ArticleZeitschrift fur Gerontologie und Geriatrie2011
Handgrip strength measurement as a predictor for successful dry powder inhaler treatment: application in older individuals with COPD.
Article in Zeitschrift fur Gerontologie und Geriatrie, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- Inhalation treatment of chronic obstructive pulmonary disease (COPD) in older patients.Zeitschrift fur Gerontologie und Geriatrie · 2025Review
- Quantifying Patient Capabilities and Setting the Stage for Future Development: Insights from a Sensor-Augmented Simulated Use Study with Pen Injectors.Medical devices (Auckland, N.Z.) · 2024Article
- Personalizing Selection of Inhaled Delivery Systems in Chronic Obstructive Pulmonary Disease.Annals of the American Thoracic Society · 2023Review
- From the infant to the geriatric patient-Strategies for inhalation therapy in asthma and chronic obstructive pulmonary disease.The clinical respiratory journal · 2023Review
- Correlation between Hand Grip Strength and Peak Inspiratory Flow Rate in Patients with Stable Chronic Obstructive Pulmonary Disease.Diagnostics (Basel, Switzerland) · 2022Article
- The relationship between peak inspiratory flow and hand grip strength measurement in men with mild chronic obstructive pulmonary disease.BMC pulmonary medicine · 2022Article
- Determinants of poor inhaler technique and poor therapy adherence in obstructive lung diseases: a cross-sectional study in community pharmacies.BMJ open respiratory research · 2021Article
- Article
- Handgrip Strength and Pulmonary Disease in the Elderly: What is the Link?Aging and disease · 2019Review
- [Drug therapy in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2014Article
- Treatment of chronic obstructive pulmonary disease in hospitalized geriatric patients.Zeitschrift fur Gerontologie und Geriatrie · 2014Article
- Dementia among older in-hospital patients with obstructive airway disease: frequency and consequences.Zeitschrift fur Gerontologie und Geriatrie · 2011Article
- The emerging role of nebulization for maintenance treatment of chronic obstructive pulmonary disease at home.Lung India : official organ of Indian Chest SocietyReview
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMore than 10% of elderly people suffer from chronic obstructive pulmonary disease (COPD). Drug treatment for COPD involves inhalants. Dry powder inhalers (DPIs) have proven easiest for the elderly to use. Their effectiveness is dependent, however, on the inspiratory flow which can be generated, and it is unclear which geriatric assessment parameter permits inspiratory flow to be assessed.
methodsIn a randomly generated group of geriatric hospital patients, manual strength was measured as a complement to basic geriatric assessment and inspiratory flow assessed using a Turbohaler trainer.
resultsA total of 87 (27%) men (mean age 81 ± 7 years) and 231 (73%) women (mean age 82 ± 8 years) were included in the study. The threshold value of 40 l/min for minimum inspiratory flow was achieved by 194 (61%) of the patients. Manual strength was the only assessment parameter to correlate with the minimum inspiratory flow achieved. ROC analysis produced a threshold value for manual strength of 10 kg. The sensitivity and specificity for this threshold value were 70% each, while the positive and negative predictive values were 79% and 84%, respectively.
conclusionA threshold value of 10 kg for manual strength enables the inspiratory flow achievable by elderly patients to be predicted satisfactorily. This is the only parameter which correlates sufficiently with inspiratory flow. Manual strength should be measured in all geriatric patients with COPD and should be taken into account when deciding whether or not to initiate differential treatment.
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