Jayesh Srivastava

Speaker for COPD and Asthma Conference 2021- Jayesh Srivastava
Jayesh Srivastava
Sarojini Naidu Medical College, India
Title : FEV1 / FEV6 microspirometry – as a screening tool for chronic obstructive pulmonary disease.


Background: Various studies in India have found that the prevalence of undiagnosed COPD is between   4  to  18.2   %.  The  microspirometry,   which is based on measurements  FEV1  (forced expiratory volume in 1 second),  FEV6 (forced expiratory volume in 6 seconds), and their ratio, has been found 'a reliable screening tool' in various studies, which can reduce underdiagnosis of COPD in primary care.   
Aim:  Validation of handheld FEV1/FEV6  micro spirometer in an   Indian population.  
Method:  A  pilot sample of  141  patients was taken for the study.  Patients with respiratory symptoms and exposure to risk factors for COPD were subjected to pre-bronchodilator (BD) FEV1/FEV6 microspirometry and post-BD FEV1/FVC (Forced vital capacity) full spirometry. A pre-BD FEV1/FEV6 value < 0.88 as measured with the Piko-6 micro spirometer was compared with a post-BD FVC < 0.70  from diagnostic spirometry.  
Result: The majority of our study participants (53.9%) were having COPD, while 46.1%  didn't have the condition.  For an FEV1/FEV6 ratio of 0.88, the sensitivity and specificity of the test are 84% and 51% respectively.
Conclusion: The situation of underdiagnosis of COPD could be improved through screening using portable/hand-held devices simpler than conventional spirometers in specific health care settings to reach a higher percentage of the at-risk population.


Dr. Jayesh  Srivastava  studied  MBBS from Sarojini  Naidu  Medical College, Agra, U.P.  India and graduated in January 2020,  Dr. Jayesh  Srivastava  duringhis  MBBS study  did  three  research  on COPD and one on Schizophrenia.