Office-Based Spirometry: A New Model of Care in Preoperative Assessment for Low-Risk Lung Resections.

ABSTRACT: BACKGROUND:Formal pulmonary function testing with laboratory spirometry (LS) is the standard of care for risk stratification before lung resection. LS and handheld office spirometry (OS) are clinically comparable for forced expiratory volume in 1 second and forced vital capacity. We investigated the safety of preoperative risk stratification based solely on OS. METHODS:Patients at low-risk for cardiopulmonary complications were enrolled in a single-center prospective study and underwent preoperative OS. Formal LS was not performed when forced expiratory volume in 1 second was more than 60% by OS. Propensity score matching was used to compare patients in the OS group to low-risk institutional database patients (2008 to 2015) who underwent LS and lung resection. Standardized mean differences

SUBMITTER: Hudson JL 

PROVIDER: S-EPMC5901685 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature