| Title: | A Novel Respiratory Physiologist Led Diagnostic Spirometry Service in Primary Care: Slaintecare Integration Fund (SIF) 159 Project |
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| Author(s): | F.Keegan, O.Farrelly, M.Sheehy, S.Glynn, D. Fitzpatrick, S.O'Brien, G. Nolan |
| Institution: | Midland Hospital Mullingar & St Michaels Hospital DunLaoghaire |
| Poster: | Click to view poster |
| Category: | Miscellaneous |
| Abstract: | Respiratory Physiologists, historically hospital based in Ireland, are experts in performing and interpreting lung function tests. Irish General Practitioners (GP) do not often have direct access to a quality spirometry diagnostic service in Primary Care. Respiratory Physiologists, based in Northeast Wicklow (CHO6) and Longford/Westmeath (CHO8), began providing a novel community based spirometry diagnostic service in April 2021. The data from the first 150 patients has been audited and results are presented in Table 1. Data is presented as percentages or mean ± SD as appropriate Table 1. Results Parameter Results Females v males 57% v 43% Age years 57 ± 16 BMI Kg/m2 31 ± 6.5 Kg/m2 Smoking history 28% non, 45% ex, 27% current smokers Unknown prior diagnosis 69% Abnormal spirometry & significant reversibility 39% + 18% Diagnosis confirmed (spirometry & history) 78% Referred to PFT Lab only v Respiratory consultant 18% v 10% GP engagement 49 practices + 65 GPs Both patients and GP’s are very satisfied with this service, which is providing a rapid and direct access service in primary care. In conclusion this audit demonstrates early success with this novel service. This new initiative has the potential to be rolled out nationally. |
