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Development of a simple screening tool for opportunistic COPD case finding in primary care in Latin America: The PUMA study
- Source :
- Respirology. 21:1227-1234
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- Background and objective Opportunistic chronic obstructive pulmonary disease (COPD) case finding approaches for high-risk individuals with or without symptoms is a feasible option for disease identification. PUMA is an opportunistic case finding study conducted in primary care setting of Argentina, Colombia, Venezuela and Uruguay. The objectives were to measure COPD prevalence in an at-risk population visiting primary care for any reason, to assess the yield of this opportunistic approach and the accuracy of a score developed to detect COPD. Methods Subjects attending routine primary care visits, ≥40 years of age, current or former smokers or exposed to biomass smoke, completed a questionnaire and performed spirometry. COPD was defined as post-bronchodilator (post-BD) forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) 30 pack-years), with dyspnoea, and having prior spirometry. A simple score and a weighted score constructed using the following predictive factors: gender, age, pack-years smoking, dyspnoea, sputum, cough and spirometry, had a mean accuracy for detecting COPD (post-BD FEV1/FVC
- Subjects :
- Pulmonary and Respiratory Medicine
Spirometry
medicine.medical_specialty
COPD
Vital capacity
education.field_of_study
medicine.diagnostic_test
business.industry
Population
medicine.disease
respiratory tract diseases
03 medical and health sciences
FEV1/FVC ratio
0302 clinical medicine
030228 respiratory system
Internal medicine
Epidemiology
Physical therapy
Medicine
Sputum
030212 general & internal medicine
medicine.symptom
business
education
Mass screening
Subjects
Details
- ISSN :
- 13237799
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Respirology
- Accession number :
- edsair.doi...........68ed3cc5b838e451deaa2bc2b2710089