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 Boedtger, Ingrid L Titlestad, Ulla M Weinreich

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Abstract

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.

Original languageEnglish
Article number1292376
JournalEuropean Clinical Respiratory Journal
Volume4
Issue number1
Number of pages6
ISSN2001-8525
DOIs
Publication statusPublished - 2017

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Chronic Obstructive Pulmonary Disease
Feasibility Studies
Lung Diseases

Keywords

  • Chronic obstructive pulmonary disease (COPD)
  • Admission
  • Diagnosis

Cite this

Eikhof, Karin D ; Olsen, Kristine R ; Wrengler, N C H ; Nielsen, Carl ; Boedtger, Uffe ; Titlestad, Ingrid L ; Weinreich, Ulla M. / Undiagnosed chronic obstructive pulmonary disease in patients admitted to an acute assessment unit. In: European Clinical Respiratory Journal. 2017 ; Vol. 4, No. 1.
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abstract = "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.",
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Undiagnosed chronic obstructive pulmonary disease in patients admitted to an acute assessment unit. / Eikhof, Karin D; Olsen, Kristine R; Wrengler, N C H; Nielsen, Carl; Boedtger, Uffe; Titlestad, Ingrid L; Weinreich, Ulla M.

In: European Clinical Respiratory Journal, Vol. 4, No. 1, 1292376, 2017.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Undiagnosed chronic obstructive pulmonary disease in patients admitted to an acute assessment unit

AU - Eikhof, Karin D

AU - Olsen, Kristine R

AU - Wrengler, N C H

AU - Nielsen, Carl

AU - Boedtger, Uffe

AU - Titlestad, Ingrid L

AU - Weinreich, Ulla M

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - Chronic obstructive pulmonary disease (COPD)

KW - Admission

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