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Underdiagnosis of chronic obstructive pulmonary disease: a problem that persists

A Roca Noval, R García García, M Jiménez Gómez, J Díaz Miravalls, E Catalinas Muñoz
European Respiratory Journal 2022 60: 421; DOI: 10.1183/13993003.congress-2022.421
A Roca Noval
HU 12 de Octubre, Madrid, Spain
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R García García
HU 12 de Octubre, Madrid, Spain
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M Jiménez Gómez
HU 12 de Octubre, Madrid, Spain
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J Díaz Miravalls
HU 12 de Octubre, Madrid, Spain
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E Catalinas Muñoz
HU 12 de Octubre, Madrid, Spain
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Abstract

Introduction and objective: Chronic obstructive pulmonary disease (COPD) is a public health problem of the first order and underdiagnosis of this disease is a universal phenomenon. The objective of our study is to determine the prevalence of COPD and to analyze the clinical, radiological and functional characteristics of patients without a previous diagnosis of COPD and diagnosed with this disease in the post-COVID follow-up consultation, and to compare them with patients without COPD.

Methods and materials: A study was carried out of the patients referred to the post-COVID consultation who were diagnosed with COPD in said consultation between the months of June 2020 and February 2021. The variables included were: sex, age, smoking habit, pack-year index (IPA), degree of dyspnea according to the mMRC scale, function and characteristics in chest CT.

Results: Of the 371 patients evaluated in the post-COVID follow-up consultation, 23 of them, 11%, were diagnosed with COPD. 61% were men with a mean age of 60 ± 11 years, 17% being active smokers, 56% ex-smokers with a mean IPA of 26 ± 15. The rest of the variables are shown in Table 1. Significant differences were found between patients with and without COPD in terms of smoking (p<0.001) and lung function (p=0.002). No significant differences were found in the rest of the variables. 21% of COPD patients had emphysema on chest CT.

Conclusion: The diagnosis of COPD was established in 11% of the patients evaluated in the post-COVID consultation.

  • COPD - diagnosis
  • Diagnosis
  • Spirometry

Footnotes

Cite this article as Eur Respir J 2022; 60: Suppl. 66, 421.

This article was presented at the 2022 ERS International Congress, in session “-”.

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 2022
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Underdiagnosis of chronic obstructive pulmonary disease: a problem that persists
A Roca Noval, R García García, M Jiménez Gómez, J Díaz Miravalls, E Catalinas Muñoz
European Respiratory Journal Sep 2022, 60 (suppl 66) 421; DOI: 10.1183/13993003.congress-2022.421

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Underdiagnosis of chronic obstructive pulmonary disease: a problem that persists
A Roca Noval, R García García, M Jiménez Gómez, J Díaz Miravalls, E Catalinas Muñoz
European Respiratory Journal Sep 2022, 60 (suppl 66) 421; DOI: 10.1183/13993003.congress-2022.421
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Show more 01.01 - Clinical problems - no related to asthma or COPD

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