Evaluation of the acceptability, reproducibility and quality of spirometry performed in an adult pneumology service
DOI:
https://doi.org/10.18004/anales/2018.051(01)29-036Keywords:
Spirometry, Quality Control, ParaguayAbstract
Pulmonary diseases require very precise auxiliary studies. Spirometry is a diagnostic and monitoring test of great importance in the management of respiratory pathologies, especially obstructive ones. This research presents the indications of its use, and evaluated the errors in the spirometry of 70 patients performed in a pulmonology clinic, considering the criteria of acceptability, reproducibility and quality. It was detected that more than 95% of spirometries reach the level of good quality, this data being similar to that of larger studies. The most frequent errors were the early termination of the procedure and a not acceptable difference between the main variables measured. It´s a great concern of pulmonological scientific societies to ensure that these studies have the highest possible reliability, for that reason, it´s important to periodically monitor the quality of spirometries and thus ensure that they have the greatest utility, with health professionals adequately trained for this purpose.
References
1. Benítez R y coll. Espirometría: recomendaciones y procedimiento Neumol Cir Torax, Vol. 75, No. 2, Abril-junio 2016.
2. Olaguíbel J, Álvarez M, Vela C, Cambra K, Uribe M, De Esteban B. Calidad de la espirometría en preescolares. An. Sist. Sanit. Navar. 2014; 37 (1): 81-89.
3. Ruppel G, Carlin B, Hart M and Doherty D. Office Spirometry in Primary Care for the Diagnosis and Management of COPD: National Lung Health Education Program Update. Respiratory Care February 2018, 63 (2) 242-252.
4. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Updated 2018.
5. US Preventive Services Task Force; Siu, AL, Bibbins-Domingo, K, Grossman, DC. Screening for chronic obstructive pulmonary disease: US Preventive Services Task Force recommendation statement. JAMA. 2016;315:1372-1377.
6. Viejo A, Almaraz M y Castillo J. Calidad de las espirometrías en atención primaria de Cantabria. SEMERGEN. 2008; 34(6):268-71
7. De Vicente M y Coll. Validation of Global Lung Function Initiative and All Ages Reference Equations for Forced Spirometry in Healthy Spanish Preschoolers. Arch Bronconeumol. 2018 Jan; 54(1):24-30.
8. Miller M R, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, et al. ATS/ERS task force: Standardisation of lung function testing': General Considerations for lung function testing. Eur Respir J 2005; 26: 153-61.
9. Vázquez-García JC, Pérez-Padilla J. Manual para el uso y la interpretación de la espirometría por el médico. Asociación Latinoamericana del Tórax; 2007.
10. García-Rio F, et al. Espirometría. Arch Bronconeumol. 2013; 49:388–401.
11. Hangaard S, Helle T, Nielsen C, et al. Causes of misdiagnosis of chronic obstructive pulmonary disease: A systematic scoping review. Respir Med. 2017; 129:63-84.
12. Pérez-Padilla R, Torre-Bouscoulet L, Gochicoa-Rangel L, Vázquez-García J. 20 años de entrenamiento en espirometría en América Latina. Neumol Cir Torax, Vol. 76, No. 1, Enero-marzo 2017.
13. Pellegrino R, Viegi G, Brusasco RO, et al. Series ATS/ERS Task Force: standardization of lung function testing. EurRespir J. 2005; 26:948–968.
14. Pérez-Padilla R, Valdivia G, Muiño A, López M, Márquez M, Montes de Oca M, et al. Valores de referencia espirométrica en cinco grandes ciudades de Latinoamérica para sujetos de 40 o más años de edad. Arch Bronconeumol 2006; 42: 317-25.
15. Hankinson J L, Moon Bang K. Acceptability and reproducibility criteria of the American Thoracic Society as observed in a sample of the general population Am Rev Respir Dis1991;143:516-21.
16. Araya M y Coll. Calidad de las espirometrías en un estudio epidemiológico de terreno. Factores determinantes de la necesidad de repetir el examen en el estudio Platino-Chile. Rev Chil Enf Respir 2005; 21: 155-163.
17. Enright P, Kenneth C, Beck C, Duane L, Sherrill. Repeatability of Spirometry in 18.000 adult patients. Am J Respir Crit Care Med 2003; 169: 235-8.

