mpact of Using Different FEV1 /FVC as Cut-off Point in the Qualitative Diagnosis on the Prevalence of Chronic Obstructive Pulmonary Disease_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ZHOU Yingying , LIU Li , HU Lijuan , LI Li ,  ZHU Lei , NIU Shanfu.

Pulmonary Department, Zhongshan Hospital, Fudan University. Shanghai, 200032, China;

Corresponding author：

ZHU Lei, Email: tfzhu@126.com

Keywords：

Chronic obstructive pulmonary disease; Low limit of normal; Fixed FEV1%; Qualitative diagnosis

Video：

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Objective To investigate the impact of using low limit of normal( LLN) for FEV1 /FVC ratio and fixed ratio ( 70% ) as cut-off point in the qualitative diagnosis on the prevalence of chronic obstructive pulmonary disease( COPD) . Methods An epidemiological study was carried out in preoperative patients who received pulmonary function test in Zhongshan hospital fromNovember 6, 2007 to December 30, 2007. 339 patients were enrolled and diagnosed as COPD by different diagnostic criteria as follows: ①GOLD criteria; ②FEV1 /FVC

Citation： ZHOU Yingying,LIU Li,HU Lijuan,LI Li,ZHU Lei,NIU Shanfu.. mpact of Using Different FEV1 /FVC as Cut-off Point in the Qualitative Diagnosis on the Prevalence of Chronic Obstructive Pulmonary Disease. Chinese Journal of Respiratory and Critical Care Medicine, 2009, 09(1): 16-19. doi: Copy

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10.	Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J, 2005, 26: 948-968.
11.	Mannino DM, Sonia Buist A, Vollmer WM, et al. Chronic obstructive pulmonary disease in the older adult: what defines abnormal lung function? Thorax, 2007, 62: 237-241.
12.	Roberts SD, Farber MO, Knox KS, et al. FEV1 / FVC ratio of 70%misclassifies patients with obstruction at the extremes of age. Chest,2006, 130: 200-206.
13.	周营营, 朱蕾. 慢性阻塞性肺疾病的肺功能诊断标准不等同于阻塞性通气功能障碍的诊断标准. 中国呼吸与危重监护杂志,2008, 7: 323-324.

1. 周玉民, 冉丕鑫. 慢性阻塞性肺疾病的流行病学. 中国呼吸与危重监护杂, 2004, 3: 68-70.
2. 王曾礼. 更新对慢性阻塞性肺疾病认识的观念. 中国呼吸与危重监护杂志, 2007, 6: 401-402.
3. 白冲. 慢性阻塞性肺疾病的危险因素、流行情况及未来发展趋势. 中国呼吸与危重监护杂志, 2007, 6: 403-405.
4. 刘辉国, 徐永健. 慢性阻塞性肺疾病: 从气道慢性炎症到全身慢性炎症. 中国呼吸与危重监护杂志, 2007, 6: 410-4412.
5. Siafakas NM, Vermeire P, Pride NB, et al. Optimal assessment and management of chronic obstructive pulmonary disease ( COPD) . Eur Respir J, 1995, 8: 1398-1420.
6. Global strategy for the diagnosis management and prevention of chronic obstructive pulmonary disease ( COPD) [ Internet ] [ updated2006] . Available from: http: / /www. goldcopd. org( 2007-12-1) .
7. 刘春涛, 冯玉麟. 慢性阻塞性肺疾病全球创议慢性阻塞性肺疾病诊断、管理和预防袖珍指南( 2006 年修订版) . 中国呼吸与危重监护杂志, 2007, 6: 230-237.
8. American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J RespirCrit Care Med, 1995, 152: S77-S121.
9. 穆魁津, 刘世碗, 主编. 全国肺功能正常值汇编. 北京: 北京医科大学中国协和医科大学联合出版社, 1990: 57-67.
10. Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J, 2005, 26: 948-968.
11. Mannino DM, Sonia Buist A, Vollmer WM, et al. Chronic obstructive pulmonary disease in the older adult: what defines abnormal lung function? Thorax, 2007, 62: 237-241.
12. Roberts SD, Farber MO, Knox KS, et al. FEV1 / FVC ratio of 70%misclassifies patients with obstruction at the extremes of age. Chest,2006, 130: 200-206.
13. 周营营, 朱蕾. 慢性阻塞性肺疾病的肺功能诊断标准不等同于阻塞性通气功能障碍的诊断标准. 中国呼吸与危重监护杂志,2008, 7: 323-324.

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Chinese Journal of Respiratory and Critical Care Medicine

mpact of Using Different FEV1 /FVC as Cut-off Point in the Qualitative Diagnosis on the Prevalence of Chronic Obstructive Pulmonary Disease

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