La mise en œuvre d ’ un programme de dépistage ciblé pour déceler une obstruction des voies respiratoires évocatrice d ’ une maladie pulmonaire obstructive chronique dans une clinique de dépistage préchirurgical

Content Provider	Semantic Scholar
Author	Robitaille, Chantal Rn, Esther Dajczman Hirsch, Andrew M. Small, David Ernst, Pierre ScN, Dana Porubska B. Palayew, Mark
Copyright Year	2016
Abstract	1Airways Centre, Division of Pulmonary Diseases; 2Department of Nursing, Jewish General Hospital, McGill University; 3Mount Sinai Hospital, Montreal, Quebec Correspondence: Dr Mark Palayew, Airways Centre, Division of Pulmonary Diseases, Jewish General Hospital, 3755 Cote Ste Catherine, Pavilion G, Room 203, Montreal, Quebec H3T 1E2. Telephone 514-340-7900, e-mail mpalayew@pne.jgh.mcgill.ca Chronic obstructive pulmonary disease (COPD) is highly prevalent, affecting 9% to 26% of individuals ≥40 years of age, and is the fourth leading cause of death in Canada (1-4). More than 750,000 Canadian adults report being diagnosed with COPD by a health care professional (5). COPD appears to be underdiagnosed because prevalence rates based on spirometry testing are two to six times higher than estimates based on patients’ self-reports of a physician diagnosis (6,7). Early diagnosis and management of COPD is important because it is a leading cause of hospitalization and emergency department visits (8-12). Early detection enables the initiation of treatment, if needed, and for secondary preventive strategies including smoking cessation, education and healthy lifestyle changes (13-15). The Canadian Thoracic Society recommends spirometry testing for individuals at risk for COPD: individuals >40 years of age with a past or present smoking history and at least one respiratory symptom, such as breathlessness, wheezing, cough, or persistent phlegm and frequent lung infections (16). Despite the simplicity of spirometry, limitations regarding access, use, quality and interpretation of results are considerable (17-19). A novel targeted screening program was implemented within the presurgical screening (PSS) clinic of a tertiary care hospital. This was initiated in response to indications that avoidable postoperative pulmonary complications were occurring in patients with previously undiagnosed COPD and in COPD patients with poorly controlled disease. A quality assurance study was performed to evaluate the detection rate of airflow obstruction and to examine the characteristics of individuals identified through the targeted screening program. C Robitaille, E Dajczman, AM Hirsch, et al. Implementation of a targeted screening program to detect airflow obstruction suggestive of chronic obstructive pulmonary disease within a presurgical screening clinic. Can Respir J 2015;22(4):209-214.
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Alternate Webpage(s)	http://downloads.hindawi.com/journals/crj/2015/306720.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article