[The effect of comorbidity on prognosis in patients with COPD]. / KOAH'da komorbiditenin prognoza etkisi.
Tuberk Toraks
; 52(1): 52-5, 2004.
Article
em Tr
| MEDLINE
| ID: mdl-15143373
ABSTRACT
Patients with chronic obstructive pulmonary disease (COPD) have an increased risk of death from causes other than COPD. A study was undertaken to identify the most common comorbid diseases and to assess prognostic role of comorbidity in COPD. A cohort of 406 COPD patients, mean (+/- SD) 64 +/- 9 years were evaluated. Age, sex, smoking history, FEV1, comorbid conditions were recorded. Follow-up was conducted by means of telephone calls. Logistic regression analysis was used to identify the independent predictors of death. The mean (+/- SD) FEV1 was 1.40 +/- 0.58 L. The most common comorbid diseases were hypertension (22%), coronary heart disease (8.9%), diabetes mellitus (7.4%), cancer (6.4%), heart failure (4.9%) and cerebrovascular disease (2%). The median follow-up was (+/- SD) 21 +/- 11 months. Twenty-four (5.9%) patients died during the follow-up period. Deaths from COPD were associated with FEV1 [RR 0.143 (95% CI 0.75-1.21)], heart failure (RR 0.177) and cancer (RR 0.064). In conclusion; while the most common comorbid diseases in COPD were hypertension, coronary heart disease and diabetes mellitus; FEV1, heart failure and cancer were associated factors with increased risk of death from COPD.
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Base de dados:
MEDLINE
Assunto principal:
Doença Pulmonar Obstrutiva Crônica
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Asia
Idioma:
Tr
Ano de publicação:
2004
Tipo de documento:
Article