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Prim Care Respir J. 2008 Dec;17(4):226-31. doi: 10.3132/pcrj.2008.00053.

Asthma Programme in Finland: the quality of primary care spirometry is good.

Author information

1
Pulmonary Department, Seinajoki Central Hospital, Seinajoki, Finland. leena.tuomisto@gmail.com

Erratum in

  • Prim Care Respir J. 2009 Sep;18(3):184.

Abstract

AIMS:

To assess the quality of primary care spirometry by visual inspection of the flow-volume expiratory curve and to study the quantity of clinical information provided on the spirometry report sheets.

METHODS:

Retrospective audit of 868 expiratory flow-volume curves referred to three pulmonary clinics assessed against five predefined quality criteria. Clinical information included on the spirometry report sheets was also collected.

RESULTS:

Quality was good in 78% of pre-bronchodilation curves and in 80% of post-bronchodilation curves. Obtaining a sharp PEF value and full vital capacity exhalation seemed to be the critical points of measurement. Inter-rater reliability of the curve assessment was mainly good. Data on where the spirometry took place, and comments on the use of respiratory medication and patient co-operation were often lacking.

CONCLUSIONS:

The quality of primary care spirometry was good. Adequate clinical information on the report sheets would further improve the quality of this diagnostic process.

Comment in

PMID:
18830519
DOI:
10.3132/pcrj.2008.00053
[Indexed for MEDLINE]
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