患有COPD的患者的临床概况因年龄而有条件
Diego Morena1,2, José Luis Izquierdo1,3, Juan Rodríguez4
1Pulmonology Department, Respiratory Medicine, Hospital Universitario de Guadalajara, 19002 Guadalajara, Spain.
Journal of clinical medicine
|December 23, 2023
概括
这项研究表明,慢性阻塞性肺病 (COPD) 主要影响老年人,并且经常与其他疾病同时发生. 年龄显著影响COPD患者的临床表现和并发症.
科学领域:
- 肺病学和老年病学 在
- 慢性病的流行病学 慢性病的流行病学
背景情况:
- 慢性阻塞性肺病 (COPD) 的发展受到遗传学,环境和衰老的影响.
- 了解COPD临床形状的年龄相关差异对于现实世界患者管理至关重要.
研究的目的:
- 为了确定COPD患者临床概况中的与年龄相关的差异.
- 评估年龄对COPD总体负担的影响.
- 分析不同年龄组中与COPD相关的并发症.
主要方法:
- 在电子医疗记录上使用人工智能的非干预性观察性研究.
- 分析了2011年至2021年期间被诊断患有COPD的73,901名患者.
- 根据年龄范围对患者进行分层,以确定临床和并发症模式.
主要成果:
- 慢性肺炎主要影响老年人 (平均年龄为73岁),男性患病率更高 (76.8%).
- 具体的并发病因性别而异:肥胖,心力衰竭,抑郁症和女性间歇性;男性缺血性心脏病和阻塞性睡眠呼吸暂停 (OSA).
- 心血管风险因素随着年龄的增长而逐渐增加.
结论:
- 在现实世界的临床实践中,COPD是一种主要影响老年人的疾病.
- 伴随性疾病显著影响疾病的发展过程,并且与年龄有关.
- 年龄是理解COPD临床异质性和管理的关键因素.
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