Open Access Original article

Clinical significance in COPD patients followed in a real practice

Júlio César Mendes de Oliveira12, Isabella de Carvalho Aguiar2, Ana Carolina Negrinho de Oliveira Beloto12, Israel Reis Santos2, Fernando Sergio Studart Leitão Filho3, Luciana M Malosa Sampaio2, Claudio F Donner4 and Luís Vicente Franco de Oliveira2*

Author Affiliations

1 Institute of the Lung, Cascavel, PR, Brazil

2 Rehabilitation Sciences Master and Doctoral Degree Program - Nove de Julho University, UNINOVE, Sao Paulo, SP, Brazil

3 Respiratory Division of Medicine School, Fortaleza University, UNIFOR, Fortaleza, CE, Brazil

4 Mondo Medico, Multidisciplinary and Rehabilitation Outpatient Clinic, Borgomanero, No, Italy

For all author emails, please log on.

Multidisciplinary Respiratory Medicine 2013, 8:43  doi:10.1186/2049-6958-8-43

Published: 28 June 2013

Abstract

Background

Chronic obstructive pulmonary disease (COPD) is an important public health issue in many countries which is estimated to become the fifth cause of disability and the third cause of mortality in the world within 2020.

The objective of this study was to identify the clinical characteristics in the real clinical practice of a sample of patients with COPD followed in a pulmonology clinic.

Methods

The initial sample contained 207 subjects with respiratory claims that searched for specialized treatment and initiated regular monitoring between 2004 and 2009 in a private clinic localized in Cascavel, in the state of Parana, Brazil. Demographic data (weight, height, body mass index - BMI), history of comorbidities, use of respiratory and non respiratory drugs were also registered.

Results

The main cause related to the development of COPD was current or prior smoking (92.0%); the most frequently reported symptom was dyspnea (95.0%), followed by cough (86.1%), wheezing (69.4%) and sputum production (40.0%). During the follow up, 51 patients developed the need for oxygen therapy (28.3%). In 96 patients, there were periods of acute exacerbation, resulting in 37 hospitalizations. In addition to COPD, a significant number of comorbidities were identified, being cardiovascular disease and neurological disorders the most prevalent ones.

Conclusions

Based on the data collected, we could outline the profile of patients with COPD, showing characteristics of an elderly population, with multiple comorbidities, suggesting a health related quality of life lower than expected.

Keywords:
COPD; Dyspnea; Smoking