Diagnostic specificity of dynamic assessment and monitoring of spirometry in asthma / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 488-493, 2009.
Artículo
en Chino
| WPRIM
| ID: wpr-301666
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the diagnostic specificity of dynamic assessment and monitoring using a portable spirometer in diagnosis and differential diagnosis of asthma.</p><p><b>METHODS</b>We retrospectively reviewed the results of dynamic monitoring of spirometry in 145 symptomatic patients with physician-diagnosed asthma. Flow-volume curve and simultaneous symptoms and mood were measured in a fixed-time thrice-daily assessment schedule for 2 weeks. Patients were allowed to make additional measurements in case of symptom exacerbations.</p><p><b>RESULTS</b>The clinical data of 51 males and 94 females with a mean age of (39.1 +/- 13.0) years (ranged from 10 to 65 years) were analyzed. Duration of asthma before study was (6.7 +/- 9.9) years. Of 145 patients with physician-diagnosed asthma, 126 (87%) could be conclusively confirmed for a diagnosis of asthma. Asthma was misdiagnosed in 14 patients (9.7%). Overdiagnosis of asthma was observed in 5 patients (3.4%).</p><p><b>CONCLUSION</b>Dynamic assessment and monitoring using a portable spirometer by revealing variability and reversibility of airway obstruction may provide an additional tool for diagnosis and differential diagnosis of asthma.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Asma
/
Espirometría
/
Ápice del Flujo Espiratorio
/
Diagnóstico
/
Diagnóstico Diferencial
/
Errores Diagnósticos
/
Obstrucción de las Vías Aéreas
/
Métodos
Tipo de estudio:
Estudio diagnóstico
Límite:
Adolescente
/
Adulto
/
Anciano
/
Niño
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Acta Academiae Medicinae Sinicae
Año:
2009
Tipo del documento:
Artículo
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