The impact of spirometry on pediatric asthma diagnosis and treatment

被引：29

作者：

Holt, E. W. ^{[1
]}

Tan, J. ^{[1
]}

Hosgood, H. D., III ^{[1
]}

机构：

[1] Yale Univ, Sch Epidemiol & Publ Hlth, New Haven, CT USA

来源：

JOURNAL OF ASTHMA | 2006年 / 43卷 / 07期

关键词：

pediatric asthma; spirometry; symptoms; wheeze; FEV1;

D O I：

10.1080/02770900600859040

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Research has shown that spirometry is underutilized in the clinical setting. This study profiles the use of spirometry in an asthma management program at an inner-city community health clinic. Eligible subjects included 56 children who presented with an acute asthma exacerbation. Physicians recorded patient diagnosis before and after viewing spirometry. Bivariate and multivariate analysis was used to determine associations between symptoms and forced expiratory volume in 1 second ( FEV1). Physicians changed 30.4% of patients' treatment plans after viewing spirometry results. Wheezing was significantly associated with FEV1 in bivariate analysis; however, multivariate modeling failed to identify significant relationships. The use of spirometry influenced patient diagnosis and treatment.

引用

页码：489 / 493

页数：5

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