Eikhof Karin D, Olsen Kristine R, Wrengler N C H, Nielsen Carl, Bodtger Uffe, Titlestad Ingrid L, Weinreich Ulla M
The Acute Assessment Unit, Aalborg University Hospital , Aalborg, Denmark.
Department of Respiratory Medicine, Naestved Hospital , Naestved, Denmark.
Eur Clin Respir J. 2017 Mar 8;4(1):1292376. doi: 10.1080/20018525.2017.1292376. eCollection 2017.
: Chronic obstructive pulmonary disease (COPD) is very prevalent worldwide, yet underdiagnosed. : 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. : 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. : 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. : Performing spirometry in patients in need of acute hospital admission is feasible, abnormal findings are common, and COPD is the most prevalent diagnosis.
慢性阻塞性肺疾病（COPD）在全球范围内非常普遍，但诊断不足。本研究调查了在需要急性住院治疗的患者中进行肺活量测定的可行性以及同一队列中未诊断出的COPD的患病率。在为期两周的时间里，对所有入住三个大型急性评估单元的患者进行了评估。纳入年龄≥18岁、能够进行肺活量测定、在过去几周内未进行胸部或腹部手术且无已知COPD的患者。FEV1/FEV6≤0.7或FEV1<80%或FEV6<80%的患者在6周后接受随访。在1145名入院患者中，46%符合条件：其中28%的患者肺活量测定结果异常。51%的患者参加了提供的随访，在该组中17%被诊断患有肺部疾病。COPD是最常见的诊断（73%），且三分之二属于GOLD A组。总体而言，初次检查时存在气流受限的患者中有75%仍存在气流受限。在需要急性住院治疗的患者中进行肺活量测定是可行的，异常结果很常见，且COPD是最常见的诊断。
