在多中心SWORD调查中对阻塞性呼吸道疾病的评估印度印度
Sheetu Singh1, Bharat Bhushan Sharma2, Arvind Kumar Sharma3
1Department of Pulmonary Medicine, Rajasthan Hospital, Jaipur, Rajasthan, India.
Lung India : official organ of Indian Chest Society
|August 31, 2024
概括
有相当数量的印度患者患有控制不良的喘和严重的慢性阻塞性肺病 (COPD). 许多患有这些呼吸道疾病的患者没有得到足够的治疗,这突显了关键的护理差距.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 评估印度门诊部门的喘控制和COPD严重程度.
- 根据全球指导方针评估治疗的充分性.
- 识别了控制不下的喘和严重的COPD的危险因素.
研究的目的:
- 评估印度OPD的喘控制和慢性阻塞性肺病 (COPD) 的严重程度.
- 评估当前治疗这些呼吸道疾病的适当性.
- 为了确定与控制不良的喘和严重的COPD相关的风险因素.
主要方法:
- 分析第四阶段SWORD调查数据 (2018年5月).
- 多中心,基于问卷的,点患病率研究.
- 涉及290个印度站点的1,419名喘和412名COPD患者.
主要成果:
- 7.4%的喘患者的疾病控制不良;12.4%和13.1%的慢性肺炎患者分别处于严重的B类和E类.
- 34.8%的喘患者和25.7%的COPD患者 (B/E类别) 尽管控制不良或疾病严重,但没有使用任何药物.
- 控制不下的喘的危险因素包括雨湿和胃食道反流症.
结论:
- 对于印度控制不良的喘和严重的COPD,存在很大的治疗差距.
- 许多患有这些疾病的患者治疗不足或治疗不当.
- 强调需要改善印度呼吸道疾病的管理策略.
相关概念视频
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
179
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
179
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
981
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
981
Esophageal Strictures-II: Clinical Features and Management
57
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
57
Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K


