在瑞典低诊断和错误分类COPD - 北欧埃皮隆研究
Malin Axelsson1, Helena Backman2, Bright I Nwaru3
1Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Respiratory medicine
|July 5, 2023
概括
在瑞典,尽管吸烟率下降,但未被诊断的慢性阻塞性肺病 (COPD) 的高率仍然存在. 通过螺旋计提前诊断对于治疗COPD和改善患者生活质量至关重要.
科学领域:
- 肺部医学 肺部医学
- 流行病学 流行病学
背景情况:
- 慢性阻塞性肺病 (COPD) 患病率可能会随着吸烟率的下降而稳定,但低诊断需要进一步研究.
- 调查COPD的不足诊断和错误分类是必不可少的,考虑到社会经济因素,生活方式和医疗保健准入.
研究的目的:
- 调查未被诊断和错误分类的慢性阻塞性肺病 (COPD) 的患病率和特征.
- 确定与COPD低诊断和错误分类相关的社会经济,生活方式和医疗保健利用因素.
主要方法:
- 利用了来自1839名参与北瑞典阻塞性肺病研究和西瑞典喘研究的数据.
- 定义COPDGOLD使用固定后支气管扩展器螺旋计 (FEV1/FVC<0.70) 和呼吸系统症状.
主要成果:
- 符合COPDGOLD标准的参与者中有83.6%未被诊断;这些人年轻,肺功能更好.
- 未诊断的COPD与教育水平无关,但错误分类与女性,低教育,吸烟史和先前的喘诊断有关.
- 很大一部分未被诊断的人因呼吸道症状而寻求医疗保健,这表明需要更好的诊断实践.
结论:
- 慢性阻塞性肺部疾病 (COPD) 在瑞典仍然被严重诊断不足,需要改进诊断策略.
- 在初级保健中增加螺旋计的使用可以提高诊断准确性,使早期干预,风险因素修改和改善生活质量成为可能.
- 解决COPD的不足诊断对于预防疾病进展和改善患者的治疗结果至关重要.
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