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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