A study to detect early lung function deterioration using forced oscillation technique in smokers

Authors

  • Kirtish Bhutda Postgraduate Resident, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India https://orcid.org/0009-0004-0534-9938
  • Sanjay Kumar Bharty Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India https://orcid.org/0000-0001-8197-1375
  • Avinash Jain Assistant Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India https://orcid.org/0000-0002-1980-4346
  • Vikas Patel Assistant Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India https://orcid.org/0000-0003-2212-2554
  • Brij Bihari Patel Assistant Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India https://orcid.org/0000-0001-9089-8704
  • Brahma Prakash Associate Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India https://orcid.org/0000-0002-1634-5463

DOI:

https://doi.org/10.3126/ajms.v14i10.55020

Keywords:

Forced oscillometric technique; Spirometry; Smoking index; Obstructive diseases

Abstract

Background: Scientists unequivocally evidenced that tobacco consumers suffer from three Ds: disease, disability, and death. The forced oscillation technique (FOT) is a non-invasive method with which to measure respiratory mechanics.

Aims and Objectives: This study was done to evaluate the ability of FOT to detect early smoking-induced respiratory function deterioration and to compare the performance of FOT with spirometry in healthy smokers.

Materials and Methods: A cross-sectional study was conducted at a medical college between January 1st, 2021, and June 31st, 2022, with a sample size of 30. Study participants included healthy smokers and non-smokers. Spirometry and FOT were taken into consideration as a diagnostic modality. Data analysis was done through statistical software with a confidence interval of 95% and P<0.5.

Results: In a total of 30 sample size (15 cases and 15 control), smokers presented with an average age of 26.13±5.55 years, with smoking index (SI) ranging from 5 to 80, none of the spirometry parameters were statistically significant between smokers and non-smokers, however, the FOT parameter, resistance at 6-hertz frequency R6, in smokers is 5.36±3.36 and is statistically different from non-smokers (P=0.02). Similarly, the percent predicted value of R6 also was statistically different in smokers (P=0.01). The R6 parameter correlated with forced expiratory flow 25–75 parameter of spirometry (r=0.567, P=0.027) in smokers.

Conclusion: FOT is a good diagnostic modality in detecting early airway changes in smokers. The FOT along with spirometry increases the chances of diagnosing early airway changes in even initial smokers having a low SI.

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Published

2023-10-02

How to Cite

Kirtish Bhutda, Sanjay Kumar Bharty, Avinash Jain, Vikas Patel, Brij Bihari Patel, & Brahma Prakash. (2023). A study to detect early lung function deterioration using forced oscillation technique in smokers. Asian Journal of Medical Sciences, 14(10), 150–155. https://doi.org/10.3126/ajms.v14i10.55020

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Original Articles