Skip header and navigation

1 records – page 1 of 1.

Predictors of poor-quality spirometry in two cohorts of older adults in Russia and Belgium: a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature270980
Source
NPJ Prim Care Respir Med. 2015;25:15048
Publication Type
Article
Date
2015
Author
Eralda Turkeshi
Dmitry Zelenukha
Bert Vaes
Elena Andreeva
Elena Frolova
Jean-Marie Degryse
Source
NPJ Prim Care Respir Med. 2015;25:15048
Date
2015
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Asthma - diagnosis - epidemiology
Belgium
Cognition
Cognition Disorders - epidemiology
Cohort Studies
Comorbidity
Cross-Sectional Studies
Female
Humans
Independent living
Male
Mental Status Schedule
Primary Health Care
Prospective Studies
Pulmonary Disease, Chronic Obstructive - diagnosis - epidemiology
Risk factors
Russia
Spirometry - standards
Abstract
Spirometry is an important test for the diagnosis of respiratory diseases, yet it is underused especially in older adults. Several predictors of good-quality spirometry in this age group have been reported, based mainly on in/outpatients of geriatric and/or respiratory units.
This study aims to assess predictors of poor-quality spirometry in community-dwelling older adults from two primary care cohorts in Russia and Belgium.
Spirograms from two population-based cohort studies in Russia (CRYSTAL) and Belgium (BELFRAIL) were assessed in accordance with the American Thoracic Society/European Respiratory Society (ATS/ERS) acceptability and repeatability criteria and grouped into good and poor quality. Multivariable analysis assessed the association of poor-quality spirometry with socio-demographics, functional dependency, physical and mental functioning and co-morbidities.
In all, 43.3% of the 522 BELFRAIL participants (84.71 ± 3.67 years old) and 57.7% of the 605 CRYSTAL participants (75.11 ± 5.97 years old) achieved all ATS/ERS acceptability and repeatability criteria. In both cohorts, those with poor-quality spirometry had lower cognitive function (mini-mental state examination (MMSE) ? 24). After adjustment in multivariable analysis, MMSE ? 24 had an odds ratio for poor-quality spirometry of 1.33 (95% CI = 0.78-2.28) in the BELFRAIL and 1.30 (95% CI = 0.88-1.91) in the CRYSTAL cohort.
In community-dwelling older adults, including those over 80 years old, impaired cognition measured by the MMSE may not be an independent predictor of poor-quality spirometry. Further research is needed in this area, and spirometry should be used more often in older adults in primary care.
Notes
Cites: Respiration. 2012;83(6):543-5222269344
Cites: Prim Care Respir J. 2013 Jun;22(2):195-20023538703
Cites: Pneumonol Alergol Pol. 2013;81(6):511-724142780
Cites: Respir Care. 2014 Jan;59(1):16-2123801784
Cites: Ann Am Thorac Soc. 2014 Mar;11(3):335-4124450777
Cites: Am J Med. 2012 Jan;125(1):79-8622195532
Cites: Age (Dordr). 2011 Sep;33(3):385-9220878489
Cites: J Am Geriatr Soc. 2011 Jun;59(6):980-821649632
Cites: Thorax. 2011 Jan;66(1):1-220978027
Cites: Age Ageing. 2010 Sep;39(5):588-9120625184
Cites: BMC Geriatr. 2010;10:3920565795
Cites: Clin Respir J. 2008 Oct;2(4):208-1320298336
Cites: Respir Med. 2010 Apr;104(4):550-619931443
Cites: Respir Care. 2010 Mar;55(3):303-920196879
Cites: Age Ageing. 2009 Sep;38(5):537-4119553358
Cites: Eur Respir J. 2008 Jan;31(1):197-20318166597
Cites: Thorax. 2008 Jan;63(1):60-617702791
Cites: Lancet. 2007 Sep 1;370(9589):765-7317765526
Cites: Chest. 2007 Aug;132(2):403-917550936
Cites: Prim Care Respir J. 2006 Oct;15(5):294-816979378
Cites: Prim Care Respir J. 2006 Oct;15(5):268-7016973417
Cites: Age Ageing. 2006 May;35(3):304-616638772
Cites: Chest. 2005 Sep;128(3):1274-8116162718
Cites: Eur Respir J. 2005 Aug;26(2):319-3816055882
Cites: Chest. 2005 May;127(5):1560-415888828
Cites: Respir Med. 2004 Nov;98(11):1071-915526807
Cites: Am J Respir Crit Care Med. 1995 Nov;152(5 Pt 1):1611-57582303
Cites: Am J Respir Crit Care Med. 1995 Sep;152(3):1107-367663792
Cites: Am Rev Respir Dis. 1993 Jul;148(1):123-68317787
Cites: Arch Gerontol Geriatr. 2003 Jul-Aug;37(1):33-4312849071
Cites: Age Ageing. 2003 Jan;32(1):43-612540347
Cites: Chest. 2000 Sep;118(3):656-6410988186
Cites: BMC Geriatr. 2015;15:1525888051
Cites: Am J Respir Crit Care Med. 2000 Apr;161(4 Pt 1):1094-10010764296
Cites: Am J Respir Crit Care Med. 2001 Apr;163(5):1256-7611316667
PubMed ID
26201999 View in PubMed
Less detail