Skip to main navigation menu Skip to main content Skip to site footer

Vol. 9 No. 2 (2024)
Investigación Formativa en Ciencias de la salud: especial investigación en Neuropsicología

Artículos

Spirometry in Primary Health Care

https://doi.org/10.19053/uptc.2744953X.18385

Published 2024-10-21

Angela María Vargas López
Pedagogical and Technological University of Colombia image/svg+xml

Julieth Natalia Gaviria Higuera
Pedagogical and Technological University of Colombia image/svg+xml

Karol Dayana Robles Arciniegas
Pedagogical and Technological University of Colombia image/svg+xml

Fred Gustavo Manrique Abril
Pedagogical and Technological University of Colombia image/svg+xml

Giomar Maritza Herrera Amaya
Pedagogical and Technological University of Colombia image/svg+xml

Abstract

Introduction: Spirometry is a cornerstone of primary healthcare, playing a pivotal role in accurately assessing pulmonary function and diagnosing respiratory conditions. This non-invasive technique quantifies air volumes and flow rates during forced expiration, facilitating the identification of restrictive or obstructive patterns and determining the severity of respiratory disorders. The global prevalence of respiratory diseases underscores the importance of this test, as millions of people suffer from conditions such as asthma and chronic obstructive pulmonary disease (COPD), placing a significant burden on healthcare systems.

Methods: Integrative review based on the research question, what is the usefulness of spirometry in primary health care?

Results: Spirometry has taken as the gold standard for confirming airflow limitations and detecting early risks associated with these pathologies, thus contributing to their prevention and control. Correct interpretation of spirometry results, particularly the forced expiratory volume in one second (FEV1) and the FEV1/forced vital capacity (FVC) ratio, is essential for establishing an accurate diagnosis and guiding appropriate treatment. It is considered to be superior to the results of walking tests (6 minutes or 600 meters) used in primary health care, but the limitations are access to the test and qualified personnel.

Conclusions:  Training healthcare professionals in spirometry technique and results interpretation is fundamental to ensuring quality care and optimizing the management of patients with respiratory conditions. The implementation of continuing education programs in this area is imperative to strengthen the competencies of healthcare professionals and promote the rational use of this valuable diagnostic tool.

Keywords

Spirometry, Primary Health Care, Respiratory Tract Diseases, Lung Volume Measurements

PDF (Español)

Author Biography

Angela María Vargas López

Estudiante de Medicina Universidad Pedagógica y Tecnológica de Colombia. Grupo de Investigación Biomédica y Patología.

Julieth Natalia Gaviria Higuera

Estudiante de Medicina Universidad Pedagógica y Tecnológica de Colombia. Grupo de Investigación Biomédica y Patología.

Karol Dayana Robles Arciniegas

Estudiante de Medicina Universidad Pedagógica y Tecnológica de Colombia. Grupo de Investigación Biomédica y Patología.

Fred Gustavo Manrique Abril

PhD. Profesor Titular Universidad Pedagógica y Tecnológica de Colombia. Tunja. Universidad Nacional de Colombia, Sede Bogotá. Grupo de Investigación Biomédica y de Patología-Grupo de Investigación en Salud pública GISP CIECOL

Giomar Maritza Herrera Amaya

PhD. Profesor Asociado Universidad Pedagógica y Tecnológica de Colombia. Tunja. Grupo de Investigación Enfermería y APS.

References

  1. Rivero-Yeverino Daniela. Espirometría: conceptos básicos. Rev. alerg. Méx. [revista en la Internet]. 2019 Mar [citado 2024 Oct 13] ; 66( 1 ): 76-84. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2448-91902019000100076&lng=es https://doi.org/10.29262/ram.v66i1.536.
  2. Levy ML, Quanjer PH, Booker R, Cooper BG, Holmes S, Small IR. Diagnostic spirometry in primary care: Proposed standards for general practice compliant with American Thoracic Society and European Respiratory Society recommendations. Prim Care Respir J. 2009;18(3):130–47.
  3. Langan RC, Goodbred A. Office Spirometry Indications. Am Fam Physician. 2020;101(6):362–8.
  4. García-río F, Calle M, Burgos F, Casan P, Galdiz JB, Giner J, et al. Espirometría. 2013;49(9):388–401. https://www.archbronconeumol.org/en-espirometria-articulo-S0300289613001178
  5. Townsend MC, Dreger M. Spirometry in Occupational Health-2020. J Occup Environ Med. 2020;62(5):208–30.
  6. Levy ML, Bacharier LB, Bateman E, Boulet LP, Brightling C, Buhl R, et al. Key recommendations for primary care from the 2022 Global Initiative for Asthma (GINA) update. npj Prim Care Respir Med. 2023;33(1)
  7. González A, Pérez J, López M. Espirometría en atención primaria: importancia y desafíos. Rev Med Inst Mex Seguro Soc. 2021; 59(1): 29-38. Disponible en: https://www.scielo.org.mx/scielo.php?pid=S0028-37462021000100029&script=sci_arttext
  8. IPCRG. Guía rápida para la espirometría. 2023. Disponible en: https://www.ipcrg.org/sites/ipcrg/files/content/attachments/2023-06-30/IPCRG%20DTH%20No.14%20Gu%C3%ADa%20r%C3%A1pida%20para%20la%20espirometr%C3%ADa%20-%20SPANISH.pdf
  9. Jankowski P, Górska K, Mycroft K, Korczyński P, Soliński M, Kołtowski Ł, et al. The use of a mobile spirometry with a feedback quality assessment in primary care setting - A nationwide cross-sectional feasibility study. Respir Med [Internet]. 2021;184:106472. Available from: http://dx.doi.org/10.1016/j.rmed.2021.106472
  10. Soriano JB, Kendrick PJ, Paulson KR, Gupta V, Abrams EM, Adedoyin RA, et al. Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Respir Med. 2020;8(6):585–96.
  11. Organización Mundial de la Salud. Asma [Internet]. OMS. 2024. Available from: https://www.who.int/es/news-room/fact-sheets/detail/asthma
  12. Veigi G, Maio S, Fasola S, Baldacci S. Global Burden of Chronic Respiratory Diseases. J Aerosol Med Pulm Drug Deliv [Internet]. 2020;33(4):171–7. Available from: https://www.liebertpub.com/action/showCitFormats?doi=10.1089%2Fjamp.2019.1576
  13. Blasco Bravo AJ, Pérez-Yarza EG, De Mercado PLY, Perales AB, Díaz Vazquez CA, Moreno Galdó A. Coste del asma en pediatría en España: un modelo de evaluación de costes basado en la prevalencia. An Pediatr. 2011;74(3):145–53.
  14. Calverley PMA, Walker PP. Contemporary Concise Review 2022: Chronic obstructive pulmonary disease. Respirology. 2023;28(5):428–36
  15. Fernández Fernández R. Fisiopatología del intercambio gaseoso en el SDRA. Med Intensiva [Internet]. 2006 [citado el 19 de octubre de 2024];30(8):374–8. Disponible en: https://medintensiva.org/es-fisiopatologia-del-intercambio-gaseoso-el-articulo-13094643
  16. Petersson J, Glenny RW. Gas exchange and ventilation-perfusion relationships in the lung. Eur Respir J [Internet]. 2014;44(4):1023–41. Disponible en: http://dx.doi.org/10.1183/09031936.00037014
  17. Petersson J, Glenny RW. Gas exchange in the lung. Semin Respir Crit Care Med [Internet]. 2023;44(5):555–68. Disponible en: http://dx.doi.org/10.1055/s-0043-1770060
  18. Gertler R. Respiratory Mechanics. Anesthesiol Clin. 2021;39(3):415–40.
  19. Nogués MA, Benarroch E. Alteraciones del control respiratorio y de la unidad motora respiratoria. Neurol Argent [Internet]. 2011;3(3):167–75. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1853002811000152
  20. Galdeano M, Luján M. Reflejo de Hering-Breuer y ventilación mecánica no invasiva ¿también durante la espiración? Arch Bronconeumol [Internet]. 2016;52(12):618–9. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0300289616301259
  21. Rafael, Alberto Pascovich, Claudia Pino, Esteban Castro, Juan Zubizarreta, Lucía Alsina, Marcela Cavelli, Matías Rivas M, Castro M. PAUTAS DE PROCEDIMIENTOS PARA LAS PRÁCTICAS DEL CONCURSO DE AYUDANTE DE FISIOLOGÍA [Internet]. Departamento de Fisiología Facultad de Medicina. 2020. Available from: http://www.fisio.fmed.edu.uy/pdfs/PRACTICOS CONCURSO 2020.pdf
  22. Graham BL, Steenbruggen I, Barjaktarevic IZ, Cooper BG, Hall GL, Hallstrand TS, et al. Standardization of spirometry 2019 update an official American Thoracic Society and European Respiratory Society technical statement. Am J Respir Crit Care Med. 2019;200(8):E70–88.
  23. He W, Jin N, Deng H, Zhao Q, Yuan F, Chen F, et al. Workers’ Occupational Dust Exposure and Pulmonary Function Assessment: Cross-Sectional Study in China. Int J Environ Res Public Health. 2022;19(17).
  24. Choi J, Sim JK, Oh JY, Lee YS, Hur GY, Lee SY, et al. Prognostic marker for severe acute exacerbation of chronic obstructive pulmonary disease: analysis of diffusing capacity of the lung for carbon monoxide (DLCO) and forced expiratory volume in one second (FEV1). BMC Pulm Med [Internet]. 2021;21(1):1–9. Available from: https://doi.org/10.1186/s12890-021-01519-1
  25. McAllister DA, Wild SH, MacLay JD, Robson A, Newby DE, MacNee W, et al. Forced Expiratory Volume in One Second Predicts Length of Stay and In-Hospital Mortality in Patients Undergoing Cardiac Surgery: A Retrospective Cohort Study. Sun J, editor. PLoS One [Internet]. 2013 May 28 [cited 2024 Oct 13];8(5):e64565. Available from: https://dx.plos.org/10.1371/journal.pone.0064565
  26. Khan A, Frazer-Green L, Amin R, Wolfe L, Faulkner G, Casey K, et al. Respiratory Management of Patients With Neuromuscular Weakness: An American College of Chest Physicians Clinical Practice Guideline and Expert Panel Report. Chest. 2023;164(2):394–413.
  27. Ranzieri S, Corradi M. Conducting spirometry in occupational health at covid-19 times: International standards. Med del Lav. 2021;112(2):95–106.
  28. Virant FS, Randolph C, Nanda A, Baptist AP, Akuthota P, Adams K, et al. Pulmonary Procedures During the COVID-19 Pandemic: A Work Group Report of the AAAAI Asthma Diagnosis and Treatment (ADT) Interest Section. J Allergy Clin Immunol Pract [Internet]. 2022;10(6):1474–84. Available from: https://doi.org/10.1016/j.jaip.2022.02.044
  29. Sheikh S, Hamilton FW, Nava GW, Gregson FKA, Arnold DT, Riley C, et al. Are aerosols generated during lung function testing in patients and healthy volunteers? Results from the AERATOR study. Thorax. 2022;77(3):292–4.
  30. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319–38.
  31. Heraganahally SS, Howarth T, Sorger L, Saad H Ben. Sex differences in pulmonary function parameters among Indigenous Australians with and without chronic airway disease. PLoS One [Internet]. 2022;17(2 February):1–12. Available from: http://dx.doi.org/10.1371/journal.pone.0263744
  32. Agusti A, Fabbri LM, Baraldi E, Celli B, Corradi M, Faner R, et al. Spirometry: A practical lifespan predictor of global health and chronic respiratory and non-respiratory diseases. Eur J Intern Med. 2021;89(May):3–9.
  33. Hoesterey D, Das N, Janssens W, Buhr RG, Martinez FJ, Cooper CB, et al. Spirometric indices of early airflow impairment in individuals at risk of developing COPD: Spirometry beyond FEV1/FVC. Respir Med [Internet]. 2019;156(March):58–68. Available from: https://doi.org/10.1016/j.rmed.2019.08.004
  34. Mochizuki F, Tanabe N, Iijima H, Shimada T, Shiraishi Y, Maetani T, et al. Early chronic obstructive pulmonary disease: Associations of two spirometry criteria with clinical features. Respir Med [Internet]. 2022;204(August):107011. Available from: https://doi.org/10.1016/j.rmed.2022.107011
  35. Lanzón C, Brnad D, Pelet E, Sierra C, Lahuerta M, Pueyo A. La importancia de la espirometría en atención primaria, implantación en un centro de salud. Rev Sanit Investig. 2022;3(12).
  36. Beroíza T, Caviedes I, Céspedes J, Collao C, Corrales R, Gómez P, Gutiérrez M. Espirometría: Manual De Procedimientos. SER Chile, actualización 2024. Rev Chil Enferm Respir. 2024;40:93-109. Disponible en: revchilenfermrespir.cl
  37. Villaizán ML, Sanz AS, Cuesta TS, Barrientos RR, Safont TA, Pérez CV, Crespo MP. Escasa adecuación a las guías de práctica clínica en el manejo del asma en atención primaria de la Comunidad de Madrid. InAnales de Pediatría 2024 Jun 13. Elsevier Doyma. sciencedirect.com
  38. Benítez-Pérez RE, Vázquez-García JC, Sánchez-Gallén E, Salas-Hernández J, Pérez-Padilla R, Reyes-Herrera A, et al. Impacto de un programa educativo de espirometría en el primer nivel de atención en México. Neumol Cir Torax [Internet]. 2021 [cited 2024 Oct 13];80(1):29–38. Available from: https://www.scielo.org.mx/scielo.php?pid=S0028-37462021000100029&script=sci_arttext
  39. Ayuk AC, Uwaezuoke SN, Ndukwu CI, Ndu IK, Iloh KK, Okoli C V. Spirometry in Asthma Care: A Review of the Trends and Challenges in Pediatric Practice. Clin Med Insights Pediatr. 2017;11:117955651772067.
  40. Sullivan SD, Ramsey SD, Lee TA. The economic burden of COPD. Chest. 2000;117(2 Suppl):5S-9S.
  41. Paredes MP, Pérez-Rial S, Fernández-Villar A. Dispositivos de ayuda diagnóstica en neumología: espirómetros portátiles y nuevos sistemas de telemonitorización. Rev Esp Patol Respir. 2019;32(2):56-64.

Downloads

Download data is not yet available.

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.