Implementation, Development and Regionalization of a Tele Spirometry System to Improve the Early Diagnosis of COPD. 5-Year Results

Abstract

The high level of underdiagnosis in COPD, which is around 75%, entails a great loss of opportunity to reduce the natural evolution
of the disease, to identify subjects susceptible to develop more advanced stages of COPD and to lose therapeutic resources
(early smoking advice and pharmacological treatment). Spirometry is a fundamental tool for the diagnosis and monitoring of
respiratory diseases and is essential for the diagnosis of COPD (FEV1 / FVC ratio <0.7 in post-bronchodilation spirometry).
We have established a COPD screening plan using telespirometry (TES) in the primary care network. Getting to improve the
underdiagnosis and correct misdiagnoses. In addition, greater equality and access in the different territories, improvement in
treatments and avoiding unnecessary referrals to specialized care.