Prevalence of COPD in Primary Care Clinics: Correlation with Non-Respiratory Diseases
スポンサーリンク
概要
- 論文の詳細を見る
Background and Objective Various extrapulmonary effects and comorbidities have been noted to contribute to the burden of chronic obstructive pulmonary disease (COPD). However, the relationship between the prevalence of COPD and non-respiratory diseases has not been well investigated. The aim of the present study was to determine whether or not COPD is different among patients already suffering from other diseases. Methods Spirometry was performed by patients aged ≥40 years old with non-respiratory diseases who visited primary care clinics. Four hundred eighty-one patients performed spirometry and 7 patients were excluded because of poor spirometry maneuvers, resulting in 474 patients that were eligible for the current study. In subjects showing abnormalities in their spirograms, precise diagnoses were made using a questionnaire and chest X-ray examination. Results Among the 474 patients, airflow limitation (FEV1/FVC<70%) was observed in 53 patients (11.2%). Forty-nine patients (10.3%) were diagnosed as COPD and 4 patients (0.8%) as bronchial asthma. Among the various diseases, the prevalence of COPD was significantly higher only in the patients with liver diseases, which was 18.8% (12 of 64 patients). The odds ratio adjusted by both the amount of smoking and age was 2.66 (95%CI 1.06-6.63, p=0.037). Conclusions The prevalence of COPD was different according to the type of disease, and patients with liver diseases had a higher prevalence of COPD.
著者
-
Ichinose Masakazu
Third Department Of Internal Medicine Wakayama Medical University
-
Koarai Akira
Third Department Of Internal Medicine Wakayama Medical University School Of Medicine
-
Yanagisawa Satoru
Third Department Of Internal Medicine Wakayama Medical University School Of Medicine
-
Ichikawa Tomohiro
Third Department Of Internal Medicine Wakayama Medical University School Of Medicine
-
Minakata Yoshiaki
Third Department Of Internal Medicine Wakayama Medical University School Of Medicine
-
Sugiura Hisatoshi
Third Department Of Internal Medicine Wakayama Medical University School Of Medicine
-
Akamatsu Keiichirou
Third Department Of Internal Medicine Wakayama Medical University School Of Medicine
-
Yamagata Toshiyuki
Third Department Of Internal Medicine Wakayama Medical University School Of Medicine
-
Matsunaga Kazuto
Third Department Of Internal Medicine Wakayama Medical University
-
Hirano Tsunahiko
Third Department Of Internal Medicine Wakayama Medical University
-
HIRANO Tsunahiko
Third Department of Internal Medicine, Wakayama Medical University
-
Ichikawa Tomohiro
Third Department of Internal Medicine, Wakayama Medical University
-
Koarai Akira
Third Department of Internal Medicine, Wakayama Medical University
-
Sugiura Hisatoshi
Third Department of Internal Medicine, Wakayama Medical University
-
Yanagisawa Satoru
Third Department of Internal Medicine, Wakayama Medical University
-
Minakata Yoshiaki
Third Department of Internal Medicine, Wakayama Medical University
関連論文
- Differences of Inflammatory Mechanisms in Asthma and COPD
- Molecular Mechanism of the Additive Effects of Leukotriene Modifier in Asthmatic Patients Receiving Steroid Therapy
- Two Cases of Asthma in Handicapped Elderly Persons in Which Assisted Inhalation Therapy Was Effective
- Effect of a leukotriene receptor antagonist on the prevention of recurrent asthma attacks after an emergency room visit
- Inflamatory Mechanisms in Bronchial Asthma and COPD
- Prevalence of COPD in Primary Care Clinics: Correlation with Non-Respiratory Diseases
- Severe gustatory disorder caused by cisplatin and etoposide
- Change in Cytokeratin 19 Fragment Level According to the Severity of Pulmonary Alveolar Proteinosis
- Reference Ranges for Exhaled Nitric Oxide Fraction in Healthy Japanese Adult Population
- Japanese Guideline for Adult Asthma