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Clinical and epidemiological characterization of chronic obstructive pulmonary disease
Caracterización clínica y epidemiológica de la enfermedad pulmonar obstructiva crónica
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Martinez-Sanchez, L. M., Lopez Lopez, L., Roldan-Tabares, M. D., Herrera-Almanza, L., Lobo-Salas, Y. F., Arboleda-Rojas, M., Uribe-Molina, A. M., Duque-Ocampo, M. del M., Hernández-Martínez, A., & Morales-Quintero, N. (2023). Clinical and epidemiological characterization of chronic obstructive pulmonary disease. Journal of Medicine and Surgery Repertoire, 33(2), 158-162. https://doi.org/10.31260/RepertMedCir.01217372.1455
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Mabel Dahiana Roldan-Tabares
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Alejandro Hernández-Martínez
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Objective: clinical and epidemiological characterization of patients with chronic obstructive pulmonary disease (COPD). Methods: a retrospective, cross-sectional, descriptive study, which included adult patients with a diagnosis of COPD in a university hospital in Medellín. Data sources were secondary, based on medical records. The Jamovi program was used to perform a univariate analysis. Results and discussion: 552 patients were included. Median age was 76 years with a female predominance (56.7%). Regarding exposure to major respiratory toxic substances implicated in the development of the disease, 24.1% were tobacco smokers and 23% were exposed to biomass smoke. At the time of hospital admission,17.9% were classified as having grade 4 dyspnea; 74.1% received short acting beta-agonists and 60% short-acting antimuscarinics,11.6% required intensive care unit or special care unit admission, and 7.8% died in hospital. Conclusions: under-diagnosis of COPD by spirometry may be related to economic, technological, and trained human resource limitations, which affect adequate diagnosis and management of the disease, as well as patient´s quality of life.
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