ArticleInternational journal of chronic obstructive pulmonary disease2013
Should chest examination be reinstated in the early diagnosis of chronic obstructive pulmonary disease?
Article in International journal of chronic obstructive pulmonary disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- The diagnostic accuracy of lung auscultation in adult patients with acute pulmonary pathologies: a meta-analysis.Scientific reports · 2020Pooled it
- Multimodal Deep Learning Approaches for Lung Disease Detection: A Review.Medicina (Kaunas, Lithuania) · 2026Review
- Inspiratory crackles-early and late-revisited: identifying COPD by crackle characteristics.BMJ open respiratory research · 2021Article
- [Lung sounds can be used as an indicator for assessing severity of chronic obstructive pulmonary disease at the initial diagnosis].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2020Article
- The AaLplus near-peer teaching program in Family Medicine strengthens basic medical skills-A five-year retrospective study.PloS one · 2020Article
- Diagnostic approach to chronic dyspnoea in adults.Journal of thoracic disease · 2019Review
- Wheezes, crackles and rhonchi: simplifying description of lung sounds increases the agreement on their classification: a study of 12 physicians' classification of lung sounds from video recordings.BMJ open respiratory research · 2016Article
- The diagnosis of chronic obstructive pulmonary disease.Deutsches Arzteblatt international · 2014Review
- Physical signs in patients with chronic obstructive pulmonary disease.Lung India : official organ of Indian Chest SocietyReview
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough proven to be associated with bronchial obstruction, chest signs are not listed among cues that should prompt spirometry in the early diagnosis of chronic obstructive pulmonary disease (COPD) in established guidelines.
aimsWe aimed to explore how chest findings add to respiratory symptoms and a history of smoking in the diagnosis of COPD.
methodsIn a cross-sectional study, patients aged 40 years or older, previously diagnosed with either asthma or COPD in primary care, answered questionnaires and underwent physical chest examination and spirometry.
resultsAmong the 375 patients included, 39.7% had forced expiratory volume in 1 second/forced vital capacity <0.7. Hyperresonance to percussion was the strongest predictor of COPD, with a sensitivity of 20.8, a specificity of 97.8, and likelihood ratio of 9.5. In multivariate logistic regression, where pack-years, shortness of breath, and chest findings were among the explanatory variables, three physical chest findings were independent predictors of COPD. Hyperresonance to percussion yielded the highest odds ratio (OR = 6.7), followed by diminished breath sounds (OR = 5.0), and thirdly wheezes (OR = 2.3). These three chest signs also gave significant diagnostic information when added to shortness of breath and pack-years in receiver operating-characteristic curve analysis.
conclusionWe found that chest signs may add to respiratory symptoms and a history of smoking in the diagnosis of COPD, and we conclude that chest signs should be reinstated as cues to early diagnosis of COPD in patients 40 years or older.
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