[Determination of forced expiratory volume (FEV 1) and maximal peak expiratory flow within the scope of routine diagnosis in general practice].
In 5 Viennese general practice offices we investigated patients by spirometry with the following indications: differential diagnosis of dyspnea; every 3rd smoker of more than 10 cigarettes a day (including asymptomatic ones); cough and nasal disorders of more than 4 weeks duration; indicative physical findings (cyanosis or auscultation). The sample control group was matched for age and gender and did not have any symptoms characteristic of the indication group. Nevertheless a spirometric test was also carried out in these patients. A total of 212 patients were examined in 4673 consultations on 202 workdays in the 5 offices. In the group of 109 patients 62 (56.9%) had dyspnea and/or positive signs on auscultation. Of these 62 patients 39 (62.9%) had 1 or more positive findings either from PEF or FEV 1 or both. There were significantly more referrals for X-rays in case of abnormal lung function. The control group of 103 obviously healthy persons in particular showed a significantly higher number of abnormal PEF values than expected (31 persons, 30.1%).
Zentrum für Allgemeinmedizin, Wilhelminenspitals der Stadt Wien.
H
H
Tönies
J
J
Capek
H
H
Hecht
G
G
Rothe
C
C
Sellner
F
F
Kummer
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001317:Austria; D002648:Child; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005194:Family Practice; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010366:Peak Expiratory Flow Rate
Bestimmung des Atemstosses (FEV 1) und des maximalen Atemstroms (PEF) im Rahmen der Basisdiagnostik in der Allgemeinpraxis.