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Updated: May 25, 2026
07:52
Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
[Possibility to screen COPD in emergency department].
1Service des urgences, CH de Roanne, 42300 Roanne, France. michael.vial@laposte.net
Revue De Pneumologie Clinique
|February 7, 2012
Summary
Early screening for Chronic Obstructive Pulmonary Disease (COPD) in emergency departments is feasible. This quick method identifies at-risk individuals, enabling timely intervention for this prevalent public health concern.
Area of Science:
- Pulmonary Medicine
- Public Health
- Diagnostic Screening
Context:
- Chronic Obstructive Pulmonary Disease (COPD) poses a significant public health challenge due to its high prevalence, morbidity, mortality, and economic burden.
- Early detection of COPD is crucial for effective intervention and management.
- Emergency departments represent a potential setting for opportunistic COPD screening.
Purpose:
- To evaluate the feasibility and acceptability of a rapid COPD screening process in an emergency department setting.
- To assess the time efficiency and patient acceptance of a questionnaire- and spirometry-based screening tool.
- To determine the prevalence of COPD and individuals at risk within the screened population.
Summary:
- A prospective study in an emergency department screened smokers and ex-smokers aged 40+ (≥10 pack-years) or others (≥20 pack-years) with symptoms, excluding those with a prior COPD diagnosis.
- Screening involved a questionnaire and FEV1/FEV6 measurement, with time taken and patient acceptability as primary endpoints.
- Of 122 included patients, 6.5% refused screening. The average screening time was 4.8 minutes. 15.86% were identified as at risk for COPD, and a small percentage had confirmed COPD stages 1-3.
Impact:
- The study demonstrates that implementing a simple and reproducible COPD screening process in emergency departments is possible.
- The screening method shows potential for identifying a significant number of individuals at risk for COPD.
- Limitations include reduced patient inclusion during peak emergency department attendance, highlighting the need for optimized workflow.
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