Signs and Evidence

Making clinical sense of scientific data

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Beware of the limitations of this tool

COPD

Calculated pretest probability: 2 %
Relevant inclusion criteria: All adults 

Anamnesis

1Smoking
2Cough
3Dyspnea


Clinical signs

4Wheezing on examination
5SpO2 < 90%
6Wheezing
7Decreased breath sounds on examination
8SpO2 < 95%





Sources used:

1.Dewar M et al. Chronic Obstructive Pulmonary Disease: Diagnostic Considerations. Am Fam Physician. 2006 Feb 15;73(4):669-676
2.Amalakanti S et al. Pulse Oximetry Overestimates Oxygen Saturation in COPD. Respir Care 2016;61(4):423–427
3.Pachon EG et al. Can pulse oximetry select patients for screening spirometry? Primary Care Respiratory Journal (2004); 13 : 155 – 158
4.Snoeck-Stroband JB et al. NHG Standaard COPD. Huisarts Wet 2015;58(4):198-211