2007 OPEN FORUM Abstracts
USE OF SPIROMETRY IN AN INNER CITY SCHOOL PROVES SUCCESSFUL ONE YEAR LATER.
E. Conway1, 3, R. Taylor3, 1, T. Holuback2, 1, L. Green2, 1, K. Boseman1, 3
Background: In November of 2005 Winton Hills Academy recognized the importance of doing spirometry screening. This screening identified 25 students with an abnormal spirometry. These students were referred to their primary care physician for a follow up visit. In the fall of 2006 the school followed up with another spirometry session. A family night was organized to test and educate additional family members.
Method:Spirometry was performed on any student who returned a permission slip and scored a two or higher on an asthma quiz developed by the AAAI. Students that were referred to their primary care physician from the prior year were identified to the respiratory therapist performing the screening. A follow up dinner and spirometry screening was established for parents and families to review spirometry, receive asthma education, and additional spirometry for other family members. A physician from Winton Hills Medical Center provided interpretations of spirometry and the studentâs spirometry from the screening accomplished at the school. Asthma education was provided during the dinner, followed by an question and answer session.
Results: Sixty students met the requirement for a spirometry, twenty four of those were from the prior year. Of the thirty six new students that completed spirometry ten were identified with either moderate or server obstruction. These students were referred to their primary care physician for an evaluation. Within the twenty-five students that repeated the spirometry from the previous year, five showed an abnormal spirometry. One student was shown to have a mild obstruction, three had moderate obstruction, and one classified as sever obstruction. All students performed three reproducible spirometries to ensure accuracy. During the family night twenty five families attended. All families were offered to have a respiratory therapist perform spirometry on all family members. Ten families participated with an age range of five years to forty four years. Out of these ten families a total of forty two people participated. From these screenings we were able to identify ten with a mild obstruction, five with moderate obstruction, and two with sever obstruction. Twenty of these participants had normal spirometry and the other five were invalid test.
Conclusion: Spirometry checks within this inner school has shown an effective way of making families aware of the asthma and the need of daily control and follow up with their physician.