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Spirometry tests were carried out by a Respiratory Clinical Nurse Specialist (Respiratory CNS) Participants were referred to see their General Practitioner if their FEV1/FVC score was outside the GOLD standard. The questionnaire contained demographic information and information on risk factors associated with COPD. Anonymous data points were collected on the following: location of visit, age, gender, education level, smoking history, passive smoke exposure, family history of lung disease, symptoms of lung disease (cough, mucus production, shortness of breath, wheeze), time of day for the worst symptoms, GP visits and knowledge of COPD prior to this event. Data was then compiled in a database and was analyzed using IBM SPSS Version 22. Increase awareness of COPD in the general population Provide information about COPD to those presenting to the clinic Refer patients identified as being at risk of COPD for further investigation COPD is the most prevalent respiratory disease in adults in Ireland 1. Ireland’s death rate from respiratory disease is 1.5 times the EU average and is the 2 nd highest in Western Europe 2. COPD Support Ireland is Ireland’s first national charity established to support and advocate for those living with COPD. For World COPD Day 2013, COPD Support Ireland sent a mobile clinic to 5 locations around Ireland to provide information about COPD and free Spirometry testing. Participants were requested to complete a questionnaire together with their Spirometry testing. Approximately one in five people (18%) self-presenting to a mobile COPD spirometry clinic were found to have abnormal spirometry and were referred to their GP. Since this was a self-presenting population, participants are likely to have been concerned about or interested in their lung health and their knowledge of COPD to be higher than the general population. Yet, only 48% of this population knew of COPD prior to this event. Those at greatest risk of COPD, i.e. current or ex-smokers, had low levels of awareness of COPD, which did not differ from those least at risk. Nearly 44% of participants had symptoms suggestive of COPD and of these participants, a fifth had abnormal spirometry and nearly 60% had not attended any healthcare services in the previous year. Results appear to support what is known from the literature, that COPD is under diagnosed and undertreated 3,4. It is clear that improved education and awareness of COPD is required, particularly for at- risk groups such as smokers. This needs further exploration, as early diagnosis of COPD is associated with reduced health care costs, improved quality of life and improved symptom control SELECTED REFERENCES 1:National Respiratory (COPD) Framework; 2: European Health for All Database-World Health Organization; 3: Pauwels et al., 2004; 4:Weiss et al., 2014; Additional references available upon request Demographics of those with abnormal spirometry: Out of the 352 participants, 63 (18%) were referred to a GP after the event. 86% were smokers 54% male, 46% female 86% were over the age of 45 Nearly 75% did not have a college level education Nearly 25% had a family history of lung disease A Survey of Lung Health and COPD Awareness amongst Participants at a Mobile Spirometry Clinic Rohini Rajgopal 1, Chantal Migone 2, Máire O'Connor 3, Timothy J. McDonnell 4, Damien Peelo 5, Suzanne McCormack 6 1 University of California, Berkeley. 2,3 Department of Public Health, HSE. 4 St Vincent’s University Hospital, Dublin. 5 COPD Support Ireland. 6 Irish Thoracic Society. Relationship between Gender and Previous Knowledge of COPD 46% of participants had no previous knowledge of COPD A higher proportion of males than females had no previous knowledge of COPD (60% vs 40%) This was statistically significant Relationship between Previous Knowledge of COPD and Family History of Lung Disease Of participants who had previous knowledge of COPD, 61% had a family history of lung disease versus 48% that did not have a family history of lung disease Relationship between Previous Knowledge of COPD and Education Level 61% of those who had a college level education or higher had previous knowledge of COPD versus 49% of those who had secondary level eductation only Relationship between Previous Knowledge of COPD and Smoking History No difference in the previous knowledge of COPD was found between smokers and nonsmokers BACKGROUND METHODS OBJECTIVES RESULTS DISCUSSION ACKNOWLEDGEMENTS We would like to acknowledge Novartis for their assistance with World COPD Day 2013.
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