Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Medical screening using periodic spirometry for detection of chronic lung disease.

Authors
Hankinson-JL; Wagner-GR
Source
Occup Med: State of the Art Rev 1993 Apr; 8(2):353-361
Link
NIOSHTIC No.
00215014
Abstract
Using spirometry based screening to detect chronic lung disease was discussed. Pulmonary function tests that are potentially useful for worksite monitoring were considered. One second forced expiratory volume (FEV1), forced vital capacity (FVC), and the FEV1/FVC ratio, which can be measured by a spirometer, were considered to be appropriate. FEV1 was considered to be the best choice as it can be safely and inexpensively measured and is reasonably sensitive for detecting lung disease. Issues that much be addressed in developing a spirometry screening program were discussed. These included ensuring that the tests are conducted in accordance with American Thoracic Society standards, implementing a central quality control program, and developing a consistent, reliable way of interpreting the data. Data interpretation involved being able to detect faulty tests and comparing the measurements with appropriate reference values. Longitudinal decrements in FEV1 that could be indicative of the onset of chronic lung disease must be distinguished from the expected normal decrements due to aging and decrements that reflect intrasubject variability. Intrasubject variability can be reduced by utilizing equipment that has a computerized quality assessment capability. Techniques for determining longitudinal decrements in FEV1 and determining if they lie inside or outside the normal limits were discussed.
Keywords
NIOSH-Author; Statistical-analysis; Pulmonary-function-tests; Medical-screening; Respiratory-system-disorders; Laboratory-equipment; Occupational-medicine; Screening-methods
CODEN
SAOME4
Publication Date
19930401
Document Type
Journal Article
Editors
Eisen-EA
Fiscal Year
1993
NTIS Accession No.
NTIS Price
ISBN No.
9781560531302
Issue of Publication
2
ISSN
0885-114X
NIOSH Division
DRDS
Priority Area
Respiratory-system-disorders
Source Name
Occupational Medicine: State of the Art Reviews. Spirometry
State
WV
TOP