Study of Chronic Obstructive Pulmonary Disease Patients in Suez Chest Hospital
Moustafa Salah Mohammed;
Abstract
The aim of this work is to study two hundred COPD patients at Suez chest hospital. Divided equally to one hundred patients attending outpatients clinic and one hundred patients admitted to the hospital during period from January 2013 to June 2014 as regards demographic, clinical characteristic of the patients and available prescription pattern.
During the study 65 recruited patients were excluded although that they were previously diagnosed as COPD in which 17 patients proven by spirometry to have no airway obstruction and 48 were asthmatic.
The mean age was 59.9 and 60 in outpatient and inpatients respectively, and only 11% of studied patients were females. There were 88.5% of them came from urban areas.
The majority of COPD patients were of low social class indicated by low educational level, poor housing and low employment grade.
Nearly all COPD patients were either current or exsmoker. Cigarette smoking was the most common type of smoking with a mean of 182±119 Egyptian pounds was spent on it per month.
The mean number of non-severe and severe exacerbations was 2.81+1.27and 2.25+1.39respectively in last year.
Amoxicillin+clavulinic acid, ampicillin+B-lactam were the most commonly used antibiotics in treatment of respiratory infections among studied COPD patients.
Theophylline was the most common bronchodilator prescribed, while systemic steroids were commonly used during exacerbations and for a short course.
Short acting B2 agonist inhalers whether alone or in combination with beclomethasone were the most commonly used inhalers, followed by long acting B2 agonist and anticholinergic (short and long acting) inhalers.
There were small role of vaccines (7.5%) and patient education (6.3%) and no role for rehabilitation in the management of studied patients.
Hypertension and diabetes mellitus were the most common comorbidities encountered with COPD patients.
In this study, 35.2% in moderate stage, 53.1% were in severe stage and 11.7% were in very severe stage.
During the study 65 recruited patients were excluded although that they were previously diagnosed as COPD in which 17 patients proven by spirometry to have no airway obstruction and 48 were asthmatic.
The mean age was 59.9 and 60 in outpatient and inpatients respectively, and only 11% of studied patients were females. There were 88.5% of them came from urban areas.
The majority of COPD patients were of low social class indicated by low educational level, poor housing and low employment grade.
Nearly all COPD patients were either current or exsmoker. Cigarette smoking was the most common type of smoking with a mean of 182±119 Egyptian pounds was spent on it per month.
The mean number of non-severe and severe exacerbations was 2.81+1.27and 2.25+1.39respectively in last year.
Amoxicillin+clavulinic acid, ampicillin+B-lactam were the most commonly used antibiotics in treatment of respiratory infections among studied COPD patients.
Theophylline was the most common bronchodilator prescribed, while systemic steroids were commonly used during exacerbations and for a short course.
Short acting B2 agonist inhalers whether alone or in combination with beclomethasone were the most commonly used inhalers, followed by long acting B2 agonist and anticholinergic (short and long acting) inhalers.
There were small role of vaccines (7.5%) and patient education (6.3%) and no role for rehabilitation in the management of studied patients.
Hypertension and diabetes mellitus were the most common comorbidities encountered with COPD patients.
In this study, 35.2% in moderate stage, 53.1% were in severe stage and 11.7% were in very severe stage.
Other data
| Title | Study of Chronic Obstructive Pulmonary Disease Patients in Suez Chest Hospital | Other Titles | دراسة مرضى الضيق الشعبي المزمن بمستشفى صدر السويس | Authors | Moustafa Salah Mohammed | Issue Date | 2015 |
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