Case-finding of chronic obstructive pulmonary disease with questionnaire, peak flow measurements and spirometry

a cross-sectional study

Bassam Mahboub, Ashraf Alzaabi, Joan B Soriano, Laila Salameh, Yousef A L Mutairi, Afzalhussein A Yusufali, Alawi Alsheikh-ali, Wael Almahmeed, John Haughney

Research output: Contribution to journalArticle

11 Citations (Scopus)
3 Downloads (Pure)

Abstract

BACKGROUND: Spirometry is commonly accepted as the gold standard for the diagnosis of COPD, but the reality remains that quality assured spirometry is not or cannot be provided universally around the globe. Adding PEF measurement to a screening questionnaire may rule out airflow limitation compatible with COPD rationalizing spirometry testing.

METHODS: We conducted a cross-sectional survey in a sample of individuals 40-80 yrs. old in Dubai, UAE. They were invited to answer a short socio-demographic questionnaire including a report on current, past history of smoking, and had PEF measured, then they conducted spirometry to identify airflow limitation compatible with COPD.

RESULTS: Overall, 525 (91.0%) participants performed PEF and spirometry (68% male, with a mean age of 59 years, 17% UAE Nationals), 24% reported smoking of different sorts. Overall, 68 participants (12.9%, 95% C.I. 10.3% to 16.1%) had airflow limitation compatible with COPD. PEFR alone identified 141 participants with airflow limitation compatible with COPD, with specificity of 80% and sensitivity of 73.5%.

CONCLUSIONS: PEFR could be an easy, cheap, and non-biased tool to assist with the case-finding of COPD before confirmation with spirometry.

Original languageEnglish
Article number241
JournalBMC Research Notes
Volume7
DOIs
Publication statusPublished - 2014

Fingerprint

Pulmonary diseases
Spirometry
Flow measurement
Chronic Obstructive Pulmonary Disease
Screening
Cross-Sectional Studies
Testing
Peak Expiratory Flow Rate
Smoking
Surveys and Questionnaires
Demography
Sensitivity and Specificity

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Forced Expiratory Volume
  • Humans
  • Male
  • Middle Aged
  • Peak Expiratory Flow Rate
  • Pulmonary Disease, Chronic Obstructive
  • Smoking
  • Spirometry
  • Surveys and Questionnaires
  • United Arab Emirates

Cite this

Case-finding of chronic obstructive pulmonary disease with questionnaire, peak flow measurements and spirometry : a cross-sectional study. / Mahboub, Bassam; Alzaabi, Ashraf; Soriano, Joan B; Salameh, Laila; Mutairi, Yousef A L; Yusufali, Afzalhussein A; Alsheikh-ali, Alawi; Almahmeed, Wael; Haughney, John.

In: BMC Research Notes, Vol. 7, 241, 2014.

Research output: Contribution to journalArticle

Mahboub, Bassam ; Alzaabi, Ashraf ; Soriano, Joan B ; Salameh, Laila ; Mutairi, Yousef A L ; Yusufali, Afzalhussein A ; Alsheikh-ali, Alawi ; Almahmeed, Wael ; Haughney, John. / Case-finding of chronic obstructive pulmonary disease with questionnaire, peak flow measurements and spirometry : a cross-sectional study. In: BMC Research Notes. 2014 ; Vol. 7.
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abstract = "BACKGROUND: Spirometry is commonly accepted as the gold standard for the diagnosis of COPD, but the reality remains that quality assured spirometry is not or cannot be provided universally around the globe. Adding PEF measurement to a screening questionnaire may rule out airflow limitation compatible with COPD rationalizing spirometry testing.METHODS: We conducted a cross-sectional survey in a sample of individuals 40-80 yrs. old in Dubai, UAE. They were invited to answer a short socio-demographic questionnaire including a report on current, past history of smoking, and had PEF measured, then they conducted spirometry to identify airflow limitation compatible with COPD.RESULTS: Overall, 525 (91.0{\%}) participants performed PEF and spirometry (68{\%} male, with a mean age of 59 years, 17{\%} UAE Nationals), 24{\%} reported smoking of different sorts. Overall, 68 participants (12.9{\%}, 95{\%} C.I. 10.3{\%} to 16.1{\%}) had airflow limitation compatible with COPD. PEFR alone identified 141 participants with airflow limitation compatible with COPD, with specificity of 80{\%} and sensitivity of 73.5{\%}.CONCLUSIONS: PEFR could be an easy, cheap, and non-biased tool to assist with the case-finding of COPD before confirmation with spirometry.",
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T2 - a cross-sectional study

AU - Mahboub, Bassam

AU - Alzaabi, Ashraf

AU - Soriano, Joan B

AU - Salameh, Laila

AU - Mutairi, Yousef A L

AU - Yusufali, Afzalhussein A

AU - Alsheikh-ali, Alawi

AU - Almahmeed, Wael

AU - Haughney, John

PY - 2014

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N2 - BACKGROUND: Spirometry is commonly accepted as the gold standard for the diagnosis of COPD, but the reality remains that quality assured spirometry is not or cannot be provided universally around the globe. Adding PEF measurement to a screening questionnaire may rule out airflow limitation compatible with COPD rationalizing spirometry testing.METHODS: We conducted a cross-sectional survey in a sample of individuals 40-80 yrs. old in Dubai, UAE. They were invited to answer a short socio-demographic questionnaire including a report on current, past history of smoking, and had PEF measured, then they conducted spirometry to identify airflow limitation compatible with COPD.RESULTS: Overall, 525 (91.0%) participants performed PEF and spirometry (68% male, with a mean age of 59 years, 17% UAE Nationals), 24% reported smoking of different sorts. Overall, 68 participants (12.9%, 95% C.I. 10.3% to 16.1%) had airflow limitation compatible with COPD. PEFR alone identified 141 participants with airflow limitation compatible with COPD, with specificity of 80% and sensitivity of 73.5%.CONCLUSIONS: PEFR could be an easy, cheap, and non-biased tool to assist with the case-finding of COPD before confirmation with spirometry.

AB - BACKGROUND: Spirometry is commonly accepted as the gold standard for the diagnosis of COPD, but the reality remains that quality assured spirometry is not or cannot be provided universally around the globe. Adding PEF measurement to a screening questionnaire may rule out airflow limitation compatible with COPD rationalizing spirometry testing.METHODS: We conducted a cross-sectional survey in a sample of individuals 40-80 yrs. old in Dubai, UAE. They were invited to answer a short socio-demographic questionnaire including a report on current, past history of smoking, and had PEF measured, then they conducted spirometry to identify airflow limitation compatible with COPD.RESULTS: Overall, 525 (91.0%) participants performed PEF and spirometry (68% male, with a mean age of 59 years, 17% UAE Nationals), 24% reported smoking of different sorts. Overall, 68 participants (12.9%, 95% C.I. 10.3% to 16.1%) had airflow limitation compatible with COPD. PEFR alone identified 141 participants with airflow limitation compatible with COPD, with specificity of 80% and sensitivity of 73.5%.CONCLUSIONS: PEFR could be an easy, cheap, and non-biased tool to assist with the case-finding of COPD before confirmation with spirometry.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Cross-Sectional Studies

KW - Female

KW - Forced Expiratory Volume

KW - Humans

KW - Male

KW - Middle Aged

KW - Peak Expiratory Flow Rate

KW - Pulmonary Disease, Chronic Obstructive

KW - Smoking

KW - Spirometry

KW - Surveys and Questionnaires

KW - United Arab Emirates

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DO - 10.1186/1756-0500-7-241

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JO - BMC Research Notes

JF - BMC Research Notes

SN - 1756-0500

M1 - 241

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