Airways resistance and specific conductance for the diagnosis of obstructive airways diseases

Background

Airway resistance (R_AW) and specific airway conductance (sG_AW) are measures that reflect the patency of airways. Little is known of the variability of these measures between different lung diseases. This study investigated the contribution of R_AW and sG_AW to a diagnosis of obstructive airways disease and their role in differentiating asthma from COPD.

Methods

976 subjects admitted for the first time to a pulmonary practice in Belgium were included. Clinical diagnoses were based on complete pulmonary function tests and supported by investigations of physicians’ discretion. 651 subjects had a final diagnosis of obstructive diseases, 168 had another respiratory disease and 157 subjects had no respiratory disease (healthy controls).

Results

R_AW and sG_AW were significantly different (p < 0.0001) between obstructive and other groups. Abnormal R_AW and sG_AW were found in 39 % and 18 % of the population, respectively, in which 81 % and 90 % had diagnosed airway obstruction. Multiple regression revealed sG_AW to be a significant and independent predictor of an obstructive disorder. To differentiate asthma from COPD, R_AW was found to be more relevant and statistically significant. In asthma patients with normal FEV₁/FVC ratio, both R_AW and sG_AW were more specific than sensitive diagnostic tests in differentiating asthma from healthy subjects.

Conclusions

R_AW and sG_AW are significant factors that contribute to the diagnosis and differentiation of obstructive airways diseases.