Validation of FEV6 in the elderly: correlates of performance and repeatability
Background:Forced expiratory volume in 6 s (FEV6) has been proposed as a more easily measurable parameter than forced vital capacity (FVC) to diagnose airway disease using spirometry. A study was undertaken to estimate FEV6 repeatability, to identify correlates of a good quality FEV6 measurement and...
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| Veröffentlicht in: | Thorax 2008-01, Vol.63 (1), p.60-66 |
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| creator | Bellia, V Sorino, C Catalano, F Augugliaro, G Scichilone, N Pistelli, R Pedone, C Antonelli-Incalzi, R |
| description | Background:Forced expiratory volume in 6 s (FEV6) has been proposed as a more easily measurable parameter than forced vital capacity (FVC) to diagnose airway disease using spirometry. A study was undertaken to estimate FEV6 repeatability, to identify correlates of a good quality FEV6 measurement and of volumetric differences between FEV6 and FVC in elderly patients.Methods:1531 subjects aged 65–100 years enrolled in the SA.R.A project (a cross-sectional multicentre non-interventional study) were examined. FEV6 was measured on volume-time curves that achieved satisfactory start-of-test and end-of-test criteria. Correlates of FEV6 achievement were assessed by logistic regression.Results:Valid FEV6 and FVC measurements were obtained in 82.9% and 56.9%, respectively, of spirometric tests with an acceptable start-of-test criterion. Female sex, older age, lower educational level, depression, cognitive impairment and lung restriction independently affected the achievement of FEV6 measurement. Good repeatability (difference between the best two values |
| doi_str_mv | 10.1136/thx.2007.080572 |
| format | Article |
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A study was undertaken to estimate FEV6 repeatability, to identify correlates of a good quality FEV6 measurement and of volumetric differences between FEV6 and FVC in elderly patients.Methods:1531 subjects aged 65–100 years enrolled in the SA.R.A project (a cross-sectional multicentre non-interventional study) were examined. FEV6 was measured on volume-time curves that achieved satisfactory start-of-test and end-of-test criteria. Correlates of FEV6 achievement were assessed by logistic regression.Results:Valid FEV6 and FVC measurements were obtained in 82.9% and 56.9%, respectively, of spirometric tests with an acceptable start-of-test criterion. Female sex, older age, lower educational level, depression, cognitive impairment and lung restriction independently affected the achievement of FEV6 measurement. Good repeatability (difference between the best two values <150 ml) was found in 91.9% of tests for FEV6 and in 86% for FVC; the corresponding figures in patients with airway obstruction were 94% and 78.4%. Both FEV6 and FVC repeatability were affected by male sex and lower education. Male sex, airway obstruction and smoking habit were independently associated with greater volumetric differences between FEV6 and FVC.Conclusions:In elderly patients, FEV6 measurements are more easily achievable and more reproducible than FVC although 1/6 patients in this population were unable to achieve them.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thx.2007.080572</identifier><identifier>PMID: 17702791</identifier><identifier>CODEN: THORA7</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Thoracic Society</publisher><subject>Aged ; Aged, 80 and over ; Airway management ; Biological and medical sciences ; Bronchial Diseases - diagnosis ; Cardiology. Vascular system ; Cross-Sectional Studies ; Forced Expiratory Volume ; Humans ; Medical sciences ; Pneumology ; Reproducibility of Results ; Respiratory diseases ; Vital Capacity</subject><ispartof>Thorax, 2008-01, Vol.63 (1), p.60-66</ispartof><rights>2008 BMJ Publishing Group and British Thoracic Society</rights><rights>2008 INIST-CNRS</rights><rights>Copyright: 2008 2008 BMJ Publishing Group and British Thoracic Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b533t-c853aefeaa0c09b1ed4d0bce4784a9d06f1566ad9e07b2e9ec61140997547ed63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://thorax.bmj.com/content/63/1/60.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://thorax.bmj.com/content/63/1/60.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,4010,23550,27900,27901,27902,77343,77374</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19954473$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17702791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bellia, V</creatorcontrib><creatorcontrib>Sorino, C</creatorcontrib><creatorcontrib>Catalano, F</creatorcontrib><creatorcontrib>Augugliaro, G</creatorcontrib><creatorcontrib>Scichilone, N</creatorcontrib><creatorcontrib>Pistelli, R</creatorcontrib><creatorcontrib>Pedone, C</creatorcontrib><creatorcontrib>Antonelli-Incalzi, R</creatorcontrib><title>Validation of FEV6 in the elderly: correlates of performance and repeatability</title><title>Thorax</title><addtitle>Thorax</addtitle><description>Background:Forced expiratory volume in 6 s (FEV6) has been proposed as a more easily measurable parameter than forced vital capacity (FVC) to diagnose airway disease using spirometry. A study was undertaken to estimate FEV6 repeatability, to identify correlates of a good quality FEV6 measurement and of volumetric differences between FEV6 and FVC in elderly patients.Methods:1531 subjects aged 65–100 years enrolled in the SA.R.A project (a cross-sectional multicentre non-interventional study) were examined. FEV6 was measured on volume-time curves that achieved satisfactory start-of-test and end-of-test criteria. Correlates of FEV6 achievement were assessed by logistic regression.Results:Valid FEV6 and FVC measurements were obtained in 82.9% and 56.9%, respectively, of spirometric tests with an acceptable start-of-test criterion. Female sex, older age, lower educational level, depression, cognitive impairment and lung restriction independently affected the achievement of FEV6 measurement. Good repeatability (difference between the best two values <150 ml) was found in 91.9% of tests for FEV6 and in 86% for FVC; the corresponding figures in patients with airway obstruction were 94% and 78.4%. Both FEV6 and FVC repeatability were affected by male sex and lower education. Male sex, airway obstruction and smoking habit were independently associated with greater volumetric differences between FEV6 and FVC.Conclusions:In elderly patients, FEV6 measurements are more easily achievable and more reproducible than FVC although 1/6 patients in this population were unable to achieve them.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Airway management</subject><subject>Biological and medical sciences</subject><subject>Bronchial Diseases - diagnosis</subject><subject>Cardiology. Vascular system</subject><subject>Cross-Sectional Studies</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pneumology</subject><subject>Reproducibility of Results</subject><subject>Respiratory diseases</subject><subject>Vital Capacity</subject><issn>0040-6376</issn><issn>1468-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0EGL1DAUwPEgijuunr1JQfQgdPalSfMabzLuugu7I4jONaTNK9sxbcckAzvf3g4dXNiLpxzye4_Hn7G3HJacC3WR7h-WBQAuoYISi2dswaWqclFo9ZwtACTkSqA6Y69i3AJAxTm-ZGccEQrUfMHWG-s7Z1M3DtnYZleXG5V1Q5buKSPvKPjD56wZQyBvE8Uj2VFox9DboaHMDi4LtCObbN35Lh1esxet9ZHenN5z9uvq8ufqOr_9_u1m9eU2r0shUt5UpbDUkrXQgK45OemgbkhiJa12oFpeKmWdJsC6IE2N4lyC1lhKJKfEOfs4792F8c-eYjJ9Fxvy3g407qNB4EoqLif4_gncjvswTLcZjhVHhargk7qYVRPGGAO1Zhe63oaD4WCOoc0U2hxDmzn0NPHutHdf9-Qe_ansBD6cgI2N9W2YgnXx0WldSolicvnsupjo4d-_Db-NQoGlWW9W5uuPu7XQKM3Rf5p93W__e-VfXAqhVQ</recordid><startdate>200801</startdate><enddate>200801</enddate><creator>Bellia, V</creator><creator>Sorino, C</creator><creator>Catalano, F</creator><creator>Augugliaro, G</creator><creator>Scichilone, N</creator><creator>Pistelli, R</creator><creator>Pedone, C</creator><creator>Antonelli-Incalzi, R</creator><general>BMJ Publishing Group Ltd and British Thoracic Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200801</creationdate><title>Validation of FEV6 in the elderly: correlates of performance and repeatability</title><author>Bellia, V ; Sorino, C ; Catalano, F ; Augugliaro, G ; Scichilone, N ; Pistelli, R ; Pedone, C ; Antonelli-Incalzi, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b533t-c853aefeaa0c09b1ed4d0bce4784a9d06f1566ad9e07b2e9ec61140997547ed63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Airway management</topic><topic>Biological and medical sciences</topic><topic>Bronchial Diseases - diagnosis</topic><topic>Cardiology. Vascular system</topic><topic>Cross-Sectional Studies</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Pneumology</topic><topic>Reproducibility of Results</topic><topic>Respiratory diseases</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bellia, V</creatorcontrib><creatorcontrib>Sorino, C</creatorcontrib><creatorcontrib>Catalano, F</creatorcontrib><creatorcontrib>Augugliaro, G</creatorcontrib><creatorcontrib>Scichilone, N</creatorcontrib><creatorcontrib>Pistelli, R</creatorcontrib><creatorcontrib>Pedone, C</creatorcontrib><creatorcontrib>Antonelli-Incalzi, R</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Thorax</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bellia, V</au><au>Sorino, C</au><au>Catalano, F</au><au>Augugliaro, G</au><au>Scichilone, N</au><au>Pistelli, R</au><au>Pedone, C</au><au>Antonelli-Incalzi, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation of FEV6 in the elderly: correlates of performance and repeatability</atitle><jtitle>Thorax</jtitle><addtitle>Thorax</addtitle><date>2008-01</date><risdate>2008</risdate><volume>63</volume><issue>1</issue><spage>60</spage><epage>66</epage><pages>60-66</pages><issn>0040-6376</issn><eissn>1468-3296</eissn><coden>THORA7</coden><abstract>Background:Forced expiratory volume in 6 s (FEV6) has been proposed as a more easily measurable parameter than forced vital capacity (FVC) to diagnose airway disease using spirometry. A study was undertaken to estimate FEV6 repeatability, to identify correlates of a good quality FEV6 measurement and of volumetric differences between FEV6 and FVC in elderly patients.Methods:1531 subjects aged 65–100 years enrolled in the SA.R.A project (a cross-sectional multicentre non-interventional study) were examined. FEV6 was measured on volume-time curves that achieved satisfactory start-of-test and end-of-test criteria. Correlates of FEV6 achievement were assessed by logistic regression.Results:Valid FEV6 and FVC measurements were obtained in 82.9% and 56.9%, respectively, of spirometric tests with an acceptable start-of-test criterion. Female sex, older age, lower educational level, depression, cognitive impairment and lung restriction independently affected the achievement of FEV6 measurement. Good repeatability (difference between the best two values <150 ml) was found in 91.9% of tests for FEV6 and in 86% for FVC; the corresponding figures in patients with airway obstruction were 94% and 78.4%. Both FEV6 and FVC repeatability were affected by male sex and lower education. Male sex, airway obstruction and smoking habit were independently associated with greater volumetric differences between FEV6 and FVC.Conclusions:In elderly patients, FEV6 measurements are more easily achievable and more reproducible than FVC although 1/6 patients in this population were unable to achieve them.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Thoracic Society</pub><pmid>17702791</pmid><doi>10.1136/thx.2007.080572</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Thorax, 2008-01, Vol.63 (1), p.60-66 |
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| source | MEDLINE; BMJ Journals - NESLi2; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Airway management Biological and medical sciences Bronchial Diseases - diagnosis Cardiology. Vascular system Cross-Sectional Studies Forced Expiratory Volume Humans Medical sciences Pneumology Reproducibility of Results Respiratory diseases Vital Capacity |
| title | Validation of FEV6 in the elderly: correlates of performance and repeatability |
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