Characterization of patients with COPD admitted in pulmonary rehabilitation center
De Melo Neto, João Simão; Marques, Ana Elisa Zuliani Stroppa; Gomes, Fabiana de Campos
Abstract
Introduction: Chronic Obstructive Pulmonary Disease COPD is a major cause of morbidity and mortality, which is preventable, thus studies that discusses the characterization of a given population are important for investment in treatments and prevention. Objective: Characterize individuals with COPD, admitted to a pulmonary rehabilitation center. Method: Retrospective study, exploratory character of medical records of patients with COPD. Sample consisted of 37 patients diagnosed with COPD and age greater than 20 years. The following variables were analyzed: sex, age, marital status, occupation, diagnosis, main complaint, and cardiovascular risk factors presented by patients during admission. Results: Individuals aged >40 years and history of smoking have a higher prevalence in developing COPD. Pulmonary emphysema is a major pathological condition. The most common main complaint was dyspnea and cardiovascular risk factor was present sedentary lifestyle. Moreover, women with COPD were more likely to have depression than men. Conclusion: This study enabled the characterization of COPD patients, providing the possibility of investing in prevention and treatment.
Keywords
References
1. Rochester CL, Fairburn C, Crouch RH. Pulmonary Rehabilitation for Respiratory Disorders Other than Chronic Obstructive Pulmonary Disease. Clin Chest Med. 2014; 35(2): 369-389.
2. Estes TS, Short N, Bowser D, Boyle A. An evidence-based quality improvement perspective for a chronic obstructive pulmonary disease case-finding program. Chron Respir Dis. 2014 [Epub ahead of print].
3. Kotz D, Nelemans P, van Schayck CP, Wesseling GJ. External validation of a COPD diagnostic questionnaire. Eur Respir J. 2008; 31(2): 298-303.
4. Lopez AD, Shibuya K, Rao C, Mathers CD, Hansell AL, Held LS, et al. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J. 2006; 27(2): 397-412.
5. Francisco PMSB, Donalisio MR, Barros MBA, César CLG, Carandina L, Goldbaum M. Factors associated with pulmonary disease among the elderly. Revista de Saúde Pública. 2006; 40(3): 428-435.
6. de Melo Neto JS, Mendes AP, Aragao I, Alves AS, Correa PR, Romano EM. Perfil dos Pacientes Atendidos no Setor de Fisioterapia Cardiorrespiratório de uma Clínica Escola de São José do Rio Preto - SP. Arquivos de Ciências da Saúde (FAMERP) 2012; 19: 108-112.
7. Laizo A. Doença pulmonar obstrutiva crónica: Uma revisão. Rev Port Pneumol. 2009; 15(6): 1157-1166.
8. Sandelowsky H, Ställberg B, Nager A, Hasselström J. The prevalence of undiagnosed chronic obstructive pulmonary disease in a primary care population with respiratory tract infections - a case finding study. BMC Fam Pract. 2011; 12: 122.
9. Turner MC, Chen Y, Krewski D, Calle EE, Thun MJ. Chronic obstructive pulmonary disease is associated with lung cancer mortality in a prospective study of never smokers. Am J Respir Crit Care Med. 2007; 176(3): 285-290.
10. Silva DR, Gazzana MB, Barreto SSM, Knorst MM. Idiopathic pulmonary fibrosis and emphysema in smokers. Jornal Brasileiro de Pneumologia 2008; 34(10): 779-786.
11. Moreno J, Dal Corso S, Malaguti C. Análise descritiva do uso de ventilação mecânica não invasiva durante exercício em paciente com DPOC. Conscientiae Saúde 2007; 6(2): 295-303.
12. Jennings JH, Digiovine B, Obeid D, Frank C. The association between depressive symptoms and acute exacerbations of COPD. Lung 2009; 187(2): 128-135.
13. Laurin C, Lavoie KL, Bacon SL, Dupuis G, Lacoste G, Cartier A, et al. Sex differences in the prevalence of psychiatric disorders and psychological distress in patients with COPD. Chest 2007; 132: 148–155.
14. Martinez FJ, Curtis JL, Sciurba F, Mumford J, Giardino ND, Weinmann G, et al. Sex differences in severe pulmonary emphysema. Am J Respir Crit Care Med. 2007; 176: 243–252.
15. Chavannes NH, Huibers MJ, Schermer TR, Hendriks A, van Weel C, Wouters EF, et al. Associations of depressive symptoms with gender, body mass index and dyspnea in primary care COPD patients. Fam Pract. 2005; 22: 604– 607.
16. da Costa CC, de Azeredo Lermen C, Colombo C, Canterle DB, Machado ML, Kessler A, et al. Effect of a Pulmonary Rehabilitation Program on the levels of anxiety and depression and on the quality of life of patients with chronic obstructive pulmonary disease. Rev Port Pneumol. 2014 [Epub ahead of print].