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[Sensitivity and specificity of a questionnaire about respiratory symptoms similar to asthma]
L G Ochoa Jiménez1, F G Rico Méndez, G Escobedo Arenas
1Departamento de neumologia, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, México, DF.
Introduction:
Questionnaires are an epidemiological instrument to detect patients with asthma.
Materials And Methods:
Worldwide standardized questionnaires were selected, taking the most important points for making the diagnosis of asthma. A questionnaire was applied to outpatients who attend to pulmonary disease service. The answers were compared with a "gold standard" proposed, consisted in clinical screening and pulmonary function tests.
Statistical Analysis:
Kappa coefficient, sensitivity, specificity and predictive values were obtained, with intervals of confidence of 95%.
Results:
The questionnaires were applied to 120 patients, 70.83% women, the answering percentage was 99%. Mean age was 32 years with a range of 24-40. In 62.5% patients there was already a previous diagnosis of asthma. Positive Familial history was present in 65.83, cough in 85%, dyspnea in 80.83%, sneezes in 53.33% and wheezes in 77.5%. The was of kappa coefficient for previous medical diagnosis 0.96%, followed by positive familial history, wheezes and cough in 0.90%. The greatest specificity was for wheezes, dyspnea and previous medical diagnosis. The greatest specificity for previous medical diagnosis was wheezes and sneezes.
Conclusions:
The use of questionnaires for respiratory symptoms similar to asthma can be an option to detect groups of high risk.
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