自报诊断喘和/或COPD的成年人的临床特征:来自澳大利亚BOLD研究的数据
Yijun Zhou1, Maria R Ampon2, Michael J Abramson3
1The Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia.
ERJ open research
|August 23, 2023
概括
患有喘和慢性阻塞性肺病 (COPD) 诊断的成年人报告了更多的呼吸症状和更大的空气流量限制. 与那些只诊断一次的人相比,这些人经历了相当大的疾病负担.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床流行病学临床流行病学
- 公共卫生 公共卫生
背景情况:
- 社区对喘和COPD的诊断是可变的,往往缺乏螺旋计.
- 对于澳大利亚成年人同时患有喘和COPD诊断的数据有限.
- 研究的临床特征和自我报告的喘,COPD和两者的诊断.
研究的目的:
- 根据自我报告的喘,COPD或两种诊断,比较澳大利亚成年人的人口和临床特征和肺功能.
- 评估与澳大利亚成年人联合诊断的喘和COPD相关的健康结果.
主要方法:
- 利用了来自澳大利亚BOLD研究的数据,包括随机选择的40岁以上的成年人.
- 在六个研究地点采用BOLD问卷和螺旋计数据收集.
- 根据自我报告的诊断和比较特征和肺功能对参与者进行分组.
主要成果:
- 患有COPD (单独或与喘) 的参与者中,不到一半的人有空气流量限制.
- 患有喘+COPD的个体报告的呼吸系统症状和空气流量限制比单一诊断的个体更大.
- 喘+COPD独立地与更高的临床重要喘息率和更普遍的空气流量限制有关.
结论:
- 患有喘和COPD联合诊断的成年人经历了更高的症状和疾病负担.
- 由于双重诊断的负担增加,这些患者需要定期进行全面的检查.
- 这些发现强调了需要准确的诊断实践和针对喘和COPD患者的量身定制的治疗策略.
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