Quality of spirometry testing in a community setting: A study among elderly persons in a rural area of Haryana

Kaur, Ravneet; Kumar, Alok; Hadda, Vijay; Kalaivani, Mani; Nongkynrih, Baridalyne; Kant, Shashi; Gupta, Sanjeev Kumar; Dwarakanathan, Vignesh

doi:10.4103/jfmpc.jfmpc_719_19

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…Multivariable analysis revealed that the age ≥ 70 was associated with poor-quality spirometry. They suggested that using a portable spirometer enabled the performance of spirometry tests with acceptable quality in community settings [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of spirometry tests in the field of occupational health

Alavi Foumani,

Attarchi

et al. 2024

BMC Res Notes

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Background The spirometry test is a valuable test to evaluate the performance of the respiratory system. The interpretation of the results is highly dependent on the quality of its performance, while the inappropriate quality results in unwanted consequences for individuals and the healthcare system. This study investigated the quality of spirometry tests performed in occupational health. Methods In this cross-sectional study, the quality of 776 spirometry tests in different occupational centers by the specialists in Rasht, Iran, in 2020, based on the guidelines of the American Thoracic Society (ATS), was investigated. The quality and success rate of the test and the demographical characteristics of the operators and the participants were collected. All data was analyzed using SPSS software version 20. Results Out of 776 spirometry tests, about 69.7% were unacceptable. Among the unacceptable tests, a pause error between inhalation and exhalation was identified in 7.4% of tests. Additionally, 4.6% of the unacceptable tests exhibited a cough error within the first second, while an exhalation error of less than six was observed in 85%. Repeatability errors were found in 60.9% of the tests. Furthermore, among some errors, the communication error between the characteristics of the technicians and the test performance errors were evident. Conclusion According to the results, most of the performed tests were unacceptable with no repeatability, which indicated that the validity and quality of spirometry tests and their interpretation were inappropriate in the field of occupational health in Rasht, Iran.

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Section: Discussionmentioning

confidence: 99%

Quality of spirometry tests in the field of occupational health

Alavi Foumani,

Attarchi

et al. 2024

BMC Res Notes

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“…5 Further, those diagnosed or diagnosed lately are not managed and treated appropriately due to low awareness and knowledge among the general practitioners. 6,7 Additionally, there are a few more issues which make it difficult to combat CRDs, such as a) Non-availability of spirometry (considered the gold standard in CRD diagnosis) for screening and diagnosis of CRDs, especially at rural, semi-urban, remote, tribal level; b) High cost of PFT services in private health sector making it unaffordable for rural & urban poor (a full PFT costs around USD 14.40); c). Long distances hampering accessibility -multiple visits, loss of wages, poor compliance, cost of travel, lodging, etc.…”

Section: Discussionmentioning

confidence: 99%

Using spirometry for screening and diagnosis of chronic respiratory diseases in primary health care: findings from a community health project in rural India

Sakhare,

Chitte,

Munje

et al. 2024

Journal of Global Health Reports

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Background Chronic respiratory diseases (CRDs) such as Chronic obstructive pulmonary disease (COPD), Asthma and post-tuberculosis lung disease (PTLD) are a growing public health concern in India. Early diagnosis and management of CRDs require a good quality spirometry test, a technician to conduct spirometry and a chest physician to interpret the results. In India, these are not available at the primary care level. This study reports the feasibility of a large-scale CRD diagnosis and management program in primary care using a unique point-of-care spirometry solution, Briota PFT in a Box™. # Methods A community-based cross-sectional study was conducted among 15,602 adults in Dindori Taluka (subdivision), Nashik, Maharashtra state. This study was part of a holistic CRD diagnosis and management program SAVE™ (Spirometry Assisted Virtually Early). Make In India point of care solution Briota PFT in a Box™ was used. A House‐to‐house community-based assessment checklist (CBAC) survey, 4-parameter spirometry test, 15-parameter pre and post-bronchodilator spirometry test and a software-assisted medical examination by the medical officer at primary care were conducted. Software was used to generate CRD diagnosis and lung health score (LHS™). The diagnosis was verified by the chest physician. Confirmed diagnosed patients were provided treatment and offered a patient support program. Interviews were conducted with the patients, nurses, doctors and public health officials for understanding feasibility and documenting learning from program SAVE™. # Results Out of 15,602 adults surveyed, total 4,937 (31.6%) were identified as “CRD high risk”. 1231 participants based on medical examination, spirometry tests and software analysis were identified as CRD candidates by medical officers at primary care. 1154 participants out of 15,602 (7.4%) were confirmed diagnosed as CRD patients post independent evaluation by chest physicians. At the time of follow-up, 537 patients (75% of 712 patients enrolled in patient support program) reported improvement in symptoms and high satisfaction with the program. District health officer, Medical officers, nurses, Accredited Social Health Activist (ASHA) from the primary health care centers confirmed ease of use and feasibility of using Briota PFT in a Box™ in program SAVE™. Outcome and learning from program SAVE™ was documented and submitted to Ministry of Health and Family Welfare Government of India. # Conclusions CRD diagnosis and management in large scale settings in primary healthcare level using a point of care spirometry solution Briota PFT in a Box™ is highly feasible.

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Quality of spirometry testing in a community setting: A study among elderly persons in a rural area of Haryana

Cited by 2 publications

References 25 publications

Quality of spirometry tests in the field of occupational health

Quality of spirometry tests in the field of occupational health

Using spirometry for screening and diagnosis of chronic respiratory diseases in primary health care: findings from a community health project in rural India

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