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Pulmonary function tests in a community hospital.

C A Selmonosky, R Byrd

    Southern Medical Journal
    |August 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    A study found a high incidence of chronic obstructive lung disease (COLD) in surgical patients, with 66% of smokers and 38% of nonsmokers affected. Early diagnosis through spirometry in community hospitals is crucial for managing this underestimated condition.

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    Area of Science:

    • Pulmonary Medicine
    • Surgical Patient Care
    • Diagnostic Screening

    Background:

    • Chronic obstructive lung disease (COPD) is a significant health concern with substantial economic and human costs.
    • The true incidence of COPD, particularly in surgical populations, may be underestimated.
    • Early detection and intervention are critical for altering the disease's natural progression.

    Purpose of the Study:

    • To determine the incidence of obstructive lung disease in a surgical patient cohort.
    • To highlight the importance of screening pulmonary function tests for early COPD diagnosis.
    • To identify community hospitals as ideal settings for early COPD detection and management.

    Main Methods:

    • Conducted screening spirometric pulmonary function tests.

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  • Evaluated 300 consecutive ambulatory patients at a community hospital.
  • Analyzed results based on smoking status.
  • Main Results:

    • A high incidence of moderate to very severe COPD was identified.
    • COPD was present in 66% of smokers and 38% of nonsmokers within the study population.
    • The findings suggest COPD is frequently underdiagnosed.

    Conclusions:

    • Community hospitals are well-suited for implementing screening pulmonary function tests.
    • Early diagnosis of COPD can lead to timely interventions.
    • Proactive screening can potentially modify the long-term course of COPD.