Abstract
COPD in developed countries is mainly attributed to tobacco smoking. Sustained smoking accelerates the progression of COPD with grave consequences on healthcare costs, disability and morbidity.
Separate studies on smoking cessation (SC) in COPD pts and psychiatric comorbidities reveal a highly addicted and difficult to quit sub category. However, the possible interaction between COPD and mental health conditions and its potential impact on quitting behavior ofCOPD pts has not been sufficiently researched.
We examined the records of 2.542.732 patients which are part of the Whole SystemsIntegrated Care dataset (WSIC) in North West London, one of the mostcomprehensive data sets in the UK, containing linked coded data from primary care,secondary care, community, mental health and social care across a population of over 2.5million. We evaluated the co-occurrence of sleep disorders, schizophrenia, depression and anxiety and its effects on continuing smoking.
An estimated 32.389(1.3%) pts of the total cohort had COPD.Of these, 4.437(13.7%) pts belonged to stage I, 7.786(24%) to II, 3.548(11%) to III and 1.377(4.3%) to stage IV. Furthermore, 2.791(8.6 %) of COPD pts were also suffering from depression, 3.186(9.8%) from anxiety, 508(1.6%) from schizophrenia and 1.556(4.8%) from sleep disorders. Of note, 21.022(64.9%) of COPD diagnosed patients were still smoking. This rate was even higher for pts with mental health difficulties as 2.106(75.5%) pts with depression, 2.296(72%) with anxiety, 433(85.2%) with schizophrenia and 1.147(73.7%) withsleep disorders continued to smoke.
Anxiety, depression and schizophrenia as barriers to quitting should be taken into account so as to offer tailored SC programs to COPD pts following diagnosis.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3055.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020