Email this article Сomplex assessment of the degree of chronic obstructive pulmonary disease copd severity on out-patient visit
- Authors: Nizov A.A.1, Ermachkova A.N.1,2, Abrosimov V.N.1, Ponomareva I.B.1
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Affiliations:
- Ryazan State Medical University
- Outpatient Clinic №12
- Issue: Vol 27, No 1 (2019)
- Pages: 59-65
- Section: Original study
- URL: https://journal-vniispk.ru/pavlovj/article/view/11500
- DOI: https://doi.org/10.23888/PAVLOVJ201927159-65
- ID: 11500
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Abstract
Аim. Analysis of the possibility and reasonability of a comprehensive assessment of clinical condition of patients with chronic obstructive pulmonary disease (COPD) on outpatient visit in conditions of a small territorial municipal polyclinic.
Materials and Methods. The study was carried out on the base of municipal Outpatient clinic №12 (total adult population 7177 people) of Ryazan from October 2012 to December 2014. In history taking, positive family history, existence of unfavorable factors that could provoke development and progress of the disease, coughing episodes in history, phase of the disease, medicinal treatment were evaluated. This was followed by a screening epidemiological examination (questionnaire). In result, an observation group was formed (n=50, aged 19-81 years, mean age 56.1±2.3 years) from patients with chronic respiratory symptoms (cough, dyspnea) seeking medical care, where screening spirography, evaluation of the degree of severity of COPD according to GOLD 2014 were conducted, and four observation groups (A, B, C, D) were formed.
Results. COPD was confirmed in 100% of patients of the observation group, of them the 1st stage COPD was found in 18.7% of cases, 2nd – in 43.3% of cases, 3rd– in 30.0%, 4th – in 8.0%. The number of exacerbations was 1-8 per year. The most common concomitant diseases were ischemic heart disease (53.2%), arterial hypertension (74.3%), chronic gastroduodenitis (34.5%). A combination of 2 or more chronic diseases was observed in 31% of cases. Depending on the degree of airflow rate limitation, symptoms (mMRC results), history of exacerbations, patients were divided into the following groups according to GOLD 2014: group A – 59 patients (39.3%), group B – 30 patients (20.0%), group C – 29 patients (19.0%), and D – 32 patients (21.7%). There were no statistically significant differences between the groups in age, gender and smoking status (p>0.05).
Conclusion. The analysis showed a possibility and convenience of using stratification of patients with COPD by the degree of severity of the disease (according to GOLD 2014) with the aim of individualization of further management of such patients.
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##article.viewOnOriginalSite##About the authors
Aleksey A. Nizov
Ryazan State Medical University
Author for correspondence.
Email: anna.vyunova@bk.ru
ORCID iD: 0000-0001-7531-9102
SPIN-code: 2939-8193
ResearcherId: M-7081-2018
MD, PhD, Professor, Head of the Department of Internal Medicine
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026Anna N. Ermachkova
Ryazan State Medical University; Outpatient Clinic №12
Email: anna.vyunova@bk.ru
ORCID iD: 0000-0002-2770-3414
SPIN-code: 7073-2120
ResearcherId: D-7935-2018
Postgraduate Student of Department of Internal Medicine; Terapist
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026; RyazanVladimir N. Abrosimov
Ryazan State Medical University
Email: Kosyakov_alex@rambler.ru
ORCID iD: 0000-0001-7011-4765
SPIN-code: 3212-4620
ResearcherId: X-2649-2018
MD, PhD, Professor, Head of the Department of Therapy and Family Medicine of Post-graduate Education Faculty with the Course of Medico-social Examination
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026Irina B. Ponomareva
Ryazan State Medical University
Email: Kosyakov_alex@rambler.ru
ORCID iD: 0000-0002-0273-4388
SPIN-code: 3984-1944
ResearcherId: D-6849-2018
MD, PhD, Assistant of the Department of Therapy and Family Medicine of Post-graduate Education Faculty with the Course of Medico-social Examination
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026References
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