Measurement of exhaled breath carbon monoxide in clinical practice: A study of levels in Central Pennsylvania community members.
Shari Hrabovsky, Jessica M Yingst, Susan Veldheer and 2 others
PMID 28440601WHAT IT FOUND
Reported exposures did not explain why 8.8% of self-reported nonsmokers had exhaled carbon monoxide of 7-9 ppm.
Most self-reported nonsmokers were below 7 ppm, but 7.4% were above 9 ppm.
Key findings
01Reported demographics and exposures did not differ significantly between self-reported nonsmokers/nontobacco users with eBCO 7-9 ppm and those with 0-6 ppm.
02Among self-reported nonsmokers/nontobacco users, 83.8% (n = 316) had eBCO below 7 ppm, while 7.4% (n = 28) had eBCO above 9 ppm.
03Self-reported smokers had a mean eBCO of 20.1 ppm (SD = 15.6), and 69.9% (n = 72) were above 9 ppm.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was a convenience sample collected at public health fairs in a Central Pennsylvania area, so it may not represent clinic patients or other communities. Smoking status and exposures were self-reported, and the study did not ask about marijuana use or detailed smoking history. The questionnaire was short because it was designed for quick collection at a health fair, which limited the information available for interpretation. Six nonsmoking other tobacco users were excluded from the smoker and nonsmoker comparisons. The study compared groups but did not show that any exposure caused a higher eBCO level. The study did not measure asthma, hemolytic anemia, or other medical causes of raised eBCO.
The easy way to misread this
Do not conclude that a 7-9 ppm reading in a self-reported nonsmoker is explained by secondhand smoke or other environmental exposures. The study found no significant differences in reported demographics or exposures between nonsmokers with 7-9 ppm and those with 0-6 ppm.