基层医疗慢性阻塞性肺疾病患者群体中的低体重指数、气流阻塞和呼吸困难
Low body mass index, airflow obstruction, and dyspnoea in a primary care COPD patient population.
作者信息
van den Bemt Lisette, Smeele Ivo J M, Kolkman Martijn, Grol Richard, van Weel Chris, Schermer Tjard R J
机构信息
Radboud University Nijmegen Medical Centre, Department of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Nijmegen, The Netherlands.
出版信息
Prim Care Respir J. 2010 Jun;19(2):118-23. doi: 10.4104/pcrj.2009.00073.
AIM
The objective of our study was to explore the existence/co-existence of factors - as per American Thoracic Society (ATS)/European Respiratory Society (ERS) standards - for staging patients in a primary care COPD population.
METHOD
A representative sample of COPD patients in primary care was studied. Cross-sectional information on airflow obstruction, body mass index (BMI), and dyspnoea (Modified Medical Research Council [MMRC] score) were collected. The existence/co-existence of these prognostic factors is described.
RESULTS
The study sample consisted of 2,023 patients. BMI was low in 11.7%, MMRC score > or =2 was found in 28.7%, and 53.9% fulfilled the criteria of relevant airflow obstruction. Only 3.4% of this population scored on all three prognostic factors.
CONCLUSION
Moderate dyspnoea and moderate airflow obstruction were rather prevalent in this primary care population, but coexistence of factors was low. Therefore, it seems that the assessment of BMI and dyspnoea represent additional information on primary care COPD patients.
目的
我们研究的目的是根据美国胸科学会（ATS）/欧洲呼吸学会（ERS）标准，探究在基层医疗慢性阻塞性肺疾病（COPD）患者群体中进行分期的因素的存在情况/并存情况。
方法
对基层医疗中具有代表性的COPD患者样本进行研究。收集了关于气流受限、体重指数（BMI）和呼吸困难（改良医学研究委员会[MMRC]评分）的横断面信息。描述了这些预后因素的存在情况/并存情况。
结果
研究样本包括2023名患者。11.7%的患者BMI较低，28.7%的患者MMRC评分≥2，53.9%的患者符合相关气流受限标准。该群体中只有3.4%的患者在所有三个预后因素上都有得分。
结论
在这个基层医疗群体中，中度呼吸困难和中度气流受限相当普遍，但因素并存的情况较少。因此，似乎对BMI和呼吸困难的评估为基层医疗COPD患者提供了额外信息。
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