Use of Spirometry in Pulmonary Function Evaluation - 04/08/25

Doi : 10.1016/j.ccm.2025.04.001

Michael P. Mohning, MD ^a,^b,^⁎ , Silpa D. Krefft, MD, MPH ^b,^c,^d,^e
^a Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, National Jewish Health, J229, 1400 Jackson Street, Denver, CO 80206, USA
^b Division of Pulmonary and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
^c Division of Environmental and Occupational Health Sciences, National Jewish Health, G203, 1400 Jackson Street, Denver, CO 80206, USA
^d Division of Pulmonary and Critical Care Medicine, VA Eastern Colorado Health Care System, Aurora, CO, USA
^e Department of Environmental and Occupational Health, Colorado School of Public Health, Aurora, CO, USA

^∗Corresponding author. Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, National Jewish Health, Denver, CO.Division of Pulmonary, Critical Care, and Sleep MedicineDepartment of MedicineNational Jewish HealthDenverCO

Résumé

Spirometry is a safe, quick, and readily available test that can be used in the office, pulmonary physiology laboratory, and at home to evaluate respiratory symptoms. Its primary measurements are the forced vital capacity (FVC), forced expiratory volume in 1 second (FEV₁), and their ratio (FEV₁/FVC). Spirometry measurements can be used for the prognosis in certain disease states, in evaluating progression as well as therapeutic response, and in monitoring at risk patients. Here, we review the use of spirometry in diagnosis, screening, and monitoring, and its use in a variety of disease states for evaluating prognosis, therapeutic response, and progression.

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Keywords : Spirometry, Pulmonary function testing, Flow volume loop