A combination of the IPAG questionnaire and PiKo-6® flow meter is a valuable screening tool for COPD in the primary care setting

被引：75

作者：

Sichletidis, Lazaros ^{[1
]}

Spyratos, Dionisios ^{[1
]}

Papaioannou, Maria ^{[1
]}

Chloros, Diamantis ^{[1
]}

Tsiotsios, Anastasios ^{[1
]}

Tsagaraki, Vasiliki ^{[1
]}

Haidich, Anna-Bettina ^{[1
]}

机构：

[1] Aristotle Univ Thessaloniki, G Papanikolaou Hosp, Dept Pulm, Thessaloniki 57010, Greece

来源：

PRIMARY CARE RESPIRATORY JOURNAL | 2011年 / 20卷 / 02期

关键词：

COPD; diagnosis; primary care; screening; IPAG questionnaire; PiKo-6 (R); AIRWAY-OBSTRUCTION; OFFICE SPIROMETRY; GENERAL-PRACTICE; FEV6; UNDERDIAGNOSIS; PREVALENCE; MANAGEMENT; DIAGNOSIS; FVC;

D O I：

10.4104/pcrj.2011.00038

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Aims: To investigate the validity of the International Primary Care Airways Guidelines (IPAG) questionnaire and PiKo-6 (R) (Ferraris Respiratory Europe Ltd.) flow meter as screening tools for diagnosing chronic obstructive pulmonary disease (COPD) in the primary care setting. Methods: The first 50 patients in 25 general practice offices completed the IPAG questionnaire and underwent spirometry with the hand-held PiKo-6 (R) flow meter. The results were compared with official spirometry parameters after bronchodilation. All participants had no previous medical diagnosis of respiratory diseases. Results: Data from 1,078 out of 1,250 subjects (462 males, mean age 65.3 +/- 11.4 years) were analysed. The percentage of smokers was 48.4% (38 +/- 29 pack-years). COPD was diagnosed in 111 (10.3%) patients. In the subgroup of smokers the sensitivity and specificity for COPD diagnosis were 91% and 49%, respectively, for the IPAG questionnaire; 80% and 95% respectively for the PiKo-6 (R) spirometer; and 72% and 97% for their combination. The negative predictive value of the questionnaire was 97%, whereas the positive predictive value of the questionnaire/PiKo-6 (R) combination was 82%. Using a cut-off score of 19 points for the IPAG questionnaire, we calculated the best combination of sensitivity (75%) and specificity (72%). Conclusions: The IPAG questionnaire and the hand-held PiKo-6 (R) spirometer can be used in combination to increase the possibility of an early and accurate diagnosis of COPD in the primary care setting. (C) 2011 Primary Care Respiratory Society UK. All rights reserved. L Sichletidis et al. Prim Care Respir J 2011; 20(2): 184-189 doi:10.4104/pcrj.2011.00038

引用

页码：184 / 189

页数：6

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