Lung volumes in 4,774 patients with obstructive lung disease

Brian J. Dykstm, Paul D. Scanion, Monica M. Rester, Ken C. Beck, Paul L. Enright

Research output: Contribution to journalArticle

81 Scopus citations

Abstract

Study objectives: To determine the correlates of static lung volumes in patients with airways obstruction, and to determine if static lung volumes differ between asthma and COPD. Patients and methods: We examined the data from all of the adult patients (mean age of 69) who were referred to a pulmonary function laboratory from January 1990 through July 1994 with an FEV1/FVC ratio of < 0.70 and tested using a body plethysmograph. Correlates were determined using regression analysis. Measurements and results: Of the 4,774 patients observed with evidence of airways obstruction, 61% were men. Self-reported diagnoses included asthma, 19%; emphysema or COPD, 23%; chronic bronchitis, 1.5%; and α1-antiprotease deficiency, 0.6%. Fifty-six percent of the patients did not report a respiratory disease. The degree of hyperinflation, as determined by the residual volume (RV)/total lung capacity (TLC) ratio, or the RV % predicted (but not the TLC % predicted), was strongly associated with the degree of airways obstruction (the FEV1 % predicted). Patients with moderate to severe airways obstruction and high RV and TLC levels were more likely to have COPD than asthma. Of the 1,872 patients with a reduced vital capacity determined by spirometry testing, 87% had hyperinflation as defined by the RV/TLC, and 9.5% had a low TLC (with less severe airways obstruction). Conclusion: In patients found to have airways obstruction by spirometry, the additional measurement of static lung volumes added little to the clinical interpretation.

Original languageEnglish (US)
Pages (from-to)68-74
Number of pages7
JournalChest
Volume115
Issue number1
DOIs
StatePublished - Jan 1 1999

Keywords

  • Asthma
  • COPD
  • Hyperinflation
  • Lung volumes

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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    Dykstm, B. J., Scanion, P. D., Rester, M. M., Beck, K. C., & Enright, P. L. (1999). Lung volumes in 4,774 patients with obstructive lung disease. Chest, 115(1), 68-74. https://doi.org/10.1378/chest.115.1.68