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[The reference values selection and validity check also are a spirometry quality issue].

A Innocenti1, A M Fialdini, C Ciapini

  • 1U.F. Medicina del Lavoro, Azienda USL 3 di Pistoia, Regione Toscana. a.innocenti@usl3.toscana.it

Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia
|April 16, 2008
PubMed
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Interpreting spirometry in young Italian workers requires caution, as current reference equations show significant differences from observed lung function values. New reference values are needed for accurate assessment of occupational respiratory health.

Area of Science:

  • Occupational Medicine
  • Pulmonary Function Testing
  • Respiratory Physiology

Context:

  • Spirometry is crucial for assessing workers exposed to respiratory hazards.
  • Accurate interpretation relies on appropriate reference values for normality prediction.
  • Young adults (18-25 years) are a key demographic for occupational health surveillance.

Purpose:

  • To evaluate the suitability of existing spirometry reference equations for young Italian workers.
  • To compare observed spirometric values with established Italian and European reference equations.
  • To highlight discrepancies and the need for updated reference standards.

Summary:

  • A study analyzed spirometric data from 1319 young Italian adults (18-25 years).
  • Observed values were compared against CECA 1971, ERS 1993, Scotti 1986, and Pistelli 2000 reference equations.

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  • All tested equations showed significant differences, with ERS 1993 being consistently statistically different from observed data.

    • Impact:

    • Current spirometry reference equations may not accurately reflect lung function in young Italian populations.
    • Prudent interpretation of spirometry results in this demographic is advised.
    • There is a clear need for developing new, population-specific spirometry reference values for Italians.