Open AccessJoint Indian Chest Society-National College of Chest Physicians (India) guidelines for spirometry
Author(s) -
Ashutosh N. Aggarwal,
Ritesh Agarwal,
Sahajal Dhooria,
KT Prasad,
Inderpaul Singh Sehgal,
Valliappan Muthu,
Navneet Singh,
Digambar Behera,
Jindal Sk,
Virendra Singh,
Rajesh Chawla,
JK Samaria,
SN Gaur,
Anurag Agrawal,
Seema Chhabra,
Vishal Chopra,
DJ Christopher,
Raja Dhar,
Aloke Gopal Ghoshal,
Randeep Guleria,
Ajay Handa,
Nirmal Jain,
Ashok Kumar Janmeja,
Surya Kant,
GC Khilnani,
Raj Kumar,
Ravindra Mehta,
Narayan Mishra,
Anant Mohan,
P R Mohapatra,
Dharmesh Patel,
Babu Ram,
Seema Sharma,
Rupak Singla,
Suri Jc,
Rajesh Swarnakar,
Deepak Talwar,
R Narasimhan,
Saurabh Maji,
Ankan Bandopadhyay,
Nita M. Basumatary,
Arindam Mukherjee,
Milind Baldi,
Nandakishore Baikunje,
Hariprasad Kalpakam,
Pratap Upadhya,
Rakesh Kodati
Publication year - 2019
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/lungindia.lungindia_300_18
Subject(s) - medicine , spirometry , technician , test (biology) , grading (engineering) , physical therapy , medical physics , asthma , paleontology , civil engineering , electrical engineering , engineering , biology
Although a simple and useful pulmonary function test, spirometry remains underutilized in India. The Indian Chest Society and National College of Chest Physicians (India) jointly supported an expert group to provide recommendations for spirometry in India. Based on a scientific grading of available published evidence, as well as other international recommendations, we propose a consensus statement for planning, performing and interpreting spirometry in a systematic manner across all levels of healthcare in India. We stress the use of standard equipment, and the need for quality control, to optimize testing. Important technical requirements for patient selection, and proper conduct of the vital capacity maneuver, are outlined. A brief algorithm to interpret and report spirometric data using minimal and most important variables is presented. The use of statistically valid lower limits of normality during interpretation is emphasized, and a listing of Indian reference equations is provided for this purpose. Other important issues such as peak expiratory flow, bronchodilator reversibility testing, and technician training are also discussed. We hope that this document will improve use of spirometry in a standardized fashion across diverse settings in India.