A clinic and epidemiologic characterization of patients with acute exacerbation of chronic obstructive pulmonary disease
Keywords:
ENFERMEDAD PULMONAR OBSTRUCTIVA CRÓNICA/epidemiología, ENFERMEDAD PULMONAR OBSTRUCTIVA CRÓNICA/genética, EXACERBACIÓNAbstract
Background: over the last years the incidence, prevalence, and entrance in patients with acute exacerbation of chronic obstructive pulmonary disease has increased, requiring special cares and integral attention for their handling.
Objective: to characterize clinically and epidemically the patients with acute exacerbation of chronic obstructive pulmonary disease.
Methods: a descriptive and transversal study was carried out in Abel Santamaría hospital in Pinar del Río city during 2016. The universe of study was composed by 83 patients with acute exacerbation of chronic obstructive pulmonary disease. In all the statistical tests a level of alpha significance
Results: the 65 to 69 age group and male sex prevailed. Smokers of 70 and 74 years of age prevailed as well. Low weight patients were superior as well as the ones with hospital demurrage between 7 and 14 days, mainly smokers. The habit of smoking constituted the predominant risk factor, while hypertension was the relevant comorbility.
Conclusions: characterization of the clinical and epidemic aspects related with acute exacerbation of chronic obstructive pulmonary disease behaved similar to other analyzed casuistries, facilitating the developing of preventive strategies of exacerbation in the improvement of the quality of life and a smaller risk of complications or associate sequels.
DeCS: LUNG DISEASES/epidemiology; RECURRENCE; COMPREHENSIVE HEALTH CARE; AGED; EPIDEMIOLOGY, DESCRIPTIVE.
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1.GesEPOC. Guía de Práctica Clínica para el Diagnóstico y Tratamiento de Pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC)-Guía Española de la EPOC (GesEPOC). Arch Bronconeumol [Internet]. 2012 [citado 15 Abr 2017];48(Supl1):[aprox. 56 p.]. Disponible en: http://www.archbronconeumol.org/es/pdf/S0300289612700352/S300/.
2.Schiavi E, Stirbulov R, Hernández Vecino R, Mercurio S, Boscio V Di, Puma Team. COPD screening in primary care in four Latin American countries: methodology of the PUMA Study. Arch Bronconeumol [Internet]. 2014 [cited 15 Apr 2017];50(11):[about 6 p.]. Available from: http://www.sciencedirect.com/science/article/pii/S0300289614001185
3.Vestbo J, Hurd SS, Agustí AG, Jones PW, Vogelmeier C, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med [Internet]. 2013 [cited 2017 Apr 15];187(4):[about 18 p.]. Available from: http://www.atsjournals.org/doi/abs/10.1164/rccm.201204-0596PP
4.Lescay Mevil J, Valdés Balbín R, Roca Cathcart F. Caracterización de pacientes con Enfermedad Pulmonar Obstructiva Crónica bajo tratamiento con ventilación mecánica no invasiva. Rev haban cienc méd [Internet]. 2015 [citado 17 Abr 2017];14(4):[aprox. 12 p.]. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/983
5.Murphy DE, Panos RJ. Diagnosis of COPD and clinical course in patients with unrecognized airflow limitation. Int J Chron Obstruct Pulmon Dis [Internet]. 2013 [cited 2017 Apr 17];8:[about 10 p.]. Available from: https://www.dovepress.com/diagnosis-of-copd-and-clinical-course-in-patients-with-unrecognized-ai-peer-reviewed-article-COPD
6.Haroon S, Adab P, Griffin C, Jordan R. Case finding for chronic obstructive pulmonary disease in primary care: A pilot randomised controlled trial. Br J Gen Pract [Internet]. 2013 [cited 2017 Apr 17];63(606):[about 7 p.]. Available from: http://bjgp.org/content/63/606/e55.full-text.pdf+html
7.Krishnan JA, Lindenauer PK, Au DH, Carson SS, Lee TA, McBurnie MA, et al. COPD Outcomes-based Network for Clinical Effectiveness and Research Translation. Stakeholder priorities for comparative effectiveness research in chronic obstructive pulmonary disease: A workshop report. Am J Respir Crit Care Med [Internet]. 2013 [cited 2017 Apr 19];187:[about 7 p.]. Available from: http://refhub.elsevier.com/SO300-2896(14)00432-3/sbref0065
8.Morales Menéndez M, Morales Menéndez M. Perfil epidemiológico-clínico de pacientes con enfermedad pulmonar obstructiva crónica en el Centro de Salud Jardinillos. Arch Med Camagüey [Internet]. 2015 [citado 19 Abr 2017];19(2):[aprox. 11 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552015000200004&lng=es
9.Dong YH, Lin HH, Shau WY, Wu YC, Chang CH, Lai MS. Comparative safety of inhaled medications in patients with chronic obstructive pulmonary disease: Systematic review and mixed treatment comparison meta-analysis of randomised controlled trials. Thorax [Internet]. 2013 [cited 2017 Apr 19];68(1):[about 9 p.]. Available from: http://thorax.bmj.com/content/thoraxjnl/early/2012/10/05/thoraxjnl-2012-201926.full.pdf
10.Martinez CH, Kim V, Chen Y, Kazerooni EA, Murray S, Criner GJ, et al. The clinical impact of non-obstructive chronic bronchitis in current and former smokers. Respir Med [Internet]. 2014 [cited 2017 Apr 21];108(3):[about 9 p.]. Available from: http://www.sciencedirect.com/science/article/pii/S0954611113004447
11.Abajo Larriba AB, Díaz Rodríguez A, González-Gallego J, Méndez Rodríguez E, Álvarez Álvarez MJ, Capón Álvarez J, et al. Diagnóstico y tratamiento del hábito tabáquico en pacientes con enfermedad pulmonar obstructiva crónica: estudio ADEPOCLE. Nutr Hosp [Internet]. 2016 [citado 21 Abr 2017];33(4):[aprox. 8 p.]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112016000400029&lng=es
12.Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, et al. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary. Eur Respir J [Internet]. 2017 [cited 2017 Apr 21];22(3):[about 7 p.]. Available from: http://onlinelibrary.wiley.com/doi/10.1111/resp.13012/full
13.Miravitlles M, Soriano JB, Ancochea J, Muñoz L, Duran Tauleria E, Sanchez G, et al. Characterisation of the overlap COPD-asthma phenotype. Focus on physical activity and health status. Respir Med [Internet]. 2013 [cited 2017 Apr 21];107(7):[about 8 p.]. Available from: http://www.sciencedirect.com/science/article/pii/S0954611113001169
14.Agustí A, Teresa L de, Backer W De, Zvarich MT, Locantore N, Barnes N, et al. A comparison of the efficacy and safety of once-daily fluticasone furoate/vilanterol with twice-daily fluticasone propionate/salmeterol in moderate to very severe COPD. Eur Respir J [Internet]. 2014 [cited 2017 Apr 23];43(3):[about 10 p.]. Available from: http://erj.ersjournals.com/content/43/3/763.short
15.Magnussen H, Disse B, Rodriguez Roisin R, Kirsten A, Watz H, Tetzlaff K, et al. Withdrawal of inhaled glucocorticoids and exacerbations of COPD. N Engl J Med [Internet]. 2014 [cited 2017 Apr 23];371(14):[about 10 p.]. Available from: http://www.nejm.org/doi/full/10.1056/nejmoa1407154
16.Tan WC, Bourbeau J, Hernandez P, Chapman KR, Cowie R, FitzGerald JM, et al. Exacerbation-like respiratory symptoms in individuals without chronic obstructive pulmonary disease: results from a population-based study. Thorax [Internet]. 2014 [cited 2017 Apr 25];69(8):[about 19 p.]. Available from: http://thorax.bmj.com/content/69/8/709.short
17.Woodruff PG, Barr RG, Bleecker E, Christenson SA, Couper D, Curtis JL, et al. Clinical significance of symptoms in smokers with preserved pulmonary function. N Engl J Med [Internet]. 2016 [cited 2017 Apr 25];374(19):[about 10 p.]. Available from: http://www.nejm.org/doi/full/10.1056/NEJMoa1505971
18.López Riolobos C, García del Castillo E, Gómez Punter RM, Fernandes de Vasconcelos GM. Indicaciones de la oxigenoterapia domiciliaria. Regulación y seguimiento clínico. Medicine [Internet]. 2014 [citado 25 Abr 2017];11(63):[aprox. 5 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0304541214708431
19.Regan EA, Lynch DA, Curran-Everett D, Curtis JL, Austin JHM, Grenier PA, et al. Clinical and radiologic disease in smokers with normal spirometry. JAMA Intern Med [Internet]. 2015 [citado 25 Abr 2017];175(9):[aprox. 11 p.]. Disponible en: http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2323415?
20.Legrá Alba N, Toledano Grave de Peralta Y, Riverón Proenza I, Campo Mulet E Del, Silvera Digon S. Caracterización clinicoepidemiológica de pacientes con enfermedad pulmonar obstructiva crónica. MEDISAN [Internet]. Sep 2014 [citado 25 Abr 2017];18(9):[aprox. 7 p.]. Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192014000900013&lng=es
21.Rodríguez Alvarez NI, Muguercia Sarracén K, Fabré de Armas U, Esquivel Lussón R, Zamora Cabezas L. Ventilación mecánica no invasiva en la enfermedad pulmonar obstructiva crónica agudizada. Medisan [Internet]. Sep 2012 [citado 25 Abr 2017];16(12):[aprox. 7 p.]. Disponible en: http://bvs.sld.cu/revistas/san/vol_16_12_12/HTML/san071612.htm

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