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Active screening for COPD among hospitalized smokers – a feasibility study

BACKGROUND: Spirometry is a primary tool for early chronic obstructive pulmonary disease (COPD) detection in patients with risk factors, for example, cigarette smoking. The aim of this study was to evaluate the strategy of an active screening for COPD among smokers admitted to the pulmonary and card...

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Autores principales: Mycroft, Katarzyna, Korczynski, Piotr, Jankowski, Piotr, Kutka, Mikolaj, Zelazna, Olga, Zagaja, Marcin, Wozniczko, Kornelia, Szafranska, Urszula, Koltowski, Lukasz, Opolski, Grzegorz, Krenke, Rafal, Gorska, Katarzyna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7739207/
https://www.ncbi.nlm.nih.gov/pubmed/33403094
http://dx.doi.org/10.1177/2040622320971111
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author Mycroft, Katarzyna
Korczynski, Piotr
Jankowski, Piotr
Kutka, Mikolaj
Zelazna, Olga
Zagaja, Marcin
Wozniczko, Kornelia
Szafranska, Urszula
Koltowski, Lukasz
Opolski, Grzegorz
Krenke, Rafal
Gorska, Katarzyna
author_facet Mycroft, Katarzyna
Korczynski, Piotr
Jankowski, Piotr
Kutka, Mikolaj
Zelazna, Olga
Zagaja, Marcin
Wozniczko, Kornelia
Szafranska, Urszula
Koltowski, Lukasz
Opolski, Grzegorz
Krenke, Rafal
Gorska, Katarzyna
author_sort Mycroft, Katarzyna
collection PubMed
description BACKGROUND: Spirometry is a primary tool for early chronic obstructive pulmonary disease (COPD) detection in patients with risk factors, for example, cigarette smoking. The aim of this study was to evaluate the strategy of an active screening for COPD among smokers admitted to the pulmonary and cardiology department. METHODS: This prospective study was conducted between February and March 2019. All hospitalized smokers aged 40 years and older completed an original questionnaire and had spirometry measurement with a bronchial reversibility test (if applicable) performed by medical students using a portable spirometer. RESULTS: One hundred and eighty-eight patients were eligible to participate in the study. Seventy (37%) subjects refused to participate. Eventually, 116 (62%) patients were included in the final analysis and 94 (81%) performed spirometry correctly. In total, 32 (34 %) patients were found to have COPD. Nine (28%) of these patients were newly diagnosed, 89% of them had mild-to-moderate airway obstruction. Patients with newly diagnosed COPD were significantly younger [age 63 (56–64) versus 69 (64–78) years], had a longer smoking-free period [17 (13–20) versus 9 (2–12) years], had fewer symptoms and had a better lung function compared with patients with a previous diagnosis of COPD (p < 0.05 for all comparisons). CONCLUSION: The proposed diagnostic strategy can be successfully used to improve COPD detection in the inpatient setting. The majority of the newly diagnosed COPD patients had mild-to-moderate airway obstruction. Patients who should be particularly screened for COPD include ex-smokers with less pronounced respiratory symptoms.
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spelling pubmed-77392072021-01-04 Active screening for COPD among hospitalized smokers – a feasibility study Mycroft, Katarzyna Korczynski, Piotr Jankowski, Piotr Kutka, Mikolaj Zelazna, Olga Zagaja, Marcin Wozniczko, Kornelia Szafranska, Urszula Koltowski, Lukasz Opolski, Grzegorz Krenke, Rafal Gorska, Katarzyna Ther Adv Chronic Dis Original Research BACKGROUND: Spirometry is a primary tool for early chronic obstructive pulmonary disease (COPD) detection in patients with risk factors, for example, cigarette smoking. The aim of this study was to evaluate the strategy of an active screening for COPD among smokers admitted to the pulmonary and cardiology department. METHODS: This prospective study was conducted between February and March 2019. All hospitalized smokers aged 40 years and older completed an original questionnaire and had spirometry measurement with a bronchial reversibility test (if applicable) performed by medical students using a portable spirometer. RESULTS: One hundred and eighty-eight patients were eligible to participate in the study. Seventy (37%) subjects refused to participate. Eventually, 116 (62%) patients were included in the final analysis and 94 (81%) performed spirometry correctly. In total, 32 (34 %) patients were found to have COPD. Nine (28%) of these patients were newly diagnosed, 89% of them had mild-to-moderate airway obstruction. Patients with newly diagnosed COPD were significantly younger [age 63 (56–64) versus 69 (64–78) years], had a longer smoking-free period [17 (13–20) versus 9 (2–12) years], had fewer symptoms and had a better lung function compared with patients with a previous diagnosis of COPD (p < 0.05 for all comparisons). CONCLUSION: The proposed diagnostic strategy can be successfully used to improve COPD detection in the inpatient setting. The majority of the newly diagnosed COPD patients had mild-to-moderate airway obstruction. Patients who should be particularly screened for COPD include ex-smokers with less pronounced respiratory symptoms. SAGE Publications 2020-12-14 /pmc/articles/PMC7739207/ /pubmed/33403094 http://dx.doi.org/10.1177/2040622320971111 Text en © The Author(s), 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Mycroft, Katarzyna
Korczynski, Piotr
Jankowski, Piotr
Kutka, Mikolaj
Zelazna, Olga
Zagaja, Marcin
Wozniczko, Kornelia
Szafranska, Urszula
Koltowski, Lukasz
Opolski, Grzegorz
Krenke, Rafal
Gorska, Katarzyna
Active screening for COPD among hospitalized smokers – a feasibility study
title Active screening for COPD among hospitalized smokers – a feasibility study
title_full Active screening for COPD among hospitalized smokers – a feasibility study
title_fullStr Active screening for COPD among hospitalized smokers – a feasibility study
title_full_unstemmed Active screening for COPD among hospitalized smokers – a feasibility study
title_short Active screening for COPD among hospitalized smokers – a feasibility study
title_sort active screening for copd among hospitalized smokers – a feasibility study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7739207/
https://www.ncbi.nlm.nih.gov/pubmed/33403094
http://dx.doi.org/10.1177/2040622320971111
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