Small airway function measured using forced expiratory flow between 25% and 75% of vital capacity and its relationship to airflow limitation in symptomatic ever-smokers: a cross-sectional study

Autor: Elizabeth Sapey, James Stockley, Nowaf Y Alobaidi, Mohammed Almeshari, Robert Andrew Stockley
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMJ Open Respiratory Research, Vol 9, Iss 1 (2022)
Druh dokumentu: article
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2022-001385
Popis: Background Chronic obstructive pulmonary disease (COPD) is diagnosed and its severity graded by traditional spirometric parameters (forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) and FEV1, respectively) but these parameters are considered insensitive for identifying early pathology. Measures of small airway function, including forced expiratory flow between 25% and 75% of vital capacity (FEF25-75), may be more valuable in the earliest phases of COPD. This study aimed to determine the prevalence of low FEF25-75 in ever-smokers with and without airflow limitation (AL) and to determine whether FEF25-75 relates to AL severity.Method A retrospective analysis of lung function data of 1458 ever-smokers suspected clinically of having COPD. Low FEF25-75 was defined by z-score
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