-32
Views:
2195
Email this article 