Quality of spirometric performance in older people

Objectives: chronic obstructive pulmonary disease and asthma are major causes of hospitalisation and mortality among older patients but respiratory diseases are often under‐ or misdiagnosed because spirometry is not extensively used at this age. Design: we examined 715 elderly subjects with respirat...

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Bibliographic Details
Published in:Age and ageing 2003-01, Vol.32 (1), p.43-46
Main Authors: Pezzoli, Licia, Giardini, Gianluca, Consonni, Silvia, Dallera, Ilaria, Bilotta, Claudio, Ferrario, Gianluca, Cristina Sandrini, Maria, Annoni, Giorgio, Vergani, Carlo
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Ageing
Aging
Aging (Biology)
Asthma - diagnosis
Asthma - physiopathology
Care and treatment
cognitive and functional impairment
Cognitive functioning
Elderly
Elderly people
Evaluation
Female
Forced Expiratory Volume - physiology
Frail Elderly
Functional status
Health aspects
Humans
Male
Mental Status Schedule
Monitoring
Pulmonary Disease, Chronic Obstructive - diagnosis
Pulmonary Disease, Chronic Obstructive - physiopathology
Quality Control
Reference Values
Reproducibility of Results
Respiratory disorders
Spirometry
Spirometry - standards
Vital Capacity - physiology
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Summary:Objectives: chronic obstructive pulmonary disease and asthma are major causes of hospitalisation and mortality among older patients but respiratory diseases are often under‐ or misdiagnosed because spirometry is not extensively used at this age. Design: we examined 715 elderly subjects with respiratory symptoms; all underwent a spirometric test and were administered the Mini Mental State Examination, Activities of Daily Living, Instrumental Activities of Daily Living and Geriatric Depression Scale questionnaires for cognitive, functional and effective evaluation. Their educational level and Body Mass Index were also taken into consideration. Results: a total of 585 patients (81.8%) were able to perform spirometry according to ATS'94 criteria while 130 (18.2%) were unable to do it. As regards educational level, Mini Mental State Examination, Activities of Daily Living and Instrumental Activities of Daily Living scores showed a significant difference (P
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/32.1.43