title: [Spirometry as method of screening and intervention in high- risk smokers in primary care].
abstract: OBJECTIVE
  To show the effectiveness of screening in the detection of new cases of COPD in smokers of high-risk, and to describe the characteristics associated with COPD, as well as determine the predisposition to quit.
  
  
  METHODS
  A cross-sectional and multicentre study.
  
  
  METHODS
  Basic Primary Care Centres representing different rural and urban areas of Lleida.
  
  
  METHODS
  A total of 497 active smokers without COPD from 40 to 70 years selected from the database Primary Care Database (e-CAP).
  
  
  METHODS
  Spirometry was performed on all patients. The spirometry results were reported and brief counselling was given on quitting smoking and the readiness to stop smoking was determined.
  
  
  METHODS
  Age, gender, height, weight, smoking, respiratory symptoms and physical activity.
  
  
  RESULTS
  The majority of patients (65.4%) were men, age 51± 7.6 years. They smoked an average of 32 packs/year; 40.4% performed moderate activity and 27.4% referred to some respiratory symptoms. Of the 25% who had an obstructive or mixed pattern, 75.8% of the cases had a moderate level of severity. A decision to quit was made by 38.8%. In the multivariate analysis, gender, age 50 to 59 years and a smoking index>40 were associated with COPD. Moderate or intense physical activity decreased the risk of COPD.
  
  
  CONCLUSIONS
  To perform spirometry in high-risk smokers, to show the spirometry results and give brief anti-smoking counselling, enables not previously diagnosed cases of COPD to be detected. It also helps to determine the readiness to stop smoking and to establish individualised treatment and follow-up plans.
authors.forename: Joan
authors.initials: J
authors.lastname: Clotet
authors.forename: Jordi
authors.initials: J
authors.lastname: Real
authors.forename: Iñigo
authors.initials: I
authors.lastname: Lorente
authors.forename: Araceli
authors.initials: A
authors.lastname: Fuentes
authors.forename: Eugeni
authors.initials: E
authors.lastname: Paredes
authors.forename: Carmen
authors.initials: C
authors.lastname: Ciria
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000209:etiology*; D012907:Smoking / Q000009:adverse effects*; D013147:Spirometry
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