Table 1:
Indications for Spirometry
Diagnostic
  • To evaluate symptoms, signs, or abnormal laboratory tests
    • Symptoms: dyspnea, wheezing, orthopnea, cough, phlegm production, chest pain
    • Signs: diminished breath sounds, overinflation, expiratory slowing, cyanosis, chest deformitory, unexplained crackles
    • Abnormal laboratory tests: hypoxemia, hypercapnia, polycythemia, abnormal chest radiographs
  • To measure the effect of disease on pulmonary function
  • To screen individuals at risk of having pulmonary diseases
    • Smokers
    • Individuals in occupations with exposures to injurious substances
    • Some routine physical examinations
  • To assess preoperative risk
  • To assess prognosis (lung transplant, etc.)
  • To assess health status before enrollment in strenuous physical activity programs
Monitoring
  • To assess therapeutic interventions
    • Bronchodilator therapy
    • Steroid treatment for asthma, interstitial lung disease, etc.
    • Management of congestive heart failure
    • Other (antibiotics in cystic fibrosis, etc.)
  • To describe the course of diseases affecting lung function
    • Pulmonary diseases
    • Cardiac diseases
      • Congestive heart failure
    • Neuromuscular diseases
      • Culligan-Barre Syndrome
  • To monitor persons in occupations with exposure to injurious agents
  • To monitor for adverse reactions to drugs with known pulmonary toxicity
Disability/Impairment Evaluations
  • To assess patients as part of a rehabilitation program
    • Medical
    • Industrial
    • Vocational
  • To assess risks as part of an insurance evaluation
  • To assess individuals for legal reasons
    • Social Security or other government compensation programs
    • Personal injury lawsuits
    • Others
Public Health
  • Epidemiologic surveys
    • Comparison of health status of populations living in different environments
    • Validation of subjective complaints in occupational/environmental settings
  • Derivation of reference equations
 
Copyright 2003 The Cleveland Clinic Foundation

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