Profile of patients with severe chronic obstructive pulmonary disease in a tertiary care hospital in central India
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 4
Abstract
Chronic obstructive pulmonary disease (COPD) is a public health problem. Tobacco smoking is the major cause, but not the only one. Air pollution, exposure to chemicals, environmental smoke exposure, and passive smoking are among other contributing causes; viral and bacterial infections also being risk factors. Gender and weight are associated with the severity of the disease. Co-morbidity is frequent. Objective: To characterize a population of COPD patients. Methods: Questionnaires were applied to patients with COPD. The data included gender, age, weight, body mass index (BMI), oxygen delivery users, and FEV1, exposure to tobacco smoke, exposure to wood smoke, history of tuberculosis and comorbid diseases. Results: Of the 110 patients enrolled in the study, 70% (77) were men with an average age of 64 ± 10 years, average weight of 63 ± 16 kg and average BMI of 22 ± 5 kg/m 2. Mean FEV 1 was 35 ± 14% and 45.7% were oxygen dependent. Sixteen (17.6%) patients never smoked, while 16.3% had quit tobacco smoking). Eighteen (19.8%) were exposed to wood smoke. Eight (8.8%) patients had tuberculosis, Five (4.5%) complained of asthma symptoms, 2 (1.8%) had bronchiectasis, Thirteen (11.8%) diabetes mellitus, Sixty two (56.3%) hypertension, and Fourteen (12.7%) Corpulmonale. Conclusion: Other possible COPD etiologies must be investigated. Determinants of the pulmonary injury could be environmental smoke exposure associated to former infections. Men with low BMI are typically representative of this severe patient population. Hypertension and Cor Pulmonale are frequent co-morbidity factors.
Authors and Affiliations
Parag Sharma, Praveen Kr. Thakur
Keywords
Related Articles
- EP ID EP229770
- DOI 10.17511
- Views 178
- Downloads 0
Comparative evaluation of Intrathecal Fentanyl with different doses of Bupivacaine on lower limb surgery
Introduction: Intrathecal administration of opioids and local anaesthetics provides good analgesia. Fentanyl potentiates the afferent surgical blockade and improves both intra and post operative analgesia. The synergism...
An analysis of adult non-neoplastic nephrectomies at a tertiary care centre in Mumbai
Introduction: Nephrectomies are an integral part of urological practice and a wide range of renal diseases are seen on histopathological examination of non-neoplastic nephrectomy specimens. Objective: The objective of th...
Obstructive sleep apnea and excessive day time sleepiness as measured by epworth sleepiness scale
Introduction: Many patients search for medical care for symptom of a sleep disorder, obstructive sleep apnea hypopnea syndrome (OSAHS). Currently overnight polysomnography is the gold standard for diagnosis of OSAHS. How...
Survey of Saudi Publications in the Highest Impact Medical Journals
Objectives: The four “Highest Impact Medical Journals” (HIMJs) and their 2015 impact factors (IF)s are: New England Journal of Medicine (55.8), Lancet (45.2), Journal of the American Medical association (35.3) and Britis...
The efficacy of intravenous clonidine premedication to reduce surgical area bleeding in posterior lumbar spine fusion surgery
Background: A posterior lumbar spine fusion surgery always associated with significant amount of blood loss and requires blood transfusion. The purpose of this study is to evaluate the efficacy of intravenous clonidine p...