Practical considerations for spirometry during the COVID-19 outbreak: Literature review and insights

As the Coronavirus disease 2019 (COVID-19) is spreading worldwide, countries are dealing with different phases of the pandemic. Lately, scientific evidence has been growing about the measures for reopening respiratory outpatient services during the COVID-19 pandemic. We aim to summarize the key diff...

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Vydáno v:	Pulmonology Ročník 27; číslo 5; s. 438 - 447
Hlavní autoři:	Crimi, Claudia, Impellizzeri, Pietro, Campisi, Raffaele, Nolasco, Santi, Spanevello, Antonio, Crimi, Nunzio
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Spain Elsevier España, S.L.U 01.09.2021 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U Taylor & Francis Group
Témata:	Ambulatory Care Facilities - organization & administration Ambulatory Care Facilities - standards Clinical Decision-Making - ethics Consensus COVID-19 COVID-19 - diagnosis COVID-19 - epidemiology COVID-19 - physiopathology COVID-19 - virology Disease Outbreaks Equipment and Supplies Utilization - standards Equipment Design - standards Guidelines Guidelines as Topic - standards Humans Infectious Disease Transmission, Professional-to-Patient - prevention & control Manufacturing Industry - organization & administration Manufacturing Industry - statistics & numerical data Outpatient clinic Pandemics Physicians Pulmonary function test Respiratory Function Tests - methods Respiratory Function Tests - standards Review Safety SARS-CoV-2 SARS-CoV-2 - genetics SARS-CoV-2 - isolation & purification Spirometry Spirometry - methods Spirometry - standards BTS ATS Spirometry PPE ANZSRS ERS ITS IRS/SIP Guidelines COVID-19 Outpatient clinic SPP SARS-CoV-2 CLEVELAND HCWs ITS/AIPO Safety SEPAR WHO AEC UV SUNEUMO ACH TSANZ AET PFTs SPLF ARTP Pulmonary function test SEAIC COPD Sociedad Espanola de Alergologia e Inmunologia Clinica air changes per hour Sociedade Portuguesa de Pneumologia European Respiratory Society Chronic obstructive pulmonary disease Irish Thoracic Society Association for Respiratory Technology and Physiology World Health Organization personal protective equipment Coronavirus disease 2019 Sociedad Uruguaya de Neumologia Thoracic Society of Australia and New Zealand Asociacion de Enfermeria Comunitaria Asociacion de Especialistas en Enfermeria del trabajo pulmonary function tests health care workers British Thoracic Society Respiratory Institute Cleveland Clinic Italian Thoracic Society/Associazione Italiana Pneumologi Ospedalieri Australian and New Zealand Society of Respiratory Science Ltd American Thoracic Society Italian Respiratory Society/Società Italiana di Pneumologia Société de Pneumologie de Langue Française ultraviolet Sociedad Espanola de Neumologia y Cirugia Toracica
ISSN:	2531-0437, 2531-0429, 2531-0437
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Shrnutí:	As the Coronavirus disease 2019 (COVID-19) is spreading worldwide, countries are dealing with different phases of the pandemic. Lately, scientific evidence has been growing about the measures for reopening respiratory outpatient services during the COVID-19 pandemic. We aim to summarize the key differences and similarities among recommendations by different national and international organizations. We searched on Google and Pubmed for recently published National and International Recommendations/Guidelines/Position Papers from professional organizations and societies, offering a guidance to physicians on how to safely perform pulmonary function testing during COVID-19 pandemic. We also searched for spirometry manufacturers' operational indications. Indications on spirometry were released by the Chinese Task force, the American Thoracic Society, the European Respiratory Society, the Thoracic Society of Australia and New Zealand, the Société de Pneumologie de Langue Française, the Spanish Societies (Sociedad Espanola de Neumologia y Cirugia Toracica, Sociedad Espanola de Alergologia e Inmunologia Clinica, Asociacion de Especialistas en Enfermeria del trabajo, Asociacion de Enfermeria Comunitaria), the Sociedade Portuguesa de Pneumologia, the British Thoracic Society/Association for Respiratory Technology & Physiology, the Irish Thoracic Society, the Sociedad Uruguaya de Neumologia, the Italian Thoracic Society and the Italian Respiratory Society, Cleveland Clinic and Nebraska Medical Center. Detailed technical recommendations were found on manufacturers’ websites. We found several similarities across available guidelines for safely resuming pulmonary function services, as well as differences in criteria for selecting eligible patients for which spirometry is deemed essential and advice which was not homogenous on room ventilation precautions. This study shows a synthesis of national/international guidelines allowing practicing physicians to adapt and shape the way to organize their outpatient services locally. There is generally good agreement on the importance of limiting pulmonary function testing to selected cases only. However, significant differences concerning the subsets of candidate patients, as well as on the management of adequate room ventilation, were observed.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	2531-0437 2531-0429 2531-0437
DOI:	10.1016/j.pulmoe.2020.07.011