Resumption of pulmonary function testing during the post-peak phase of the COVID-19 pandemic

Stanojevic, Sanja; Beaucage, François; Comondore, Vikram R.; Faughnan, Marie E.; Kovesi, Tom; McCoy, Carolyn; McParland, Colm; Pawluski, David; Refahi, Farzad; Road, Jeremy; Kooperberg, Micah

doi:10.1080/24745332.2020.1796211

Cited by 11 publications

(13 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These resumption plans will be supported by guidelines recently published by the Canadian Thoracic Society, who have already started to develop extensive resumption position statements for both patient care and patient testing. 21,22 The model we present may benefit other hospital-based ambulatory care groups in the process of operationalizing and standardizing a pandemic plan and will help to ensure we are all prepared to adapt our care processes to inevitable future respiratory pandemics. Future research is required to assess the impact of the current pandemic on patient safety and quality of care given the abrupt transition to virtual care platforms that has occurred.…”

Section: Discussionmentioning

confidence: 99%

Operationalizing care in a hospital-based respirology clinic during a global pandemic

Stone

Mulpuru

Voduc

et al. 2020

Canadian Journal of Respiratory, Critical Care, and Sleep Medic

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Operationalizing care in a hospital-based respirology clinic during a global pandemic

Stone

Mulpuru

Voduc

et al. 2020

Canadian Journal of Respiratory, Critical Care, and Sleep Medic

View full text Add to dashboard Cite

“…Personnel gathering data during face-to-face visits have been trained to use appropriate personal protective equipment according to international guidelines 56–58. Immediately prior to a home or clinic visit, the child’s carer is telephoned about potential symptoms or a COVID-19 diagnosis among family members or close contacts—if any symptoms are reported the visit is rescheduled after 2 weeks.…”

Section: Methods and Analysismentioning

confidence: 99%

Prospective study of factors associated with asthma attack recurrence (ATTACK) in children from three Ecuadorian cities during COVID-19: a study protocol

et al. 2022

View full text Add to dashboard Cite

IntroductionAsthma is a growing health problem in children in marginalised urban settings in low-income and middle-income countries. Asthma attacks are an important cause of emergency care attendance and long-term morbidity. We designed a prospective study, the Asthma Attacks study, to identify factors associated with recurrence of asthma attacks (or exacerbations) among children and adolescents attending emergency care in three Ecuadorian cities.Methods and analysisProspective cohort study designed to identify risk factors associated with recurrence of asthma attacks in 450 children and adolescents aged 5–17 years attending emergency care in public hospitals in three Ecuadorian cities (Quito, Cuenca and Portoviejo). The primary outcome will be rate of asthma attack recurrence during up to 12 months of follow-up. Data are being collected at baseline and during follow-up by questionnaire: sociodemographic data, asthma history and management (baseline only); recurrence of asthma symptoms and attacks (monthly); economic costs of asthma to family; Asthma Control Test; Pediatric Asthma Quality of life Questionnaire; and Newcastle Asthma Knowledge Questionnaire (baseline only). In addition, the following are being measured at baseline and during follow-up: lung function and reversibility by spirometry before and after salbutamol; fractional exhaled nitric oxide (FeNO); and presence of IgG antibodies to SARS-CoV-2 in blood. Recruitment started in 2019 but because of severe disruption to emergency services caused by the COVID-19 pandemic, eligibility criteria were modified to include asthmatic children with uncontrolled symptoms and registered with collaborating hospitals. Data will be analysed using logistic regression and survival analyses.Ethics and disseminationEthical approval was obtained from the Hospital General Docente de Calderon (CEISH-HGDC 2019-001) and Ecuadorian Ministry of Public Health (MSP-CGDES-2021-0041-O N° 096-2021). The study results will be disseminated through presentations at conferences and to key stakeholder groups including policy-makers, postgraduate theses, peer-review publications and a study website. Participants gave informed consent to participate in the study before taking part.

show abstract

“…Tests other than CPETs: Use of antibacterial/ antiviral filters in breathing circuits is a standard practice for PFT laboratories in Australia and New Zealand, and should be used in all settings where PFTs are performed to prevent contamination of equipment and cross-infection of patients. 65,[76][77][78] In the context of COVID-19, use of inline filters in PFT breathing circuits has been recommended as a minimum risk mitigation strategy by all respiratory governing body advice that was reviewed 67,68,74,75,[79][80][81][82][83][84][85] and within the literature on PFTs in the COVID-19 pandemic. 66,73,82,[86][87][88][89] Although inline filters can impact negatively on measured FEV 1 and peak expiratory flow, this has been found to be clinically insignificant and within intra-test variability when inline filters meeting specifications for use in PFT breathing circuits are used.…”

Section: Key Messagesmentioning

confidence: 99%

“…This recommendation is consistent with other professional body advice and a recent international consensus document. 50, 73,74,84 Respirators: Particulate filter respirators (respirators) are specifically designed to be tight-fitting to ensure all inhaled air passes through the filter. To be designated as respirators, they must meet the Australian and New Zealand Standard for respiratory protective devices (AS/NZS 1716:2012) * which includes being secured via a head harness (i.e., not via ear loops) as their performance is determined by the ability to maintain a good seal between the respirator and face.…”

Section: Key Messagementioning

confidence: 99%

Pulmonary function testing during SARS‐CoV‐2: An ANZSRS/TSANZ position statement

Borg

Osadnik

Adam³

et al. 2022

Respirology

View full text Add to dashboard Cite

The Thoracic Society of Australia and New Zealand (TSANZ) and the Australian and New Zealand Society of Respiratory Science (ANZSRS) commissioned a joint position paper on pulmonary function testing during coronavirus disease 2019 (COVID‐19) in July 2021. A working group was formed via an expression of interest to members of both organizations and commenced work in September 2021. A rapid review of the literature was undertaken, with a ‘best evidence synthesis’ approach taken to answer the research questions formed. This allowed the working group to accept findings of prior relevant reviews or societal document where appropriate. The advice provided is for providers of pulmonary function tests across all settings. The advice is intended to supplement local infection prevention and state, territory or national directives. The working group's key messages reflect a precautionary approach to protect the safety of both healthcare workers (HCWs) and patients in a rapidly changing environment. The decision on strategies employed may vary depending on local transmission and practice environment. The advice is likely to require review as evidence grows and the COVID‐19 pandemic evolves. While this position statement was contextualized specifically to the COVID‐19 pandemic, the working group strongly advocates that any changes to clinical/laboratory practice, made in the interest of optimizing the safety and well‐being of HCWs and patients involved in pulmonary function testing, are carefully considered in light of their potential for ongoing use to reduce transmission of other droplet and/or aerosol borne diseases.

show abstract

Resumption of pulmonary function testing during the post-peak phase of the COVID-19 pandemic

Cited by 11 publications

References 12 publications

Operationalizing care in a hospital-based respirology clinic during a global pandemic

Operationalizing care in a hospital-based respirology clinic during a global pandemic

Prospective study of factors associated with asthma attack recurrence (ATTACK) in children from three Ecuadorian cities during COVID-19: a study protocol

Pulmonary function testing during SARS‐CoV‐2: An ANZSRS/TSANZ position statement

Contact Info

Product

Resources

About