Review of Chronic Obstructive Airway Disease patients admitted at Maamoura Chest Hospital from 2009 to 2012
Al Shaimaa Ahmed ELBastawesy;
Abstract
Chronic Obstructive Pulmonary Disease (COPD), a common preventable and treatable disease, is characterized 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 co morbidities contribute to the overall severity in individual patients.
The aim of our study was to review the COPD cases who were admitted at Maamoura Chest Hospital during the period from 2009 to 2012 as regards distribution, risk factors, severity and complications of the disease.
In the present study, 77.3% of the patients' age ranged between 35-70 years, 11.4% were <35years and 11.3% were >70years.Also, 97.4% were males and 2.6% were females, 75.6% lived in urban areas and 24.4% lived in rural areas.
In the present study, 58.7% of the studied cases were not working, 38.9% were manual workers and 2.4% were office workers. 47.1% of the manual workers were exposed to inorganic dust, including (22% silica dust, 11% asbestos fibers and 14.1% coal dust) ,11.1% were exposed to organic dust and 41.8% were exposed to other chemicals and irritant gases.
86.5%of the studied cases were smokers and13.5% were non smokers. In the present study, 19.1 % of the smokers were mild smokers, 38.4 % were moderate and 42.4% were heavy smokers according to smoking index, with a mean of 21.89.± 15.92.
12.8% of the studied cases were addict and 87.2% were not. 57.1% of the addict persons were addict to cannabies, 19% were intravenous addicts and 23.8% were addict to tramadol.
40.6% of the cases were complaining of dyspnea Grade III, 38.4% Grade II, 14.8% Grade I and 6.2% Grade VI. 77.3% of the patients were complaining of productive cough and 22.7% dry cough.90 % of patients was complaining of wheezes and 10% had silent chest.
In the present study, frequency of exacerbation/y was 4 episodes /year in 29% of patients, 5 episodes/y in 26.1% of patients, 3 episodes/y in 11.8% of patients, 2 episodes/y in 10.8% of patients, once/yin 9.4% of patients, 8 episodes/yin 5.4% of patients, 6 episodes/y in 4.5% of patients 10 episodes /y in 2.3% of patients and 12 episodes/y in 0.7% of patients respectively.
FEV1/FVC of the studied cases ranged from 28.0 % -67.0%, with a mean of 45.75 ± 8.19. Mild smokers had FEV1/FVC % 30.20-67.0%, moderate smokers had FEV1/FVC % 30.20- 67.0% and heavy smokers had FEV1/FVC % 28.20- 65.0 %.So, there was a significant relationship between smoking index and the degree of the disease severity or level of decline of pulmonary functions. There was a highly significant inverse correlation between smoking in pack years and FEV1/FVC %, i.e. as the smoking index increases, the FEV1/FVC % decreases.
In our present study, the most common co morbidities in COPD patients were respiratory infections in 53.9% of cases, heart failure in 44.5% of cases, IHD in 37.9% of cases, AF in 30.5% of cases, HTN in 26.9 % of cases and DM in 19.5% of cases respectively.
The aim of our study was to review the COPD cases who were admitted at Maamoura Chest Hospital during the period from 2009 to 2012 as regards distribution, risk factors, severity and complications of the disease.
In the present study, 77.3% of the patients' age ranged between 35-70 years, 11.4% were <35years and 11.3% were >70years.Also, 97.4% were males and 2.6% were females, 75.6% lived in urban areas and 24.4% lived in rural areas.
In the present study, 58.7% of the studied cases were not working, 38.9% were manual workers and 2.4% were office workers. 47.1% of the manual workers were exposed to inorganic dust, including (22% silica dust, 11% asbestos fibers and 14.1% coal dust) ,11.1% were exposed to organic dust and 41.8% were exposed to other chemicals and irritant gases.
86.5%of the studied cases were smokers and13.5% were non smokers. In the present study, 19.1 % of the smokers were mild smokers, 38.4 % were moderate and 42.4% were heavy smokers according to smoking index, with a mean of 21.89.± 15.92.
12.8% of the studied cases were addict and 87.2% were not. 57.1% of the addict persons were addict to cannabies, 19% were intravenous addicts and 23.8% were addict to tramadol.
40.6% of the cases were complaining of dyspnea Grade III, 38.4% Grade II, 14.8% Grade I and 6.2% Grade VI. 77.3% of the patients were complaining of productive cough and 22.7% dry cough.90 % of patients was complaining of wheezes and 10% had silent chest.
In the present study, frequency of exacerbation/y was 4 episodes /year in 29% of patients, 5 episodes/y in 26.1% of patients, 3 episodes/y in 11.8% of patients, 2 episodes/y in 10.8% of patients, once/yin 9.4% of patients, 8 episodes/yin 5.4% of patients, 6 episodes/y in 4.5% of patients 10 episodes /y in 2.3% of patients and 12 episodes/y in 0.7% of patients respectively.
FEV1/FVC of the studied cases ranged from 28.0 % -67.0%, with a mean of 45.75 ± 8.19. Mild smokers had FEV1/FVC % 30.20-67.0%, moderate smokers had FEV1/FVC % 30.20- 67.0% and heavy smokers had FEV1/FVC % 28.20- 65.0 %.So, there was a significant relationship between smoking index and the degree of the disease severity or level of decline of pulmonary functions. There was a highly significant inverse correlation between smoking in pack years and FEV1/FVC %, i.e. as the smoking index increases, the FEV1/FVC % decreases.
In our present study, the most common co morbidities in COPD patients were respiratory infections in 53.9% of cases, heart failure in 44.5% of cases, IHD in 37.9% of cases, AF in 30.5% of cases, HTN in 26.9 % of cases and DM in 19.5% of cases respectively.
Other data
| Title | Review of Chronic Obstructive Airway Disease patients admitted at Maamoura Chest Hospital from 2009 to 2012 | Other Titles | مراجعة حالات مرض الانسداد الرئوي المزمن في مستشفى صدر المعمورة فى الفتره من 2009-2012 | Authors | Al Shaimaa Ahmed ELBastawesy | Issue Date | 2014 |
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