Abstract Presentations 6. Talant Sooronbaev, Kyrgyzstan Breathing - - PowerPoint PPT Presentation

Breathing and feeling well through universal access to right care

Abstract Presentations

• 6. Talant Sooronbaev, Kyrgyzstan

Breathing and feeling well through universal access to right care

Spirometry network at the primary health care level in Kyrgyzstan: first experience, lessons and prospects

Sooronbaev T.M.¹, Abdraeva A.K.¹, Muratbekova A.M.¹, Aidaralieva Sh.¹, Jim Stout², Thierry Rochat³, Jean-Marie Tschopp³. ¹-Primary Care Respiratory Group in Kyrgyzstan, NCCIM, Bishkek, Kyrgyzstan ²-University of Washington, Seattle, USA ³-Spirometry Project KGZ IME, University of Geneva, Switzerland

Kyrgyzstan

Kazakchstan Russia

Mortality rate for COPD

Mortality rate for COPD (after 10 years)

European Lung White Book, 2013

Kyrgyzstan

Objective

• To

create a system for early diagnosis and early management of patients with COPD and other chronic respiratory diseases at the primary health care level in Kyrgyzstan with using the experience of the FRESH AIR study.

Methodology and organization

• In the first stage we created 17 spirometry teams (family doctor and nurse

technician) on the basis of the Family Medicine Centers (FMC) in Bishkek and different rural regions.

• In order to coordinate the activities of the network, training, quality control

and data collection, we have created a Lung Function Testing Center (LFTC) in Bishkek.

• Important preparatory activities also included: training for family doctors and

nurses, creating a referral system and raising awareness among the population, especially smokers, to be motivated to do spirometry.

Spirometry Network in Kyrgyzstan

SpiroSmart Spirometers

Lung Function Testing Center Spyro360 Leaning Lab Family Medical Centers

Family doctors - Interpretation Nurses – Technician

Patient

Smoking, cough, Dispnea

Early detection COPD I, II

Early treatment

Reduction Mortality

Wi-Fi whatsApp Internet network Internet whatsApp Monitoring Training Training Feedback

Spirometry training

Spirometry in high altitude rural areas

First results and experience

Data from rural FMCs

• 3647 spirometry results were received from rural FMCs from people who also considered themselves

healthy, and 62% were smokers.

• Noteworthy that the analysis of the results found the following: we confirmed in 14% COPD grade I,

in 22% COPD grade II, in 4.6% and 4.0% COPD grade III and IV, respectively. It should be noted that the results of the interpretation of family doctors from spirometry teams (FMCs) and specialists of the LFTC were basically the same. It is also important that feedback was established through the

• nline Internet program WhatsApp and all newly diagnosed COPD patients were taken into registries

in the FMCs and early management was started.

First results and experience

Spirometry results from Bishkek

37.3% 12.5% 15.6% 6.2% 3%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0%

total COPD (new cases) I II III IV COPD grade (GOLD 2019)

For 9 months of 2019, the Lung Function Function Testing Center from the FMC in Bishkek collected the results of spirometry from 2241 people who considered themselves healthy, and 58% of them were

• smokers. Among them 37,3% have COPD.

First results and experience

Spirometry results from rural areas in Kyrgyzstan

44.6% 14% 22% 4.6% 4%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0%

total COPD (new cases) I II III IV COPD grade (GOLD 2019)

3647 spirometry results were received from rural FMCs from people who also considered themselves healthy, and 62% were smokers. Among them 44,6% have a COPD.

Conclusion

The first model of the spirometry network at the primary health care level in Kyrgyzstan has demonstrated its effectiveness and prospects for creating a system for early diagnosis of COPD.