Development of a web application to evaluate spirometric curve and clinical variables to support COPD diagnosis in primary care

Introduction. Choric obstructive pulmonary disease (COPD) is the third mortality cause in the world, and the development of useful diagnostic tools is necessary to improve timely diagnostic rates in primary care settings. Objective. To develop a web application displaying spirometric and clinical in...

Full description

Bibliographic Details
Published in:Biomédica
Main Authors: Adriana Maldonado-Franco, Luis F. Giraldo-Cadavid, Eduardo Tuta-Quintero, Alirio R. Bastidas, Angélica Moreno-Giraldo, Daniel A. Botero-Rosas
Format: Article in Journal/Newspaper
Language:English
Spanish
Published: Instituto Nacional de Salud 2024
Subjects:
pulmonary disease
chronic obstructive
diagnosis
spirometry
data accuracy
Medicine
R
Arctic medicine. Tropical medicine
RC955-962
Arctic
Online Access:https://doi.org/10.7705/biomedica.7142
https://doaj.org/article/4fd20920fdf0492eb73abfec91f51d59
Description
Summary:Introduction. Choric obstructive pulmonary disease (COPD) is the third mortality cause in the world, and the development of useful diagnostic tools is necessary to improve timely diagnostic rates in primary care settings. Objective. To develop a web application displaying spirometric and clinical information – including respiratory symptoms and risk factors– to facilitate a COPD diagnosis. Materials and methods. In this cross-sectional study, an expert consensus was carried out with three specialists using the Delphi method to choose the relevant variables for COPD diagnosis. We developed a Python-based web application to diagnose COPD, displaying the clinical variables deemed relevant by the experts along the spirometric curve. Results. Twenty-six clinical variables were included in the web application for the diagnosis of COPD. A fourth expert used the web application to classify a cohort of 695 patients who had undergone spirometry in a third-level centre and had answered at least one of five questionnaires for COPD screening. Out of the 695 subjects, 34% had COPD, according to the expert that diagnosed them using the web application. Only 42% of the patients in the COPD group had received a previous COPD diagnosis and 19% of the patients in the no COPD group had been misdiagnosed with the disease. Conclusion. We developed a web application that displays demographic and clinical information, as well as spirometric data, to facilitate the process of diagnosing COPD in primary care settings.

Similar Items