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Updated: Jan 4, 2026
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Home or surgery based screening for chronic obstructive pulmonary disease (COPD)?
D A Seamark1, S Williams1, S Timon1
1The Honiton Group Practice, Marlpits Road, Honiton, EX14 8DD.
Summary
Opportunistic spirometry screening in general practice achieved high patient uptake, identifying chronic obstructive pulmonary disease (COPD) in 9% of patients. Home visits were less effective for COPD screening.
Area of Science:
- Respiratory Medicine
- General Practice
- Public Health Screening
Background:
- Chronic Obstructive Pulmonary Disease (COPD) is a significant public health concern.
- Early detection through spirometry can improve patient outcomes.
- Screening strategies in primary care settings require evaluation for effectiveness.
Purpose of the Study:
- To compare the effectiveness of opportunistic spirometric screening in a general practice setting.
- To evaluate the efficacy of spirometry screening during randomly selected home visits.
- To estimate the prevalence of COPD in patients aged 45 and above.
Main Methods:
- 100 patients aged 45+ attending a general surgery were invited for spirometry (surgery group).
- 100 randomly selected patients received home visits for spirometry (home group).
- Successful spirometry completion, questionnaire completion, and COPD prevalence were the main outcome measures.
Main Results:
- Spirometry completion was highly successful in the surgery group (94/100).
- Home visits had lower assessment success rates (33%) due to refusals and no-replies.
- COPD prevalence was estimated at 9% (11/127 patients), with 36% of diagnosed cases already recorded.
Conclusions:
- Opportunistic spirometric screening during routine general practice attendance yields high patient uptake.
- A two-year opportunistic screening program could assess approximately 84% of the target population.
- Home visiting remains a viable option for reaching individuals who do not attend routine surgery appointments.
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