Walk-in ambulant lungefunktionsservice for rygere i Kobenhavn--etarsopgorelse

TY - JOUR

T1 - Walk-in ambulant lungefunktionsservice for rygere i Kobenhavn--etarsopgorelse

AU - Backer, V.

AU - Bolton, S.

AU - Ehlers, H.D.

AU - Thomsen, S.

AU - Pedersen, L.

AU - Porsbjerg, C.

AU - Lund, T.

AU - Harmse, L.

AU - Fuglsang, C.

PY - 2008

Y1 - 2008

N2 - BACKGROUND: Early prevention of COPD and immediate consultation about tobacco cessation is a major issue in respiratory medicine. Aim: To evaluate if a community-based walk-in lung function service, either in a clinic or a shopping mall, could result in early detection of COPD. Early detection would facilitate prevention. MATERIALS AND METHODS: In an area with 1.5 mill inhabitants, a walk-in lung function service opened in 2005/06 once a month for 3 hours at a clinic and on two full days in a mall. The staff consisted of two respiratory nurses and one chest physician. The nurses informed all participants about their lung function level and all received a preventive talk about tobacco consumption. Those with signs of COPD spoke with the doctor immediately. RESULTS: A total of 1169 subjects, 59% women, with a mean (SD) age of 60 years (15), visited the walk-in services, 602 (52%) of whom visited the walk-in service at the clinic. Among the participants, 826 (71%) were smokers (n=452) or former smokers (n=374). The mean tobacco consumption was 32 (18) packs a year. We found that more current smokers visited the walk-in service at the clinic (45% versus 33%), whereas more ex-smokers visited the lung function service at the mall (38% versus 25%) (p < 0.01). The mean tobacco consumption was 32 (18) packs a year, with a difference between those visiting the mall and the clinic (32 (20) versus 23 (16), p<0.05). Among smokers, 54% had normal lung function, 15% had signs of airway obstruction, whereas 31% had developed moderate to severe COPD. CONCLUSION: Despite free medical access, more that one thirds had signs of airway obstruction. As all were informed about tobacco cessation, a walk-in service in a clinic and not a supermarket is most cost effective Udgivelsesdato: 2008/8/25

AB - BACKGROUND: Early prevention of COPD and immediate consultation about tobacco cessation is a major issue in respiratory medicine. Aim: To evaluate if a community-based walk-in lung function service, either in a clinic or a shopping mall, could result in early detection of COPD. Early detection would facilitate prevention. MATERIALS AND METHODS: In an area with 1.5 mill inhabitants, a walk-in lung function service opened in 2005/06 once a month for 3 hours at a clinic and on two full days in a mall. The staff consisted of two respiratory nurses and one chest physician. The nurses informed all participants about their lung function level and all received a preventive talk about tobacco consumption. Those with signs of COPD spoke with the doctor immediately. RESULTS: A total of 1169 subjects, 59% women, with a mean (SD) age of 60 years (15), visited the walk-in services, 602 (52%) of whom visited the walk-in service at the clinic. Among the participants, 826 (71%) were smokers (n=452) or former smokers (n=374). The mean tobacco consumption was 32 (18) packs a year. We found that more current smokers visited the walk-in service at the clinic (45% versus 33%), whereas more ex-smokers visited the lung function service at the mall (38% versus 25%) (p < 0.01). The mean tobacco consumption was 32 (18) packs a year, with a difference between those visiting the mall and the clinic (32 (20) versus 23 (16), p<0.05). Among smokers, 54% had normal lung function, 15% had signs of airway obstruction, whereas 31% had developed moderate to severe COPD. CONCLUSION: Despite free medical access, more that one thirds had signs of airway obstruction. As all were informed about tobacco cessation, a walk-in service in a clinic and not a supermarket is most cost effective Udgivelsesdato: 2008/8/25

M3 - Tidsskriftartikel

SN - 0041-5782

VL - 170

SP - 2682

EP - 2685

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

IS - 35

ER -