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首页> 外文期刊>Journal of Community Hospital Internal Medicine Perspectives >Comorbidities of Chronic Obstructive Pulmonary Disease and Their Affect on Hospitalization of Patients in a Tertiary Care Hospital
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Comorbidities of Chronic Obstructive Pulmonary Disease and Their Affect on Hospitalization of Patients in a Tertiary Care Hospital

机译:慢性阻塞性肺疾病的综合性及其对高等教育医院患者住院的影响

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ABSTRACT Introduction : COPD is an obstructive airway disease with significant systemic comorbidities that affect hospitalization and the overall severity of the disease. The aim of the study was to assess the prevalence of comorbidities and their effect on the hospitalization of COPD patients. Methods : The study was a cross-sectional study conducted in 2013 among patients of a tertiary care hospital. The sample size was 106. Inclusion criteria were diagnosed patients of COPD according to GOLD criteria. Patients were diagnosed with COPD based on GOLD criteria guidelines and evaluated for various comorbidities based on presenting complaints. Variables collected were the number and kind of diagnosed comorbidities, the average number of hospitalizations per year. The prevalence of each comorbidity was found out and the chi-square test (p?&?0.05) was used to find out the correlation between hospitalization and comorbidities. Results : Of 106 participants, 63.2% had at least 1 comorbidity. 37.73% had 2–4 comorbidities. Prevalence of diabetes mellitus was 35.8%, systemic hypertension was diagnosed in 47% of the subjects. 5.7% had left heart abnormalities, 4.7% had ischemic heart disease (IHD), and 16% had pulmonary arterial hypertension. 43.4% had gastroesophageal reflux disease and gastric ulceration, 38.6% had metabolic syndrome and 8.5% had obstructive sleep apnea, 8% had psychiatric disorders, 7.5% had osteoporosis, and 1.9% were diagnosed with lung malignancy. There was a significant association between mean hospitalizations and the presence of comorbidities (p &?0.05). Hospitalizations were majorly due to exacerbation of COPD. Conclusion : Prevalence of comorbid conditions among COPD patients are concluded to be high with an adverse effect on the average number of hospitalizations per year.
机译:摘要介绍:COPD是一种阻塞性气道疾病,具有重要的系统性合并症,影响住院治疗和疾病的整体严重程度。该研究的目的是评估合并症的患病率及其对COPD患者住院治疗的影响。方法:该研究是2013年在第三节护理医院患者中进行的横截面研究。样品大小为106.根据金标准诊断纳入标准。基于黄金标准指南诊断为COPD诊断,并根据提出投诉评估各种合并症。收集的变量是诊断的合并症的数量和类型,每年住院的平均住院数量。发现了每种合并率的患病率,并使用Chi-Square测试(P?Δ0.05),以了解住院和可用性之间的相关性。结果:106名参与者,63.2%具有至少1个合并症。 37.73%有2-4个合并症。糖尿病的患病率为35.8%,系统高血压被诊断为47%的受试者。 5.7%左心异常,4.7%缺血性心脏病(IHD),16%具有肺动脉高压。 43.4%具有胃食管反流疾病和胃溃疡,38.6%具有代谢综合征,8.5%具有阻塞性睡眠呼吸暂停,8%具有精神障碍,7.5%具有骨质疏松症,1.9%被诊断患有肺恶性肿瘤。平均住院治疗和合并症的存在之间存在重大关联(P <0.05)。由于COPD的恶化,住院治疗主要是由于COPD的恶化。结论:COPD患者共用病症的患病率得出结论,对每年平均住院人数的不利影响。

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