RT Journal Article
SR Electronic
T1 COPD comorbidities and risk assessment according to GOLD 2011 revision
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P4185
VO 42
IS Suppl 57
A1 Nikolay Kyuchukov
A1 Nikolay Yanev
A1 Zlatina Ivanova
A1 Plamen Pavlov
A1 Pavlina Glogovska
A1 Tsanya Popova
A1 Iliya Krachunov
A1 Yavor Ivanov
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P4185.abstract
AB IntroductionThe GOLD revision 2011 introduced a new approach to COPD classification and treatment.AimOur study examined hospitalized and outpatients with COPD by assessing severity according to the GOLD 2011 document and the comorbidities in the different groups.MethodsThe patients voluntarily filled in specially designed questionnaire. Information about patient medical history, clinical examination, exacerbation history and treatment was gathered. SPSS 16.0 was used for statistical analysis.ResultsTwo-hundred and three patients took part in the study. The mean age was 67 years (SD ± 9.5). The patients’ distribution in groups was – 5.4 % in A; 16.7% in B; 3.0% in C; 74.9% in D.The study found out higher percentage of comorbidities in the high risk groups (C and D) compared to the low risk groups (A and B): concomitant diseases – 83.0% versus 68.2% (p<0.05); ischemic heart disease – 33.3% versus 17.8% (p<0.05); arrhythmia – 25.2% versus 13.3% (p=0.09); arterial hypertension – 47.3% versus 28.9% (p<0.05); congestive heart failure – 40.3% versus 28.9% (p=0.17); diabetes – 20.1% versus 22.2% (p=0.76); gastrointestinal disorders – 30.8% versus 28.9% (p=0.81); anemia – 3.7% versus 2.2% (p=0.62).ConclusionThere is a higher percentage of comorbidities in the high risk groups compared to the low risk groups (p<0.05). The difference is statistically significant for ischemic heart disease (p<0.05) and arterial hypertension (p<0.05). Certain comorbidities could be added to the GOLD severity criteria.