Abstract
Introduction: Severity and survival markers are the prognosis determinants of Chronic obstructive pulmonary disease(COPD).
Purpose: Evaluate the prognostic markers of COPD patients followed up(FW) for 10 years(Y) in a tertiary Hospital.
Methodology: A hundred and eight medical records of COPD patients were analyzed.Data collected were:smoking burden;lung function (FEV1%);use of oxigen-therapy(OT);use of medications and survival.
Results: 68% were male, the median age was 70.6Y and the average FW time 5 Y. 16% were active smokers,69% ex-smokers and 15% had never been smoker. The average smoking load was 52 pack-years(PY)(SD:31.5).In relation to gender, the prevalence in males was 50 (PY)(SD:37.6).In females was 33 (PY)(SD:22.7). 4% of patients were passive smokers.Among patients who had thorax CT results (58%),19% had emphysema,12% bronchial thickening and 27% a combination of both.The largest smoking load (63.2) was related to the emphysematous standard.Data shows 11% used OT.The disease’s prognosis was observed through FEV1 values.In 86.2% of the patients, the mean FEV1 at the first evaluation was 66.8±21%.The median FEV1 at the end of the FW was 63±23% in 77.8% of the sample 67.4% maintained the GOLD status,while 12.6% deteriorated.Among the patients who started with GOLD 4 (3.7%),50% improved FEV1.Among the dead (5.5%),50% were ex-smokers and 33.3% were active smokers. 16.6% used OT and 66.6 maintained the GOLD status during the FW period.
Conclusion: Results showed that COPD is still predominant in men and they had a higher smoking load than women as previously stated.The mortality was lower than the global rate for COPD and demonstrates that GOLD intervention proposal were effective.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3283.
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