The reliability and utility of spirometry performed on people with asthma in community pharmacies
MetadataShow full item record
Objective: To investigate the reliability and the utility of spirometry generated by community pharmacists participating in two large asthma intervention trials of 892 people. Methods: The Pharmacy Asthma Care Program (PACP) and the Pharmacy Asthma Management Service (PAMS) involved up to four visits to the pharmacy over 6 months for counseling and goal setting. Pharmacists performed spirometry according to ATS/ERS guidelines to inform management. The proportion of A–E, F quality tests, as per EasyOne™ QC grades, were recorded. Lung function results between visits and for participants referred/not referred to their general practitioner on the basis of spirometry were compared. Results: Complete data from 2593 spirometry sessions were recorded, 68.5% of spirometry sessions achieved three acceptable tests with between-test repeatability of 150 ml or less (A or B quality), 96% of spirometry sessions included at least one test that met ATS/ERS acceptability criteria. About 39.1% of participants had FEV1/FVC values below the lower limit of normal (LNN), indicating a respiratory obstruction. As a result of the service, there was a significant increase in FEV1 and FEV1/FVC and asthma control. Lung function values were significantly poorer for participants referred to their general practitioner, compared with those not referred, on the basis of spirometry. Conclusions: Community pharmacists are able to reliably achieve spirometry results meeting ATS/ERS guidelines in people with asthma. Significant improvements in airway obstruction were demonstrated with the pharmacy services. Pharmacists interpreted lung function results to identify airway obstruction for referral, making this a useful technique for review of people with asthma in the community.
Showing items related by title, author, creator and subject.
Wibowo, Yosi Irawati (2007)Objectives: to evaluate rural pharmacy practice in Western Australia (WA) (“2006 data”), and to perform a time-series comparison with the previous data (“2002 data”) that were sourced from the National Pharmacy Database ...
Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trialArmour, Carol; Reddel, Helen; LeMay, Kate; Saini, Bandana; Smith, Lorraine; Bosnic-Anticevich, Sinthia; Song, Yun Ju; Alles, Chehani; Burton, Deborah; Emmerton, Lynne; Stewart, Kay; Krass, Ines (2013)Objective: To test the feasibility, effectiveness and sustainability of a pharmacy asthma service in primary care. Methods: A pragmatic cluster randomised trial in community pharmacies in four Australian states/territories ...
Experiences of community pharmacists involved in the delivery of a specialist asthma service in AustraliaEmmerton, Lynne; Smith, L.; LeMay, K.; Krass, I.; Saini, B.; Bosnic-Anticevich, S.; Reddel, H.; Burton, D.; Stewart, Kay; Armour, C. (2012)Background: The role of community pharmacists in disease state management has been mooted for some years. Despite a number of trials of disease state management services, there is scant literature into the engagement of, ...