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Screening for obstructive lung disease in hospitalized psychiatric patients
- Source :
- Midtgarden, J M, Renstrøm, N, Obling, N & Bodtger, U 2020, ' Screening for obstructive lung disease in hospitalized psychiatric patients ', Nordic Journal of Psychiatry, vol. 74, no. 3, pp. 181-186 . https://doi.org/10.1080/08039488.2019.1687749
- Publication Year :
- 2020
- Publisher :
- Informa UK Limited, 2020.
-
Abstract
- Objective: Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of mortality worldwide and it remains under-diagnosed. Unrecognized somatic disease contributes significantly to the observed increased mortality rate in patients with psychiatric diseases.Aims: To investigate whether screening with spirometry and simple questions on respiratory symptoms were efficacious in identifying previously unknown cases of COPD and/or asthma in patients admitted to psychiatric wards.Methods: In this observational cohort study, we included hospitalized psychiatric patients in2013. All were assessed with handheld spirometry, medical history and completion of a simple, short questionnaire on respiratory symptoms, the COPD assessment test (CAT questionnaire).Results: In total, 106 patients were screened and 45 patients (age: median 45, range 19-75, 43% female gender) were included whereas 61 patients (age: median 42, range 19-73) 34% female gender) were excluded. Prior to screening three patients (6.5%) reported having a diagnosis of COPD whereas eight patients (17%) reported having a diagnosis of asthma. Six new cases were diagnosed with COPD and four new cases with asthma. The number needed to screen to find one new case was 3.4 (total cohort 4.5).Conclusion: We present a simple study where the patients are screened for obstructive lung disease with a handheld spirometry and a questionnaire on respiratory symptoms. Number needed to screen is low at 3.4-4.5. In all, 10 new cases of obstructive lung disease were diagnosed. This study illustrates that screening for COPD and asthma is feasible even in a psychiatric population.
- Subjects :
- Adult
Male
Spirometry
medicine.medical_specialty
Population
Cohort Studies
Pulmonary Disease, Chronic Obstructive
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
medicine
Humans
Mass Screening
Medical history
Prospective Studies
Psychiatry
education
Aged
Asthma
COPD
education.field_of_study
medicine.diagnostic_test
business.industry
Mental Disorders
Middle Aged
medicine.disease
Obstructive lung disease
respiratory tract diseases
030227 psychiatry
Hospitalization
Psychiatry and Mental health
Cohort
Female
business
030217 neurology & neurosurgery
Cohort study
Subjects
Details
- ISSN :
- 15024725 and 08039488
- Volume :
- 74
- Database :
- OpenAIRE
- Journal :
- Nordic Journal of Psychiatry
- Accession number :
- edsair.doi.dedup.....c41d7c73def09a31cb3eb4c509d72202
- Full Text :
- https://doi.org/10.1080/08039488.2019.1687749