|
Identifier |
000376882 |
Title |
Χρόνια αποφρακτική πνευμονοπάθεια (ΧΑΠ) και συ-νοσηρότητα ,στην ευρύτερη περιοχή του νομού Ηρακλείου Κρήτης,Συγχρονική μελέτη |
Alternative Title |
Chronic obstructive pulmonary disease (COPD) and co -morbidity in the prefecture of Heraklion Crete.A comparative observational study |
Author
|
Μαρή, Βικτώρια Γ
|
Thesis advisor
|
Τζανάκης, Νικόλαος
|
Reviewer
|
Μοσχανδρέα, Ιωάννα
|
Abstract |
Background: COPD has been found to be the 4th cause of death in the 20th century
and it is predicted to be the 3rd by 2020 (worldwide). One serious factor for the
prognosis of and the functional abilities of patients with COPD is the aspect of comorbidity.
Objectives: To investigate the frequency of existence of diseases (except COPD)
between a group of patients with COPD and a group of patients free of COPD. To
evaluate if smoking influences co-morbidity between the two groups of patients.
Methods: Observational study which took place in Heraklion Crete. The participants
were 217 volunteers. COPD diagnosis was accomplished by spirometric evaluation
and the general health of patients was documented after interview. Descriptive
statistics on demographic and clinical characteristics was performed. Correlation
between continuous variables age, body mass index (BMI), number of diseases, and
Charlson co-morbidity score (CCS) was performed. Single variable and multivariate
comparisons of the characteristics of people with and without COPD were evaluated.
A logistic regression for each disease associated with COPD, the number of diseases
and the CCS and logistic regression for co-morbidity and COPD among smokers and
non-smokers was also evaluated.
Public Health & Health Care Management
Faculty of Medicine – University of Crete
4
Results: Mean age of patients included in the study was 66+13 years, 54.1% were
female and 45.9% were male. Men had a higher percentage of COPD compared to
women (40.9% and 16.9% respectively). Heart failure, asthma and osteoarthritis
seemed to be related with the presence of COPD. People with heart failure were 2.9
more likely (odds) to develop COPD (weighted by age, sex and smoking habits) (95%
CI from 1.04 to 8.18). In accordance with the outcomes it seems to be no relation
between the number of diseases or CCS and the presence of COPD in total.
Conclusions: The findings of this study provide a suspected relationship but may not
be generalized. Further studies are needed in order to draw final conclusions.
|
Language |
Greek |
Subject |
Comorbidity |
|
Heart failure |
|
Heraclion |
|
Respiratory system |
|
Smoking |
|
Κάπνισμα |
|
Καρδιακή ανεπάρκεια |
|
Χρόνια αποφρακτική πνευμονοπάθεια |
Issue date |
2012-07-24 |
Collection
|
School/Department--School of Medicine--Department of Medicine--Post-graduate theses
|
|
Type of Work--Post-graduate theses
|
Views |
321 |