How to make sure your spirometry tests are of good qualityPaul L Enright
University of Arizona, AHSC 2342, PO Box 245030, 1501 N Campbell Avenue, Tucson AZ 85724 3030, USA
Respir Care 48:773-6. 2003
..Implement a centralized spirometry quality assurance program. Test your spirometers daily. Be cautious in making corrections for body-temperature-and-pressure-saturated...
Spirometry should be measured in the offices of general practitionersPaul Enright
The University of Arizona, Tucson, AZ, USA
Chron Respir Dis 2:109-11. 2005
Underdiagnosis and undertreatment of asthma in the elderly. Cardiovascular Health Study Research GroupP L Enright
University of Arizona, Tucson 85724, USA
Chest 116:603-13. 1999
..To describe the clinical correlates of asthma in a community-based sample of elderly persons...
Repeatability of spirometry in 18,000 adult patientsPaul L Enright
Department of Medicine, University of Arizona, Tucson, Arizona 85718, USA
Am J Respir Crit Care Med 169:235-8. 2004
..The current American Thoracic Society repeatability goal of 200 ml for FEV1 and FVC may be too lenient...
Assessing the airwaysP Enright
College of Public Health, University of Arizona, USA
Chron Respir Dis 5:115-9. 2008
..However, peak flow may be helpful to rule out moderate to severe airway obstruction and for home monitoring in some patients with asthma...
The six-minute walk testPaul L Enright
University of Arizona, AHSC 2342, PO Box 245030, 1501 N Campbell Avenue, Tucson AZ 85724 3030, USA
Respir Care 48:783-5. 2003
..If the 6MWD is low, thoroughly search for the cause(s) of the impairment. Better 6MWD reference equations will be published in the future, so be sure you are using the best available reference equations...
Strategies for screening for chronic obstructive pulmonary diseasePaul L Enright
Department of Medicine, The University ot Arizona, Tucson, Arizona, USA
Respir Care 48:1194-201; discussion 1201-3. 2003
..Respiratory therapists and pulmonary function technologists can help primary care practitioners select good office spirometers for identifying chronic obstructive pulmonary disease and teach staff how to use spirometers correctly...
The use and abuse of office spirometryPaul Enright
The University of Arizona, Tucson, Arizona, USA
Prim Care Respir J 17:238-42. 2008
..More studies are needed to show that GPs use spirometry results systematically to make decisions which truly benefit their patients with asthma or COPD...
The FEV1/FEV6 predicts lung function decline in adult smokersR L Enright
The University of Arizona, Tucson 85724, USA
Respir Med 96:444-9. 2002
..The degree of airways obstruction, as determined by the FEV1/FEV6 from spirometry, is an independent predictor of subsequent decline in lung function; and therefore, may be used to detect smokers at higher risk of developing COPD...
The 6-min walk test: a quick measure of functional status in elderly adultsPaul L Enright
University of Arizona, USA
Chest 123:387-98. 2003
..To determine the correlates of the total 6-min walk distance (6MWD) in a population sample of adults > or = 68 years old...
Correlates of peak expiratory flow lability in elderly personsP L Enright
College of Public Health, University of Arizona, Tuscon, AZ 85724, USA
Chest 120:1861-8. 2001
..To determine the correlates of the lability of peak expiratory flow (PEF) in the elderly...
Controversies in the use of spirometry for early recognition and diagnosis of chronic obstructive pulmonary disease in cigarette smokersP L Enright
Department of Medicine, The University of Arizona, Tucson, Arizona, USA
Clin Chest Med 21:645-52. 2000
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Quality of spirometry test performance in children and adolescents : experience in a large field studyP L Enright
University of Arizona, Tucson, AZ, USA
Chest 118:665-71. 2000
..To determine the ability of children and adolescents to meet the American Thoracic Society (ATS) goals for spirometry quality that were based on results from adults...
Standardization of spirometry in assessment of responders following man-made disasters: World Trade Center worker and volunteer medical screening programPaul Enright
The University of Arizona, Tucson, AZ, USA
Mt Sinai J Med 75:109-14. 2008
..The protocol improved upon the minimal ATS guidelines...
Risk factors for declining ankle-brachial index in men and women 65 years or older: the Cardiovascular Health StudyMargaret Kennedy
Department of Medicine, University of Vermont, Burlington, USA
Arch Intern Med 165:1896-902. 2005
..74 (95% CI, 1.05-2.89). CONCLUSION: Worsening lower extremity arterial disease, assessed as ABI decline, occurred in 9.5% of this elderly cohort over 6 years and was associated with modifiable vascular disease risk factors...
"Successful aging": effect of subclinical cardiovascular diseaseAnne B Newman
Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
Arch Intern Med 163:2315-22. 2003
..Among those without clinical disease, high levels of subclinical disease are associated with poor survival. The effect of the extent of subclinical cardiovascular disease on the quality of the remaining years has not been defined...
FEV1 performance among patients with acute asthma: results from a multicenter clinical trialRobert A Silverman
Department of Emergency Medicine, Long Island Jewish Medical Center, North Shore LIJMC Health Care System, New Hyde Park, NY 11042, USA
Chest 131:164-71. 2007
..To determine the ability of patients seen for acute asthma exacerbations in the emergency department (ED) to perform good-quality FEV(1) measurements...
The diagnosis and management of asthma is much tougher in older patientsPaul L Enright
University of Arizona, Tucson, Arizona 85718, USA
Curr Opin Allergy Clin Immunol 2:175-81. 2002
..Therefore, extra caution is needed when treating elderly asthmatic patients, and objective monitoring of their response to each new asthma medication is important...
Inflammatory markers and longitudinal lung function decline in the elderlyRui Jiang
Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA
Am J Epidemiol 168:602-10. 2008
..An alternative approach to missing data yielded similar results. In conclusion, higher levels of fibrinogen, but not CRP, independently predicted greater FEV(1)/FVC decline in the elderly...
Percent emphysema, airflow obstruction, and impaired left ventricular fillingR Graham Barr
Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA
N Engl J Med 362:217-27. 2010
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Pro-arrhythmic and pro-ischaemic effects of inhaled anticholinergic medicationsSonal Singh
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205 1901, USA
Thorax 68:114-6. 2013
..The authors urge caution in prescribing inhaled anticholinergics for patients with pre-existing arrhythmias or cardiac disorders...
Deep vein thrombosis and pulmonary embolism in two cohorts: the longitudinal investigation of thromboembolism etiologyMary Cushman
Department of Medicine, University of Vermont, Burlington, USA
Am J Med 117:19-25. 2004
..To determine the incidence of deep vein thrombosis and pulmonary embolism in two cohorts representing regions of the United States...
Cigarette smoking is associated with subclinical parenchymal lung disease: the Multi-Ethnic Study of Atherosclerosis (MESA)-lung studyDavid J Lederer
Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA
Am J Respir Crit Care Med 180:407-14. 2009
..Cigarette smoking is a risk factor for diffuse parenchymal lung disease. Risk factors for subclinical parenchymal lung disease have not been described...
Factors associated with incidence and persistence of symptoms of disturbed sleep in an elderly cohort: the Cardiovascular Health StudyStuart F Quan
Department of Medicine, Sleep and Arizona Respiratory Centers, University of Arizona College of Medicine, Tucson, Arizona 85724, USA
Am J Med Sci 329:163-72. 2005
..Factors influencing these rates were assessed as well...
Time trends in high blood pressure control and the use of antihypertensive medications in older adults: the Cardiovascular Health StudyBruce M Psaty
Cardiovascular Health Research Unit, Department of Medicine, University of Washington, 1730 Minor Ave, Suite 1360, Seattle, WA 98101, USA
Arch Intern Med 162:2325-32. 2002
..More widespread use of these agents will be an important intervention to prevent the devastating complications of hypertension, including stroke, myocardial infarction, and heart failure...
Learning in children and sleep disordered breathing: findings of the Tucson Children's Assessment of Sleep Apnea (tuCASA) prospective cohort studyKris L Kaemingk
Department of Pediatrics, University of Arizona Health Sciences Center, Tucson, Arizona 85724, USA
J Int Neuropsychol Soc 9:1016-26. 2003
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Blood pressure elevation associated with sleep-related breathing disorder in a community sample of white and Hispanic children: the Tucson Children's Assessment of Sleep Apnea studyPaul L Enright
Arizona Respiratory Center, The University of Arizona College of Medicine, Tucson 85724, USA
Arch Pediatr Adolesc Med 157:901-4. 2003
..The control of obesity in childhood may be important to reduce the daytime consequences of SBD and to reduce the risks of life-long hypertension...
Respiratory morbidity in office workers in a water-damaged buildingJean M Cox-Ganser
Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Morgantown, West Virginia 26505, USA
Environ Health Perspect 113:485-90. 2005
..Occupancy of the water-damaged building was associated with onset and exacerbation of respiratory conditions, confirmed by objective medical tests. The morbidity and lost work time burdened both employees and employers...
Are GOLDen slumbers drug induced?Paul L Enright
Am J Respir Crit Care Med 177:1291; author reply 1291-2. 2008
Clinical bronchiolitis obliterans in workers at a microwave-popcorn plantKathleen Kreiss
Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Morgantown, WVa 26505, USA
N Engl J Med 347:330-8. 2002
..No recognized cause was identified in the plant. Therefore, we medically evaluated current employees and assessed their occupational exposures...
Quality assurance of asthma clinical trialsKerstin Malmstrom
Department of Pulmonary Immunology, Merck Research Laboratories, PO Box 2000, Rahway, NJ 07065, USA
Control Clin Trials 23:143-56. 2002
..Both within- and between-patient variability decreased. Spirometry quality improved with time as study participants and technicians gained experience...
Making the diagnosis of asthmaMeredith C McCormack
Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, 1830 E Monument Street, Baltimore, MD 21205, USA
Respir Care 53:583-90; discussion 590-2. 2008
..A high exhaled nitric oxide level makes allergic asthma more likely. Response to inhaled corticosteroids makes asthma more likely and COPD less likely...
Incident physical disability in people with lower extremity peripheral arterial disease: the role of cardiovascular diseaseJennifer S Brach
Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15260, USA
J Am Geriatr Soc 56:1037-44. 2008
..To evaluate the risk of incident physical disability and the decline in gait speed over a 6-year follow-up associated with a low ankle-arm index (AAI) in older adults...
The effect of smoking intervention and an inhaled bronchodilator on airways reactivity in COPD: the Lung Health StudyRobert A Wise
Johns Hopkins University School of Medicine, Baltimore, MD, USA
Chest 124:449-58. 2003
..The greater the decline in FEV(1), the greater the increase in AR. Smoking cessation had a small additional benefit in AR beyond its favorable effects on FEV(1) changes...
Spirometry can be done in family physicians' offices and alters clinical decisions in management of asthma and COPDBarbara P Yawn
Olmsted Medical Center, Department of Research, 210 Ninth St SE, Rochester, MN 55904, USA
Chest 132:1162-8. 2007
..While many patients with asthma and COPD are cared for by primary care practices, limited data are available on the use and results associated with spirometry in primary care...
Asthma in American Indian adults: the Strong Heart StudyAnne E Dixon
University of Vermont College of Medicine, 111 Colchester Ave, Burlington, VT 05401, USA
Chest 131:1323-30. 2007
..Characterization of the impact of asthma among American Indian adults is necessary in order to design appropriate clinical and preventive measures...
Are six seconds long enough?Paul L Enright
Prim Care Respir J 15:268-70. 2006
GOLD stage I is not a COPD risk factorPaul L Enright
Thorax 62:1107; author reply 1108-9. 2007
Hospitalizations and mortality in the Lung Health StudyNicholas R Anthonisen
University of Manitoba, Winnipeg, Manitoba, Canada
Am J Respir Crit Care Med 166:333-9. 2002
..When all participants were considered and smoking status considered as a time-dependent covariate, smoking cessation was associated with significant reductions in fatal or nonfatal cardiovascular disease and coronary artery disease...
Induction of asthma and the environment: what we know and need to knowMaryJane K Selgrade
National Health and Environmental Effects Research Laboratory, U S Environmental Protection Agency, Research Triangle Park, NC 27711, USA
Environ Health Perspect 114:615-9. 2006
..Research to address these questions could have a significant public health and economic impact that would be well worth the investment...
Office spirometry is 30 years old, but is not maturePaul L Enright
Respir Care 50:1619-20. 2005
Induced sputum evaluation in microwave popcorn production workersMuge Akpinar-Elci
NIOSH Division of Respiratory Diseases Studies, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health, Field Studies Branch, Mail Stop H 2800, 1095 Willowdale Rd, Morgantown, WV 26505, USA
Chest 128:991-7. 2005
..We investigated whether exposure to flavoring agents is associated with airways inflammation in popcorn production workers...