30. Đặc điểm lâm sàng và tỷ lệ đợt cấp bệnh phổi tắc nghẽn mạn tính của người bệnh tại một số đơn vị quản lý ngoại trú

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is common in clinical practice and is also the third leading cause of death worldwide. The Global Initiative for Chronic Obstructive Lung Disease suggested that effective outpatient management programs will help reduce the high burden of COPD, decrease the acute exacerbation of COPD and reduce treatment costs. Therefore, we conducted a descriptive observational study at 3 outpatient management units (Dong Da Hospital, Lung Hospital in Thanh Hoa, Hai Phong Lung Hospital) from August 2020 to December 2021 to determine the clinical features and frequency of exacerbations. The study included 514 patients with confirmed diagnosis of COPD. Clinical characteristics included 441 males (85.8%), 73 females (14.2%), the mean age was 66.16 ± 8.1; current smokers numbered at 107 (20.8%). The most commonly reported comorbiditieswas hypertension (28.8%). mMRC score ≥ 2: 57.7%, CAT ≥ 10: 93.8%. The number of patients with exacerbations within the past 12 months was 246 (47.9%), hospitalizations were 40.1% and admissions to the emergency department were 21.4%. In areas where there is a high proportion of patients who continue to smoke (Hai Phong), it is advisable to concentrate on smoking cessation programs and to improve patient care at management units to lower the risk of exacerbations, particularly those involving hospitalization.