The clinical profile of obstructive lung diseases patients attending tertiary care hospital in Nanded, Maharashtra: an observational study

Authors

  • Kunal K. Tahasildar Department of Pulmonary Medicine, D. Y. Patil Medical College, Kolhapur, Maharashtra, India
  • Jagannath S. Shete Department of Community Medicine, D. Y. Patil Medical College, Kolhapur, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20184892

Keywords:

Asthma, COPD, Clinical profile, Obstructive lung diseases

Abstract

Background: Obstructive lung diseases as asthma and Chronic Obstructive Pulmonary Disease (COPD) have considerable morbidity and mortality globally. Chronic obstructive pulmonary disease (COPD) remains a major public health problem. It is projected to rank fifth in 2020 in burden of disease worldwide, according to the WHO study. Aim and objectives was to evaluate clinical profiles of obstructive lung diseases patients attending tertiary care hospital.

Methods: The data was collected from 112 obstructive lung diseases patients presenting to OPD of pulmonary medicine department from January 2009 to August 2010. Research tool comprised of questions about demographic characteristics, past or presenting symptoms, general and systemic examinations. For statistical analysis MS Excel and SPSS 16 were used.

Results: Overall 72 (64.28%) were smokers. 63 (56.25%) were suffering from COPD and 49 (43.75%) were asthmatic. Breathlessness was found as most common symptom in 53 (84.12%) COPD and in 45 (91.83%) asthma patients. Among COPD patients, 26 (41.26%) were of moderate obstruction whereas in asthma patients, 17 (34.69%) were of moderate obstruction and 16 (32.65%) were of severe obstruction as per Pulmonary Function Tests (PFT).

Conclusions: Males were most commonly affected in obstructive lung diseases. COPD was common after 35 years of age where as asthma occurs mostly before 35 years of age. Smoking was most common etiological factor. Breathlessness was the most common presenting symptom. Family history of asthma was most common risk factor for asthma patients. Most of the patients with both COPD as well as asthma had moderate type of obstructions.

References

Mauad T, Dolhnikoff M. Pathologic similarities and differences between asthma and chronic obstructive pulmonary disease. Current Opinion Pulmonary Med. 2008 Jan 1;14(1):31-8.

Fishman AP, Elias J, Fishman J, Grippi M, Senior R, Pack A. Fishman’s Pulmonary Diseases and Disorders. 4th ed. 2009:789.

Bacon BR. Harrison's Principles of Internal Medicine. 19e. 2015:1700-1707.

Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Res and Critical Care Med. 2007 Sep 15;176(6):532-55.

Reich SB, Weinshelbaum A, Yee J. Correlation of radiographic measurements and pulmonary function tests in chronic obstructive pulmonary disease. American J Roentgenol. 1985 Apr 1;144(4):695-9.

Rosen D. Murray and Nadel textbook of Respiratory Medicine. 3rd ed. 2012:1181.

Aggarwal AN, Chaudhry K, Chhabra SK, D Souza GA, Gupta D, Jindal SK, et al. Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study. Ind J Chest Dis All Sci. 2006;48(1):13-22.

Tzortzaki EG, Proklou A, Siafakas NM. Asthma in the elderly: can we distinguish it from COPD?. J Allergy. 2011;2011.

Gothi D, Shah DV, Joshi JM. Clinical profile of diseases causing chronic airflow limitation in a tertiary care centre in India. JAPI. 2007 Aug;55:551.

Seemungal T, Harrinarine R, Rios M, Abiraj V, Ali A, Lacki N, Mahabir N, Ramoutar V, Poon King C, Bhowmik A, Wedzicha JA. Obstructive lung disease in acute medical patients. West Ind Med J. 2008 Jan;57(1):7-13.

Jindal SK. Emergence of chronic obstructive pulmonary disease as an epidemic in India. Ind J Med Res. 2006 Dec 1;124(6):619-630.

Gupta SK. Clinical profile of bronchial asthma in eastern India-A prospective analysis of 7208 patients. Lung India. 1996 Jun 1;14(2):60.

Liou A, Grubb JR, Schechtman KB, Hamilos DL. Causative and contributive factors to asthma severity and patterns of medication use in patients seeking specialized asthma care. Chest. 2003 Nov 1;124(5):1781-8.

Downloads

Published

2018-11-26

How to Cite

Tahasildar, K. K., & Shete, J. S. (2018). The clinical profile of obstructive lung diseases patients attending tertiary care hospital in Nanded, Maharashtra: an observational study. International Journal of Research in Medical Sciences, 6(12), 3970–3974. https://doi.org/10.18203/2320-6012.ijrms20184892

Issue

Section

Original Research Articles