Airway Obstruction Is Common but Unsuspected in Patients Admitted to a General Medicine Service
Obstructive lung disease (OLD) is a worldwide health problem with major impact on health and economics, and can be easily diagnosed by spirometry. Recent expert panels have emphasized the underreporting and underrecognition of this condition. The goal of this study was to measure the prevalence of a...
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| Veröffentlicht in: | Chest 2004-01, Vol.125 (1), p.106-111 |
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| creator | Zaas, David Wise, Robert Wiener, Charles |
| description | Obstructive lung disease (OLD) is a worldwide health problem with major impact on health and economics, and can be easily diagnosed by spirometry. Recent expert panels have emphasized the underreporting and underrecognition of this condition. The goal of this study was to measure the prevalence of airway obstruction in patients admitted to an urban teaching hospital and to determine the frequency of a diagnosis of OLD at admission or discharge.
Prospective study of 153 patients admitted to a medicine service at the Johns Hopkins Hospital in Baltimore, MD. Patients completed bedside spirometry and a questionnaire.
Twenty-six percent of patients had airway obstruction (FEV1/FVC < 70%), including 6% with a very severe airway obstruction (FEV1 < 30% predicted). At hospital discharge, a clinical diagnosis of OLD was present in only 33% of patients with mild airway obstruction (FEV1 > 70% predicted), 30% of patients with moderate airway obstruction (FEV1 50 to 69% predicted), 33% of patients with severe airway obstruction (FEV1 30 to 49% predicted), and 89% of patients with very severe airway obstruction (FEV1 < 30% predicted). Only 40% of patients with airway obstruction were receiving bronchodilator medication at hospital admission or discharge.
Airway obstruction is common in hospitalized patients and is usually undiagnosed and untreated. Spirometry may be a useful component of the examination of hospitalized medical patients to identify OLD. |
| doi_str_mv | 10.1378/chest.125.1.106 |
| format | Article |
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Prospective study of 153 patients admitted to a medicine service at the Johns Hopkins Hospital in Baltimore, MD. Patients completed bedside spirometry and a questionnaire.
Twenty-six percent of patients had airway obstruction (FEV1/FVC < 70%), including 6% with a very severe airway obstruction (FEV1 < 30% predicted). At hospital discharge, a clinical diagnosis of OLD was present in only 33% of patients with mild airway obstruction (FEV1 > 70% predicted), 30% of patients with moderate airway obstruction (FEV1 50 to 69% predicted), 33% of patients with severe airway obstruction (FEV1 30 to 49% predicted), and 89% of patients with very severe airway obstruction (FEV1 < 30% predicted). Only 40% of patients with airway obstruction were receiving bronchodilator medication at hospital admission or discharge.
Airway obstruction is common in hospitalized patients and is usually undiagnosed and untreated. Spirometry may be a useful component of the examination of hospitalized medical patients to identify OLD.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.125.1.106</identifier><identifier>PMID: 14718428</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Airway management ; airway obstruction ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Asthma ; Biological and medical sciences ; Cardiology. Vascular system ; Comorbidity ; COPD ; Drug use ; Family Practice ; Female ; FEV1 ; Forced Expiratory Volume ; FVC ; Hospitals, Urban ; Humans ; Lung diseases ; Lung Diseases, Obstructive - diagnosis ; Lung Diseases, Obstructive - epidemiology ; Male ; Medical sciences ; Middle Aged ; Mortality ; obstructive lung disease ; Patient Admission ; Patients ; Physicians ; Pneumology ; Primary care ; Questionnaires ; Spirometry ; Surveys and Questionnaires ; Teaching hospitals ; Vital Capacity</subject><ispartof>Chest, 2004-01, Vol.125 (1), p.106-111</ispartof><rights>2004 The American College of Chest Physicians</rights><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2004 Elsevier B.V.</rights><rights>Copyright American College of Chest Physicians Jan 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-ff09e6f10fb6e7b246edbdd40a7076357fbebf36935d3abf4e608780ae0035903</citedby><cites>FETCH-LOGICAL-c517t-ff09e6f10fb6e7b246edbdd40a7076357fbebf36935d3abf4e608780ae0035903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15657900$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14718428$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zaas, David</creatorcontrib><creatorcontrib>Wise, Robert</creatorcontrib><creatorcontrib>Wiener, Charles</creatorcontrib><creatorcontrib>for the Longcope Spirometry Investigation Team</creatorcontrib><creatorcontrib>Longcope Spirometry Invetigation Team</creatorcontrib><title>Airway Obstruction Is Common but Unsuspected in Patients Admitted to a General Medicine Service</title><title>Chest</title><addtitle>Chest</addtitle><description>Obstructive lung disease (OLD) is a worldwide health problem with major impact on health and economics, and can be easily diagnosed by spirometry. Recent expert panels have emphasized the underreporting and underrecognition of this condition. The goal of this study was to measure the prevalence of airway obstruction in patients admitted to an urban teaching hospital and to determine the frequency of a diagnosis of OLD at admission or discharge.
Prospective study of 153 patients admitted to a medicine service at the Johns Hopkins Hospital in Baltimore, MD. Patients completed bedside spirometry and a questionnaire.
Twenty-six percent of patients had airway obstruction (FEV1/FVC < 70%), including 6% with a very severe airway obstruction (FEV1 < 30% predicted). At hospital discharge, a clinical diagnosis of OLD was present in only 33% of patients with mild airway obstruction (FEV1 > 70% predicted), 30% of patients with moderate airway obstruction (FEV1 50 to 69% predicted), 33% of patients with severe airway obstruction (FEV1 30 to 49% predicted), and 89% of patients with very severe airway obstruction (FEV1 < 30% predicted). Only 40% of patients with airway obstruction were receiving bronchodilator medication at hospital admission or discharge.
Airway obstruction is common in hospitalized patients and is usually undiagnosed and untreated. Spirometry may be a useful component of the examination of hospitalized medical patients to identify OLD.</description><subject>Airway management</subject><subject>airway obstruction</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Asthma</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Comorbidity</subject><subject>COPD</subject><subject>Drug use</subject><subject>Family Practice</subject><subject>Female</subject><subject>FEV1</subject><subject>Forced Expiratory Volume</subject><subject>FVC</subject><subject>Hospitals, Urban</subject><subject>Humans</subject><subject>Lung diseases</subject><subject>Lung Diseases, Obstructive - diagnosis</subject><subject>Lung Diseases, Obstructive - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>obstructive lung disease</subject><subject>Patient Admission</subject><subject>Patients</subject><subject>Physicians</subject><subject>Pneumology</subject><subject>Primary care</subject><subject>Questionnaires</subject><subject>Spirometry</subject><subject>Surveys and Questionnaires</subject><subject>Teaching hospitals</subject><subject>Vital Capacity</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kk1v1DAQhiMEokvhzA1ZSHDLdhwnTnJcrUqpVFQk6Nly7PGuq8RZbKdV_z1eEmkRKvLB9uiZz3ey7D2FNWV1c6H2GOKaFtWarinwF9mKtozmrCrZy2wFQIuc8bY4y96EcA_pT1v-OjujZU2bsmhWmdhY_yifyG0Xop9UtKMj14Fsx2FIr26K5M6FKRxQRdTEOvJdRosuBrLRg41HYxyJJFfo0MuefENtlXVIfqB_sArfZq-M7AO-W-7z7O7L5c_t1_zm9up6u7nJVUXrmBsDLXJDwXQc664oOepO6xJkDTVnVW067ExqhVWayc6UyKGpG5AIwKoW2Hn2eY578OOvKQ1FDDYo7HvpcJyCaABa2kKdwI__gPfj5F2qTRQAJaMVFAnKZ2gnexTWmTF6qXZzj6NDY5N5Q2mRMrOGJ379DJ-OxsGqZx0uZgflxxA8GnHwdpD-SVAQR2XFH2VFUlbQZDt6fFjqnroB9YlfpEzApwWQQcneeOmUDSeu4lXdApxS7-1u_2g9ijDIvk9h2Zx0mcffqdvZA5OADxa9CCrtgEpS-7QXQo_2v2X_Bqcqz-g</recordid><startdate>200401</startdate><enddate>200401</enddate><creator>Zaas, David</creator><creator>Wise, Robert</creator><creator>Wiener, Charles</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><general>Elsevier B.V</general><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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200401</creationdate><title>Airway Obstruction Is Common but Unsuspected in Patients Admitted to a General Medicine Service</title><author>Zaas, David ; Wise, Robert ; Wiener, Charles</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-ff09e6f10fb6e7b246edbdd40a7076357fbebf36935d3abf4e608780ae0035903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Airway management</topic><topic>airway obstruction</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Asthma</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Comorbidity</topic><topic>COPD</topic><topic>Drug use</topic><topic>Family Practice</topic><topic>Female</topic><topic>FEV1</topic><topic>Forced Expiratory Volume</topic><topic>FVC</topic><topic>Hospitals, Urban</topic><topic>Humans</topic><topic>Lung diseases</topic><topic>Lung Diseases, Obstructive - diagnosis</topic><topic>Lung Diseases, Obstructive - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>obstructive lung disease</topic><topic>Patient Admission</topic><topic>Patients</topic><topic>Physicians</topic><topic>Pneumology</topic><topic>Primary care</topic><topic>Questionnaires</topic><topic>Spirometry</topic><topic>Surveys and Questionnaires</topic><topic>Teaching hospitals</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zaas, David</creatorcontrib><creatorcontrib>Wise, Robert</creatorcontrib><creatorcontrib>Wiener, Charles</creatorcontrib><creatorcontrib>for the Longcope Spirometry Investigation Team</creatorcontrib><creatorcontrib>Longcope Spirometry Invetigation Team</creatorcontrib><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>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</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>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zaas, David</au><au>Wise, Robert</au><au>Wiener, Charles</au><aucorp>for the Longcope Spirometry Investigation Team</aucorp><aucorp>Longcope Spirometry Invetigation Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Airway Obstruction Is Common but Unsuspected in Patients Admitted to a General Medicine Service</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2004-01</date><risdate>2004</risdate><volume>125</volume><issue>1</issue><spage>106</spage><epage>111</epage><pages>106-111</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Obstructive lung disease (OLD) is a worldwide health problem with major impact on health and economics, and can be easily diagnosed by spirometry. Recent expert panels have emphasized the underreporting and underrecognition of this condition. The goal of this study was to measure the prevalence of airway obstruction in patients admitted to an urban teaching hospital and to determine the frequency of a diagnosis of OLD at admission or discharge.
Prospective study of 153 patients admitted to a medicine service at the Johns Hopkins Hospital in Baltimore, MD. Patients completed bedside spirometry and a questionnaire.
Twenty-six percent of patients had airway obstruction (FEV1/FVC < 70%), including 6% with a very severe airway obstruction (FEV1 < 30% predicted). At hospital discharge, a clinical diagnosis of OLD was present in only 33% of patients with mild airway obstruction (FEV1 > 70% predicted), 30% of patients with moderate airway obstruction (FEV1 50 to 69% predicted), 33% of patients with severe airway obstruction (FEV1 30 to 49% predicted), and 89% of patients with very severe airway obstruction (FEV1 < 30% predicted). Only 40% of patients with airway obstruction were receiving bronchodilator medication at hospital admission or discharge.
Airway obstruction is common in hospitalized patients and is usually undiagnosed and untreated. Spirometry may be a useful component of the examination of hospitalized medical patients to identify OLD.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>14718428</pmid><doi>10.1378/chest.125.1.106</doi><tpages>6</tpages></addata></record> |
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| subjects | Airway management airway obstruction Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Asthma Biological and medical sciences Cardiology. Vascular system Comorbidity COPD Drug use Family Practice Female FEV1 Forced Expiratory Volume FVC Hospitals, Urban Humans Lung diseases Lung Diseases, Obstructive - diagnosis Lung Diseases, Obstructive - epidemiology Male Medical sciences Middle Aged Mortality obstructive lung disease Patient Admission Patients Physicians Pneumology Primary care Questionnaires Spirometry Surveys and Questionnaires Teaching hospitals Vital Capacity |
| title | Airway Obstruction Is Common but Unsuspected in Patients Admitted to a General Medicine Service |
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