MODERN REQUIREMENTS FOR SPIROMETRY
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2019.2.10605Keywords:
spirometry, pulmonary function, quality controlAbstract
The aim of the work. To present the innovations after the last revision of spirometry standards jointly adopted by the American Thoracic Society and the European Respiratory Society this year.
Materials and Methods. The modern ideas concerning the methodology of performing spirometry, quality control and analysis of its results were analyzed.
Results and Discussion. In particular, an updated list of relative contraindications, the list of activities that patients should avoid before testing, modern approach to withholding times for bronchodilators before bronchodilator responsiveness testing, new spirometry quality assessment system are presented, new requirements for clinical spirometers are given etc. English-language abbreviations for the names of spirometric parameters are used in the main text of the article. At the same time, given the possibility of using several “working” languages in modern spirometers, the correspondence of both full and short names in Ukrainian and English is given.
Conclusions. Compliance with the recommendations of ATS/ERS, 2019 should ensure that the performing spirometry procedure and the interpretation of its results are consistent at the proper level.
References
Miasnyi I, Kovalenko M, Lopata V, Petrenko L, Makarova H, Korbut N, Lyhovskyi Yu [Diagnosis based on the method of results interpreting spirometric tests in pulmonology]. Aktualni prob klin ta profilakt medyts. 2015;3(3-4): 20-5. Ukrainian.
Polianska MA. [The role of spirometry in the diagnostics of bronchial asthma and chronic obstructive pulmonary disease]. Astma i alerhiia. 2019;2: 56-62. Ukrainian. DOI: https://doi.org/10.31655/2307-3373-2019-2-56-62
Chushkin MI, Popovа LА, Ots ON, Struchkov PV. [Standardization of spirometry: how to improve the result]. Tuberkulez i bolezni legkikh. 2019;97(2): 29-32. Russian. DOI: https://doi.org/10.21292/2075-1230-2019-97-2-26-32
Chernyak AV., Neklyudova GV. [Spirometry: how to avoid mistakes and increase quality of test]. Prakticheskaya pulmonologiya. 2016;2: 47-55. Russian.
Batashova-Halynska VO, Shkurenko OO, Saidulaeva PSh. [Algorithm of evaluation of spirograms of a pulmonological patient with the records of recent recommendations of the European Respiratory Association. Odes Med zhurn. 2018;4: 73-69. Ukrainian.
Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. ATS/ERS Task Force. Standardisation of spirometry. Eur Respir J. 2005;26: 319-38. DOI: https://doi.org/10.1183/09031936.05.00034805
Graham BL., Steenbruggen I, Miller MR., Barjaktarevic IZ., Cooper BG., Hall GL. 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-e88. DOI: https://doi.org/10.1164/rccm.201908-1590ST
Hankinson JL, Eschenbacher B, Townsend M, Stocks J, Quanjer PH. Use of forced vital capacity and forced expiratory volume in 1 second quality criteria for determining a valid test. Eur Respir J. 2015;45(5): 1283-92. DOI: https://doi.org/10.1183/09031936.00116814
Beydon N, Davis SD, Lombardi E, Allen JL, Arets HG, Aurora P, et al. American Thoracic Society/European Respiratory Society Working Group on Infant and Young Children Pulmonary Function Testing. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175: 1304-1345. DOI: https://doi.org/10.1164/rccm.200605-642ST
Redlich CA, Tarlo SM, Hankinson JL, Townsend MC, Eschenbacher WL, Von Essen SG, et al. American Thoracic Society Committee on Spirometry in the Occupational Setting. Official American Thoracic Society technical standards: spirometry in the occupational setting. Am J Respir Crit Care Med. 2014;189: 983-93. DOI: https://doi.org/10.1164/rccm.201402-0337ST