Obstructive Lung Diseases |

The Survey on the Current Status of Comorbidity About COPD (Chronic Obstructive Pulmonary Disease) Patients Burden in Rural Areas of Japan FREE TO VIEW

Tomoyasu Uno, MD
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Health Care Center, Fukushima University, Japan, Fukushima-City, Fukushima Prefecture, Japan

Chest. 2014;145(3_MeetingAbstracts):392A. doi:10.1378/chest.1834135
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SESSION TITLE: COPD Comorbidity Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: Comorbidities with COPD (Chronic Obstructive Pulmonary Disease) is one of the most important problems. Previous reports suggested that systemic inflammation may be the link between COPD and comorbidities, but this issue is still low debated in Japan. Whatever the mechanism of comorbidities may be, it has important clinical, prognostic and therapeutic problems. In this study, investigated for the evaluation and measures about COPD burden patients of the current situation in rural area Japan. And also aimed that through comorbidities, contributes to improving patients care and COPD awareness.

METHODS: Subjects (n=40) in this survey conducted in who have regularly outpatient in a certain rural area hospital that had diagnosed COPD patients. Investigation strategy was using a questionnaire (Self fill out) survey and face-to-face methods. Main questionnaire items were sex, age, smoking history, smoking ratio, comorbidity type and the number of patients, awareness of COPD and Lung age.

RESULTS: COPD burden patient’s characteristics were Male/Female: 95.0%/5.0%, Age: 70.1±10.3 [mean±SD]. 82.5% of patients had the comorbid disease. COPD burden patients, which accounts for the top with Hypertension (35.0%), Gastrointestinal diseases (27.5%), Diabetes (25.0%), had been comorbid, especially the upper gastrointestinal tract ulceration (. The most number of patient's comorbidities were 2 (35.0%, Age: 72.4±10.3 [mean±SD]). Maximum number were 6 (5.0%). Hypertension, Cancer were one of the most comorbidities. During the observation period, do the treatment of each disease, acute exacerbation of COPD was not observed. Also, no apparent rapid worsening of comorbidities.

CONCLUSIONS: In this study showed that many comorbidities were observed, we should sufficient management and re-recognized as a systemic diseases. Thus we were considered that necessary to build a better multidimensional treatment strategy for comprehensive assessment of COPD with comorbidities.

CLINICAL IMPLICATIONS: Comorbidities with COPD (Chronic Obstructive Pulmonary Disease) is a very important problem. We were considered that necessary to build a better multidimensional treatment strategy for comprehensive assessment of COPD with comorbidities

DISCLOSURE: The following authors have nothing to disclose: Tomoyasu Uno

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