Characterization of respiratory function in patients with chronic obstructive pulmonary disease
DOI:
https://doi.org/10.5281/zenodo.12751253Keywords:
breath tests, pulmonary emphysema, tobacco use disorderAbstract
Introduction: due to its heterogeneity, chronic obstructive pulmonary disease requires respiratory function tests to identify the degree of airflow obstruction.
Objective: to describe the characteristics of some respiratory clinical and functional variables in patients with chronic obstructive pulmonary disease admitted for acute exacerbations.
Methods: cross-sectional descriptive study of all 116 patients diagnosed with chronic obstructive pulmonary disease, admitted for acute exacerbations in the intermediate care unit of the Ciego de Ávila Hospital in the 2017-2019 triennium. All gave their written consent agreeing to participate in the research. Some epidemiological, clinical and respiratory functional variables were analyzed. Ethical principles were met.
Results: the disease predominated in male patients (57.76 %), in the group between 51 and 60 years (31.90 %) and in urban origin (66.00 %). 81.03% were smokers.
The exacerbator phenotype with emphysema prevailed (50.86 %). Severe exacerbations were the most prevalent (49.14%, especially in those over 61 years of age. Moderate (39.66 %) and severe (38.79 %) obstructive patterns predominated, also at the expense of those over 61 years.
Conclusions: the urban origin, the male sex and the smoking habit predominated in those studied. In those older than 61 years, a greater presentation of severe exacerbations was found. The respiratory function tests determined the obstructive pattern and the level of hypoxemia of each patient in the study, which facilitated accurate diagnosis and appropriate treatment.
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References
Roca-Goderich R. Temas de medicina interna. V.1. 5th ed. La Habana: Ciencias Médicas; 2017.
Siu AL, Bibbins DK, Grossman DC, Davidson KW, Epling JW, García FA, et al. Screening for chronic obstructive pulmonary disease: US Preventive Services Task Force recommendation statement. JAMA [Internet]. 2016 [citado 12 Mar 2019];315(13):1372-77. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/2510917
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380(9859): 2095-128.
Añón-Elizalde JM. Enfermedad pulmonar obstructiva crónica reagudizada. Escuela Gericó. España: Elsevier; 2014.
Fonseca-Muñoz JC, Barzagas-Moreno D, Frómeta-Guerra A, González-Aguilera JC, Rosales-Almarales Y. Factores pronósticos de muerte en la Enfermedad Pulmonar Obstructiva Crónica. Rev Cubana Med Int Emerg [Internet]. 2012 [citado 26 Dic 2018];12(1):2358-73 Disponible en: https://www.medigraphic.com/pdfs/revcubmedinteme/cie-2012/cie121d.pdf
Ministerio de Salud Pública (Cuba). Anuario Estadístico de Salud 2017 [Internet]. La Habana: Dirección Nacional de Registros Médicos y Estadísticas de Salud; 2018 [citado 26 Dic 2018]. Disponible en: https://files.sld.cu/dne/files/2018/04/Anuario-Electronico-Espa%c3%b1ol-2017-ed-2018.pdf
Guyton A, Hall J. Tratado de fisiología Médica. 13 ed. España: Elsevier; 2016.
García-García S, Carazo-Fernández L, García JJ, Naveiro-Rilo JC. Enfermedad pulmonar obstructiva crónica: los pacientes en la vida real. Estudio LEONPOCChronic. Aten Primaria [Internet]. 2017 [citado 26 dic 2018];49(10):603-10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6876058/pdf/main.pdf
Chico-Chávez MF, Cruz-Murillo MG. Validación del pico flujo en el diagnóstico de EPOC en pacientes del HEE período de junio-julio 2017 [Internet]. Quito: Instituto Superior de Investigación y Posgrado; 2018 [citado 28 Jul. 2019]. Disponible en: http://200.12.169.19/bitstream/25000/16145/1/T-UCE-0006-CME-040P.pdf
Llauger-Rosselló MA, Naberan-Toña K, Escarrabill-Sanglas J. Enfermedades respiratorias. España: Elsevier; 2014.
Gomarra-Perelló JM, Román-Rodríguez M. Grupo de Respiratorio de la Societat Balear de
Medicina Familiar i Comunitaria. Medidor de Peak-flow: técnica de manejo y utilidad en Atención Primaria. Medifam [Internet]. 2002 [citado 26 dic 2018];12(3):206-13. Disponible en: https://scielo.isciii.es/pdf/medif/v12n3/tecnicas.pdf
DE GESEPOC, Grupo de Trabajo. Proceso de la atención inicial al paciente con EPOC. Estrategias de cribado. Arch. Bronconeumol [Internet]. 2017 [citado 26 dic 2018];53(Sup1):15-21. Disponible en: https://www.archbronconeumol.org/es-pdf-S0300289617303599
National Institute for Health and Care Excellence. Chronic obstructive pulmonary disease in adults (QS10). [Internet]. 2022 [citado 28 julio 2019]:[aprox. 50 p.]. Disponible en: https://www.nice.org.uk/guidance/qs10/resources/chronic-obstructive-pulmonary-disease-in-adults-pdf-2098478592709
Asociación Médica Mundial. Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. Ratificada en la 64ª Asamblea General, Fortaleza, Brasil, octubre 2013. Helsinki: 18ª Asamblea Mundial; 1964 [citado 28 Jul 2019]. Disponible en: http://www.anmat.gov.ar/comunicados/HELSINSKI_2013.pdf
Alvear G, Figueroa LP, Peña, CA. Perfil clínico de los pacientes ingresados al programa EPOC en un consultorio de atención primaria durante 10 años. Rev. chil. enf. respir. [Internet]. 2015 [citado 28 Jul 2019];31(1):17-26. Disponible en: https://www.scielo.cl/pdf/rcher/v31n1/art03.pdf
Correa S, González M, de Betolaza S, Spiess C, Perera P, Algorta S. Estudio descriptivo de pacientes con EPOC asistidos en medicina interna del Hospital Pasteur de Montevideo: características demográficas y comorbilidades [Internet]. Rev. urug. med. Interna [Internet]. 2019 [citado 12 Jul 2019];(1)[aprox. 11 p.]. Disponible en: http://www.scielo.edu.uy/pdf/rumi/v4n1/2393-6797-rumi-4-01-5.pdf
Centro de Estudios de Población y Desarrollo, CEPDE. Anuario demográfico de Cuba. Plaza de la Revolución, La Habana: Oficina Nacional de Estadística e Información; 2017. p. 18.
Kuzmar I, Ospina Giraldo CE. Morbilidad de la Enfermedad pulmonar obstructiva crónica en Colombia. Resultados del estudio SANEPOC-2. Rev Fac Cien Méd [Internet]. 2018 [citado 28 jul 2019];75(1):19-24. Disponible en: https://web.archive.org/web/20190428233417id_/https://revistas.unc.edu.ar/index.php/med/article/download/16617/20020
Ortega F, Valencia F, Márquez M, Gómez L, Sánchez V, Serrano P. Relación entre el grado de extensión del enfisema y alteraciones morfológicas musculares periféricas en pacientes con EPOC. Rev Esp Patol Torac [Internet]. 2016 [citado 28 jul 2019];28(4):198-205. Disponible en: https://www.rev-esp-patol-torac.com/files/publicaciones/Revistas/2016/2_original-revista2016v28n4.pdf
Alijarde-Bruscas J, Toña-Naberan K, Lamban-Sánchez MT, Bello-Dronda S. Estudio ARAPOC: prevalencia de síntomas respiratorios y enfermedad obstructiva crónica en población general. Aten Primaria [Internet]. 2015 [citado 28 julio 2019];47(6):336–43. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983687/pdf/main.pdf
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