Guideline for office spirometry in adults, 2012

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dc.contributor.authorKoegelenberg, Coenraad Frederik N.en_ZA
dc.contributor.authorSwart, Francoisen_ZA
dc.contributor.authorIrusen, Elvis Malcolmen_ZA
dc.date.accessioned2014-07-06T17:20:39Z
dc.date.available2014-07-06T17:20:39Z
dc.date.issued2013
dc.descriptionCITATION: Koegelenberg, C. F. N., Swart, F. & Irusen, E. M. 2013. Guideline for office spirometry in adults, 2012. South African Medical Journal, 103(1):52-61, doi:10.7196/SAMJ.6197.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractBackground. Office spirometry remains an integral part of a comprehensive respiratory evaluation and is used to categorise the nature, severity and progression of respiratory diseases and to measure response to treatment. These updated guidelines are aimed at improving the quality, standardisation and usefulness of office spirometry in South Africa. Recommendations. All equipment should have proof of validation regarding resolution and the system’s linearity (consistency). Moreover, equipment must be calibrated daily and quality controlled. It is also important to have standard operating procedures in place, including the documentation of ambient conditions and infection control measures. Adequate spirometry relies on a competent operator, accurate equipment, standardised operating procedures, quality control and patient co-operation. The indication for spirometry in a particular patient should be unambiguous and should be documented. Subjects should be appropriately prepared for testing, and patient details must be documented. Forced vital capacity (FVC) manoeuvres (either closed or open circuit) must be performed strictly according to guidelines, and strict quality assurance methods should be in place, including acceptability criteria (for any given effort) and repeatability (between efforts). Testing should continue until at least 3 acceptable curves are produced (with 2 fulfilling repeatability criteria). Other indices are derived from these efforts. Conclusion. Test results must be categorised and graded according to current guidelines, taking into account the indication for the test and the appropriateness of reference values.
dc.description.urihttp://www.samj.org.za/index.php/samj/article/view/6197
dc.description.versionPublisher's version
dc.format.extent10 pages
dc.identifier.citationKoegelenberg, C. F. N., Swart, F. & Irusen, E. M. 2013. Guideline for office spirometry in adults, 2012. South African Medical Journal, 103(1):52-61, doi:10.7196/SAMJ.6197.
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJ.6197
dc.identifier.urihttp://hdl.handle.net/10019.1/88155
dc.language.isoen
dc.publisherHealth & Medical Publishing Group
dc.rights.holderAuthors retain copyright
dc.subjectSpirometry
dc.titleGuideline for office spirometry in adults, 2012en_ZA
dc.typeArticle
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