Spirometry Screening for Respiratory Obstruction in Asymptomatic Elderly | ||||
| The Egyptian Journal of Geriatrics and Gerontology | ||||
| Article 5, Volume 4, Issue 1, March 2017, Page 19-23 PDF (596.16 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejgg.2017.5349 | ||||
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| Authors | ||||
| Sweed HS1; Taha HM1; Riad M2; E. Abdelhamid1 | ||||
| 1Geriatrics& Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||||
| 2Chest Department; Faculty of Medicine, Ain shams university, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Elderly people are especial ly prone to the adverse heal th ef fects of chronic obst ructive pulmonary disease (COPD) , which is a common disorder in that population. Al though the prevalence and morbidi ty of COPD in the elderly are high, i t is of ten undiagnosed. Aim: To evaluate the prevalence of ai rway obst ruction among asymptomatic elderly. Methods: A cross sectional study was carried over a period of one year where 100 elderly patients aged 60 years and older were recrui ted f rom the outpatiens geriaric cl inic in Ain Shams Universi ty Hospi tal . Each patient underwent detai led history taking including smoking history and medication review, detai led general medical examination and cogni tive assessment by Mini - mental status examination test. Elderly wi th a physician diagnosis of asthma, COPD or another chronic respi rato ry condi tion were excluded. Al l subjects completed spi romet ry testing to diagnose ai rway obst ruction. . Results: The sample included 100 participants wi th a mean age of 64.3±3.1years, 52% male and 48% female, mean body mass index was 29.3 ±1.5 and mean mini mental state examination 24.45± 2.3. As regard smoking 61% never smoked. 9% ex -smoker and 30% current smoker . Spi rometery in the cur rent study demonst rated that 72% had obst ructed ai rway disease (none of them were diagnosed previously to have chronic bron chi tis) classi fied to mi ld, moderate and severe (35%, 33%, 4%) respectively. Conclusions: Spi romet ry screening of asymptomatic elderly may help detection of individuals wi th ai rway obst ruction, who are at high risk of developing COPD. Addi tional data is n ecessary regarding the cl inical benefi t and cost -effective of screening before spi romet ry can be recommended in general practice. Background: Elderly people are especial ly prone to the adverse heal th ef fects of chronic obst ructive pulmonary disease (COPD) , which is a common disorder in that population. Al though the prevalence and morbidi ty of COPD in the elderly are high, i t is of ten undiagnosed. Aim: To evaluate the prevalence of ai rway obst ruction among asymptomatic elderly. Methods: A cross sectional study was carried over a period of one year where 100 elderly patients aged 60 years and older were recrui ted f rom the outpatiens geriaric cl inic in Ain Shams Universi ty Hospi tal . Each patient underwent detai led history taking including smoking history and medication review, detai led general medical examination and cogni tive assessment by Mini - mental status examination test. Elderly wi th a physician diagnosis of asthma, COPD or another chronic respi rato ry condi tion were excluded. Al l subjects completed spi romet ry testing to diagnose ai rway obst ruction. . Results: The sample included 100 participants wi th a mean age of 64.3±3.1years, 52% male and 48% female, mean body mass index was 29.3 ±1.5 and mean mini mental state examination 24.45± 2.3. As regard smoking 61% never smoked. 9% ex -smoker and 30% current smoker . Spi rometery in the cur rent study demonst rated that 72% had obst ructed ai rway disease (none of them were diagnosed previously to have chronic bron chi tis) classi fied to mi ld, moderate and severe (35%, 33%, 4%) respectively. Conclusions: Spi romet ry screening of asymptomatic elderly may help detection of individuals wi th ai rway obst ruction, who are at high risk of developing COPD. Addi tional data is n ecessary regarding the cl inical benefi t and cost -effective of screening before spi romet ry can be recommended in general practice. | ||||
| Keywords | ||||
| Spi rometry; COPD; ai r way obstruction in elder ly | ||||
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