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[Evaluation of the ventilatory function in elderly subjects]

P Pfitzenmeyer1, M Mansour, L Brondel

  • 1Service de Médecine gériatrique, CHRU de Dijon.

Presse Medicale (Paris, France : 1983)
|May 27, 1995
PubMed
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Spirometry is effective for assessing elderly patients

Area of Science:

  • Geriatric Medicine
  • Pulmonology
  • Respiratory Physiology

Background:

  • Elderly individuals face increased risk of respiratory failure due to age-related ventilatory decline and environmental/disease factors.
  • Spirometry is the primary method for detecting impaired ventilatory function.

Purpose of the Study:

  • To evaluate the efficacy of spirometry in very elderly subjects.
  • To compare spirometry results with clinical measurements of chest and abdominal expansion.

Main Methods:

  • Spirometry (Forced Vital Capacity, FEV1) and chest/abdominal circumference measurements were conducted on 65 subjects over 75 years old in 1991 and 24 were re-examined in 1994.
  • Tests were performed at home using a calibrated spirometer, adhering to European Respiratory Society standards.

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Main Results:

  • Spirometric tests demonstrated reproducibility in elderly subjects.
  • No significant decline in Forced Vital Capacity or FEV1 was observed between 1991 and 1994.
  • Four initially asymptomatic subjects showed reversible bronchial obstruction, treatable with bronchodilators.
  • Significant correlations were found between spirometric data and chest/abdominal expansion measurements.

Conclusions:

  • Spirometry is a valuable tool for screening elderly patients, identifying reversible bronchial obstruction, and assessing ventilatory reserve.
  • Chest and abdominal expansion measurements offer a simple method to identify individuals who may benefit from physical therapy to enhance respiratory musculature.