Characteristics of patients referred to Canary Island pneumology outpatient services for chronic obstructive pulmonary disease: the EPOCan study

BMC Research Notes

Yolanda Ramallo-Fariña¹  Sara Guanche-Dorta²  Aurelio Luis Wangüemert-Pérez²  Carlos Cabrera-López³  Juan Marco Figueira-Gonçalves⁴  Carolina Ramos-Izquierdo⁴  José María Hernández-Pérez⁴  Ignacio García-Talavera⁴  Luis Manuel González-García⁵ 

[1] Foundation of the Canary Islands Health Research Institute (FIISC), Santa Cruz de Tenerife, SpainHealth Services Research on Chronic Patients Network (REDISSEC);Pneumology Service, San Juan de Dios Hospital;Pneumology Service, University Hospital Dr. Negrín;Pneumology and Thoracic Surgery Service, Unit for Patients with Highly Complex COPD, University Hospital Nuestra Señora de Candelaria;Primary Care Centre of the Canary Islands Public Health Service;

关键词: Chronic obstructive pulmonary disease;    COPD;    Cardiovascular;    Morbidity;   

DOI  :  10.1186/s13104-022-05930-7

来源: DOAJ

【 摘 要 】

Abstract Objective Assessing patients with chronic obstructive pulmonary disease (COPD) accounts for 30% of all pneumology outpatient evaluations. COPD is a heterogeneous disease and generates a massive public health problem. Overall morbidity, particularly cardiovascular disease, challenges patient management. This is an observational, multicentre study, performed at four hospitals in the Canary Islands (Spain), aimed at characterising patients with COPD referred to pneumology outpatient services. Demographic variables, lung function, and morbidity were assessed. Results Of the 877 included patients, 44.9% were active smokers with a mean (± SD) age of 68.2 ± 10.3 years. The median (IQR) score for the Charlson comorbidity index was 2 (2), and 70.6% of the patients were assigned high risk according to the Spanish Guidelines for COPD (GesEPOC) 2021. The degree of airflow obstruction defined by the GOLD 2021 stages 1, 2, 3, and 4 corresponded to 13.6%, 49%, 31%, and 6.3% of patients, respectively. The most frequently associated morbidities were arterial hypertension (59.5%), dyslipidaemia (54.3%), and type 2 diabetes mellitus (31.2%); 32% of the patients suffered heart disease. There is a high prevalence of active smoking, type 2 diabetes mellitus, and heart disease in patients referred for COPD to Canary Island pneumology outpatient services.

【 授权许可】

Unknown