Abstract
INTRODUCTION: The diffuse parenchymal lung diseases, often collectively referred to as the interstitial lung diseases (ILDs), are a heterogeneous group of disorders that are classified together because of similar clinical, radiographic, physiologic, or pathologic manifestations. We studied the pattern of disease and life expectancy among deaths due to ILD.
METHODOLOGY: A total of 90 patients diagnosed as ILD were admitted at Department of Chest medicine from May 2013 to May 2015. Out of this, total of 22 deaths due to ILD occurred in this period. The clinical profile of these patients, progress of disease, co morbidities, treatment and casue of death was analysed.
RESULTS: The average Age of patients who died was 53.4 years and minimum age was 20 and maximum age was72. Among 22 deaths, 10 were Male and 12 were female. Average number of months between Diagnosis and death were 50 months (4 years), for NSIP 60 months, UIP 47 months. 2 patients had past history of TB while 2 were suffering from active TB. Total 7 patients had co morbidity of DM, and 7 had HT. Total number of deaths among UIP patients was 48 % and NSIP patients was 16 %.
CONCLUSION: The average age at death was around 50 years of age. Deaths were more common in females, in both UIP and NSIP. 38 % of cases with ILD were diagnosed as IPF, similar to other Indian studies by Subhash et al1 ,Indian J Med Sci 2004;58:185-90 and Sen et al 2,Indian J Chest Dis Allied Sci 2010;52:207-11.The case fatality rate was 48% in UIP and 16% in NSIP. Both ILDS, UIP and NSIP carry a high mortality rate and thus we feel the need to improve the efficiency of diagnostic and therapeutic management of ILD.
- Interstitial lung disease
- Idiopathic pulmonary fibrosis
- Interstitial lung disease (connective tissue disease)
- Copyright ©the authors 2016