Quality assurance of spirometry for COPD clinic accreditation in Thailand

© 2016, Medical Association of Thailand. All rights reserved. Objective: To evaluate quality of spirometry for COPD clinic accreditation. Material and Method: A minimum of 25 spirograms from each of 38 hospitals were evaluated using the American Thoracic Society (ATS)/European Respiratory Society (E...

Full description

Saved in:
Bibliographic Details
Main Authors: Pothirat C., Chaiwong W., Phetsuk N.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85010869373&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41367
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-41367
record_format dspace
spelling th-cmuir.6653943832-413672017-09-28T04:20:52Z Quality assurance of spirometry for COPD clinic accreditation in Thailand Pothirat C. Chaiwong W. Phetsuk N. © 2016, Medical Association of Thailand. All rights reserved. Objective: To evaluate quality of spirometry for COPD clinic accreditation. Material and Method: A minimum of 25 spirograms from each of 38 hospitals were evaluated using the American Thoracic Society (ATS)/European Respiratory Society (ERS) acceptability criteria. Technicians were separated into two groups based on their respective level in spirometry training, previously trained-certified, and naïve (not formally trained-certified) groups. Unpaired t-test and Chi-square were used to compare differences between the two groups. Statistical significance was set at p < 0.05. Results: Thirty-eight technicians from 38 clinics submitted a total of 1,556 spirograms for accreditation evaluation. Of those, 1,066 (68.5%) spirograms met all ATS/ERS acceptability criteria. Only 47.4% of the clinics received an A grade. All clinics that received an A grade were staffed by trained-certified technicians. Significantly, more spirograms failed to meet the criteria from clinics with naïve technicians than clinics with trained-certified technicians (18.2% vs. 80.8%, p-value < 0.001). Criteria where the trained-certified group significantly achieved than naive group were satisfactory exhalation (93.4% vs. 20.9%, p-value < 0.001), no early termination (98.5% vs. 58.6%, p-value < 0.001), maximal effort throughout (96.2% vs. 89.1%, p-value < 0.001), and good start (91.6% vs. 79.9%, p-value < 0.001). Conclusion: Spirometry performed by the Thoracic Society of Thailand trained-certified technician was distinguishably higher quality than by a naïve technician. Our results are a reminder of the importance of quality assurance for spirometry in clinical practice. 2017-09-28T04:20:52Z 2017-09-28T04:20:52Z 2016-11-01 Journal 01252208 2-s2.0-85010869373 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85010869373&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/41367
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2016, Medical Association of Thailand. All rights reserved. Objective: To evaluate quality of spirometry for COPD clinic accreditation. Material and Method: A minimum of 25 spirograms from each of 38 hospitals were evaluated using the American Thoracic Society (ATS)/European Respiratory Society (ERS) acceptability criteria. Technicians were separated into two groups based on their respective level in spirometry training, previously trained-certified, and naïve (not formally trained-certified) groups. Unpaired t-test and Chi-square were used to compare differences between the two groups. Statistical significance was set at p < 0.05. Results: Thirty-eight technicians from 38 clinics submitted a total of 1,556 spirograms for accreditation evaluation. Of those, 1,066 (68.5%) spirograms met all ATS/ERS acceptability criteria. Only 47.4% of the clinics received an A grade. All clinics that received an A grade were staffed by trained-certified technicians. Significantly, more spirograms failed to meet the criteria from clinics with naïve technicians than clinics with trained-certified technicians (18.2% vs. 80.8%, p-value < 0.001). Criteria where the trained-certified group significantly achieved than naive group were satisfactory exhalation (93.4% vs. 20.9%, p-value < 0.001), no early termination (98.5% vs. 58.6%, p-value < 0.001), maximal effort throughout (96.2% vs. 89.1%, p-value < 0.001), and good start (91.6% vs. 79.9%, p-value < 0.001). Conclusion: Spirometry performed by the Thoracic Society of Thailand trained-certified technician was distinguishably higher quality than by a naïve technician. Our results are a reminder of the importance of quality assurance for spirometry in clinical practice.
format Journal
author Pothirat C.
Chaiwong W.
Phetsuk N.
spellingShingle Pothirat C.
Chaiwong W.
Phetsuk N.
Quality assurance of spirometry for COPD clinic accreditation in Thailand
author_facet Pothirat C.
Chaiwong W.
Phetsuk N.
author_sort Pothirat C.
title Quality assurance of spirometry for COPD clinic accreditation in Thailand
title_short Quality assurance of spirometry for COPD clinic accreditation in Thailand
title_full Quality assurance of spirometry for COPD clinic accreditation in Thailand
title_fullStr Quality assurance of spirometry for COPD clinic accreditation in Thailand
title_full_unstemmed Quality assurance of spirometry for COPD clinic accreditation in Thailand
title_sort quality assurance of spirometry for copd clinic accreditation in thailand
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85010869373&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41367
_version_ 1681421989013618688