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Pulmonary Function Tests01:25

Pulmonary Function Tests

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Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
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Spirometry Utilization Among Patients with Asthma.

Prithwijit Roychowdhury1, Jasdeep Badwal2, Fadi Alkhatib3

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Journal of Asthma and Allergy
|July 9, 2020
PubMed
Summary

Spirometry use was low in asthma patients at a major health system. Seeing a specialist significantly increased spirometry use, highlighting a need for better integration into primary asthma care.

Keywords:
asthmahealth care deliverypopulation healthquality of carespirometry

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Area of Science:

  • Pulmonary Medicine
  • Health Services Research

Background:

  • Asthma management relies on accurate diagnostic tools like spirometry.
  • Spirometry use and its impact on outcomes in adult asthma patients within academic health systems require further investigation.

Purpose of the Study:

  • To identify predictors of spirometry utilization among adult asthma patients.
  • To assess the association between receiving spirometry and subsequent health outcomes, including hospitalizations and emergency department visits.

Main Methods:

  • A retrospective cohort study was conducted on adult patients diagnosed with asthma.
  • Data were collected from a tertiary academic health system between 2007-2015 (exposure period) and 2016-2019 (follow-up period).
  • Key outcomes included spirometry receipt, specialist visits, hospitalizations, and emergency department (ED) visits.

Main Results:

  • Approximately 47% of the 394 asthma patients received spirometry during the exposure period.
  • Patients who saw a specialist were significantly more likely to receive spirometry (88%).
  • No significant association was found between spirometry use and future hospitalizations or ED visits.

Conclusions:

  • Spirometry is underutilized in this tertiary academic health system cohort of asthma patients.
  • Referral to specialists strongly predicts spirometry use, indicating a gap in primary care.
  • Improved integration of spirometry into routine primary care for asthma is recommended.