The clinical respiratory journal · 2014
Chronic obstructive pulmonary disease as comorbidity in patients admitted to a university hospital: a cross-sectional study.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Nielsen Helene Møller, Rødsgaard Pernille Andersen, Weinreich Ulla Møller
Аннотация
BACKGROUND AND AIMS: Chronic obstructive pulmonary disease (COPD) is a common disease, especially among smokers. The disease is underdiagnosed, and patients often suffer from comorbidities. The aims of this study were to elucidate the prevalence of COPD as comorbidity in a university hospital setting, to characterise patients demographically, to investigate comorbidities in patients suffering from COPD and lastly, to analyse whether CODP as comorbidity influenced the length of stay.
METHODS: Aalborg University Hospital covers all medical and surgical specialities. A 1-day cross-sectional study was carried out in the entire hospital. A spirometry was performed on the patients. Data on smoking habits, prior lung function measurements, prescribed lung medicine and self-evaluated dyspnoea, using the Medical Research Council score and body mass index were recorded. The final diagnosis was registered after 1 month.
RESULTS: Two hundred fifteen patients participated, and 28% suffered from COPD. Sixteen per cent had mild, 48% moderate, 18% severe and 18% very severe COPD. Seventy-seven per cent were newly diagnosed at our examination. COPD patients did not have significantly more comorbidities than non-COPD patients. Gastrointestinal diseases, haematologic diseases and uro-nephrologic diseases were significantly more prevalent in COPD patients. Duration of stay was significantly longer among COPD patients compared with non-COPD patients, P < 0.05.
CONCLUSION: Seventy-seven per cent of the COPD patients in this study were newly diagnosed at our examination. Gastrointestinal diseases, haematologic diseases and uro-nephrologic diseases were significantly more prevalent in COPD patients. COPD patients were hospitalised significantly longer than non-COPD patients.
METHODS: Aalborg University Hospital covers all medical and surgical specialities. A 1-day cross-sectional study was carried out in the entire hospital. A spirometry was performed on the patients. Data on smoking habits, prior lung function measurements, prescribed lung medicine and self-evaluated dyspnoea, using the Medical Research Council score and body mass index were recorded. The final diagnosis was registered after 1 month.
RESULTS: Two hundred fifteen patients participated, and 28% suffered from COPD. Sixteen per cent had mild, 48% moderate, 18% severe and 18% very severe COPD. Seventy-seven per cent were newly diagnosed at our examination. COPD patients did not have significantly more comorbidities than non-COPD patients. Gastrointestinal diseases, haematologic diseases and uro-nephrologic diseases were significantly more prevalent in COPD patients. Duration of stay was significantly longer among COPD patients compared with non-COPD patients, P < 0.05.
CONCLUSION: Seventy-seven per cent of the COPD patients in this study were newly diagnosed at our examination. Gastrointestinal diseases, haematologic diseases and uro-nephrologic diseases were significantly more prevalent in COPD patients. COPD patients were hospitalised significantly longer than non-COPD patients.