Usefulness of spirometry in hospitalized patients with Chronic Obstructive Pulmonary Disease (COPD) exacerbated

被引：0

作者：

Hernandez-Ruiz, Alfredo ^{[1
]}

Jose Ortega, Hector ^{[2
]}

Camilo Aguirre-Acevedo, Daniel ^{[3
]}

机构：

[1] Unidad Invest Clin Somer, Rionegro, Colombia

[2] Clin Cardio VID, Neumol, Medellin, Colombia

[3] Univ Antioquia, Inst Invest Med, Grp Acad Epidemiol Clin, Medellin, Colombia

来源：

IATREIA | 2020年 / 33卷 / 04期

关键词：

Hospitalization; Pulmonary Disease; Chronic Obstructive; Recurrence; Spirometry; RECOVERY; FLOW;

D O I：

10.17533/udea.iatreia.59

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Spirometry is the standard test to confirm the diagnosis of Chronic Obstructive Pulmonary Disease (COPD). In hospitalization services it is common to find patients admitted with suspicion of this condition during an exacerbation. Based on current guidelines, there is controversy about use or not spirometry in this setting. Objective: To review the diagnostic utility of spirometry in hospitalized patients with suspected exacerbated COPD. Development: A non-systematic review was carried out until November 2019. The databases consulted were PubMed, Cochrane, EMBASE, LILACS, Google Scholar. Prospective studies were included, in patients over 18 years of age, in English and Spanish. Were found 573 articles and 20 relevant articles were selected for discussion. Conclusions: In hospitalized patients with suspected exacerbated COPD, spirometry is a useful tool to confirm the diagnosis. The time to perform it would be prior to discharge, once the patient is stable. Of note, FEV1 would not be useful for establishing severity.

引用

页码：341 / 347

页数：7

共 25 条

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