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在低收入和中等收入国家的慢性阻塞性呼吸道疾病查问卷的开发
H-V T Tran1, C T Nguyen1, H T Nguyen1
1Polyclinic, Department of Family Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
概括
一个新的问卷有效地选越南的慢性阻塞性呼吸道疾病 (CORD),因为在越南,螺旋计无法使用. 四个关键症状可以识别出需要进一步诊断呼吸道阻塞的个体.
科学领域:
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
- 医学诊断 医学诊断 医学诊断
背景情况:
- 螺旋计对于诊断慢性阻塞性呼吸道疾病 (CORD) 是至关重要的.
- 螺旋计在越南并不广泛使用.
- 需要一种查工具来识别需要螺旋计的人.
研究的目的:
- 开发和验证一个调查问卷,用于查在越南需要螺旋计用于CORD诊断的患者.
- 在越南人群中确定CORD的关键临床预测因子.
主要方法:
- 一项涉及越南医院1877名志愿者的横截面研究.
- 基于慢性临床症状,吸烟史和环境暴露的调查问卷的开发.
- 问卷结果与螺旋计结果进行比较,以定义CORD (FEV1/FVC < LLN).
- 多变量分析和ROC曲线分析,以确定CORD的重要预测因素.
主要成果:
- 在被招募的受试者中,有16%被诊断出患有CORD.
- 喘病史与CORD (OR = 14) 有着强烈的关联.
- 在非喘患者中,累积吸烟,结核病史,呼吸困难和喘息是CORD最好的预测因素 (57%的灵敏度,82%的特异性).
结论:
- 一个由四项组成的问卷可以有效地识别那些需要螺旋计诊断阻塞性呼吸道疾病的非喘患者.
- 这种选工具可以帮助在像越南这样的资源有限的环境中管理CORD.
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