The diagnostic value of history and physical examination for COPD in suspected or known cases: a systematic review

摘要: Background According to current guidelines, spirometry should be performed in patients suspected of chronic obstructive pulmonary disease (COPD) by the results history taking and physical examination. However, little is known about diagnostic value patient examination for COPD. Objectives To review existing evidence on recognizing COPD Methods A systematic literature search was electronic medical databases. Studies were included after using defined inclusion exclusion criteria judged their methodological quality Quality Assessment Diagnostic Accuracy criteria. formal meta-analysis not because all studied items investigated only a maximum three studies. Results Six studies included. The dyspnoea, wheezing, previous consultation wheezing or cough, self-reported COPD, age smoking forced expiratory time, laryngeal height prolonged expiration found have These maximally study population heterogenic. reference test five six concerned lung general Conclusion There insufficient assess diagnosing