Undiagnosed chronic obstructive pulmonary disease in patients admitted to an acute assessment unit

Karin D. Eikhof, Kristine R. Olsen, N. C.H. Wrengler, Carl Nielsen, Uffe Bodtger, Ingrid L. Titlestad, Ulla M. Weinreich*

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstrakt

Introduction: Chronic obstructive pulmonary disease (COPD) is very prevalent worldwide, yet underdiagnosed. Aim: This study investigates feasibility of performing spirometry in patients in need of acute hospital admission as well as the prevalence of undiagnosed COPD in the same cohort. Methods: During a two-week period, all patients admitted to three large acute assessment units were evaluated. Patients ≥ 18 years, able to perform spirometry, with no surgery to the thorax or abdomen within the last weeks and no known COPD was included. Patients with FEV1/FEV6 ≤ 0.7 or FEV1 < 80% or FEV6 < 80% were offered follow-up visit after 6 weeks. Results: Of the 1145 admitted patients, 46%were eligible: 28%of those had an abnormal spirometry. The offered follow-up visit was attended by 51% and in this group 17% were diagnosed with lung disease. COPD was the most prevalent diagnosis (73%), and 2/3 was in GOLD group A. In total, 75%of the patients with airflow obstruction at the initial examination remained obstructive. Conclusion: Performing spirometry in patients in need of acute hospital admission is feasible, abnormal findings are common, and COPD is the most prevalent diagnosis.

OriginalsprogEngelsk
Artikelnummer1292376
TidsskriftEuropean Clinical Respiratory Journal
Vol/bind4
Udgave nummer1
DOI
StatusUdgivet - 1 jan. 2017

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