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

doi:10.1186/1756-0500-7-241

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

Applied Health Sciences

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19 Citations (Scopus)

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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.

Original language	English
Article number	241
Journal	BMC Research Notes
Volume	7
DOIs	https://doi.org/10.1186/1756-0500-7-241
Publication status	Published - 2014

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

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10.1186/1756-0500-7-241

Case-finding of chronic obstructive pulmonary disease with questionnaire, peak flow measurements and spirometry: a cross-sectional study
© Mahboub et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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Cite this

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title = "Case-finding of chronic obstructive pulmonary disease with questionnaire, peak flow measurements and spirometry: a cross-sectional study",

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.",

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",

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

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journal = "BMC Research Notes",

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T1 - Case-finding of chronic obstructive pulmonary disease with questionnaire, peak flow measurements and spirometry

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

Y1 - 2014

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

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DO - 10.1186/1756-0500-7-241

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SN - 1756-0500

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JO - BMC Research Notes

JF - BMC Research Notes

M1 - 241

ER -

Case-finding of chronic obstructive pulmonary disease with questionnaire, peak flow measurements and spirometry: a cross-sectional study

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