Period Prevalence of Bronchiectasis in Moderate and Severe COPD
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Chronic obstructive pulmonary disease (COPD), a common preventable and treatable disease characterised by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases. Exacerbations and comorbidities contribute to overall severity in individual patients. Many studies have observed an association between the COPD and bronchiectasis, reporting the presence of bronchiectasis in up to 50% of patients with moderate to severe COPD, this suggests that there may be a causal relationship in which COPD is a risk factor for bronchiectasis. Aim of the study: To find the prevalence of bronchiectasis in association with severe and moderate COPD admitted in Respiratory medicine department, Trivandrum over a period of 2 years Secondary Objective: Relating dyspnoea scale (MMRC), FEV1, amount of daily sputum production (<10 ml,10 ml-30ml,>30 ml) to bronchiectasis. Study design: Hospital based cross sectional study. Study Period: January 2012-November 2013. Study Population: Patients admitted to Respiratory medicine department between the study period who are diagnosed as COPD and labelled as severe and moderate COPD according to GOLD guidelines. Moderate FEV1 50% ≤ FEV1 < 80% predicted. Severe FEV1 <50% Predicted. Exclusion criteria: Other causes such as patients with old history of tuberculosis. Patient not fit to undergo HRCT as suggested by radiologist. Patient not willing to participate. Methodology: Patient diagnosed as severe or moderate COPD who were willing to participate in the study underwent HRCT from our radiodiagnosis department. Also includes a questionnaire regarding exacerbations, smoking index, dyspnoea scale (MMRC), current smoking status, sputum culture if admitted for infective exacerbations. HRCT was read independently by a radiologist and chest physician with control blinding. If both agree then it will be taken into account. We also try to prove an association between various factors studied through questionnaire and bronchiectasis. Results & Conclusion: The period prevalence of bronchiectasis in patients with moderate and severe COPD was 34.7%.MMRC (grading), FEV1, years of COPD had significant correlation with presence of bronchiectasis in moderate and severe COPD. Right lower lobe was the most common site. Cylindrical bronchiectasis was the most common type
Authors and Affiliations
Dr Jaya prakash. B
Keywords
Related Articles
- EP ID EP285308
- DOI -
- Views 52
- Downloads 0
Squamous Cell Carcinoma (SCC) of hand in a patient of generalized vitiligo treated by surface mould brachytherapy
Non melanoma skin cancers (NMSC) are the most common malignant tumors in humans, with Squamous cell carcinoma(SCC) constituting about one-fourth of these cases.Considering that patients with vitiligo have no protective p...
A Study on Demographic Variables in Patients with Somatoform Disorders Conducted at a Tertiary Care Hospital in Psychosomatic Clinic, Vidarbha
Introduction: Somatoform disorders cause significant emotional distress for patients and are a challenge to physicians. Somatization disorder appears to be more common in women than men. They have been reported to be mor...
Prevalence of Perceived Stress and Obesity among Women Before and After Menopause
Background: Menopause is one of the critical periods of a women’s life during which weight gain and onset or worsening of obesity are favored. At this period the prevalence of obesity is the highest. Aim: The present stu...
To Compare two Different Doses of Tranexemic Acid in Congenital Cyanotic Heart Disease Patients Undergoing Open Heart Surgery
Background: Blood conservation continues to be an important focus of interest in the field of cardiac surgery, given the increased awareness of blood-borne diseases and problems arising from multiple donor transfusions t...
Is Enhanced Recovery after Gastric Surgery Feasible for Gastric Cancer in Our Setup
Background: Enhanced recovery after surgery (ERAS) is a new concept of perioperative patient care that focuses on the minimization of impact of surgery on patients homeostasis. The concept is being routinely practised in...