Sutradhar Ipsita, Das Gupta Rajat, Hasan Mehedi, Wazib Amit, Sarker Malabika
Epidemiology and Public Health, Brac James P Grant School of Public Health, BRAC University, Dhaka, BGD.
Internal Medicine, Shahabuddin Medical College and Hospital, Dhaka, BGD.
Cureus. 2019 Jan 28;11(1):e3970. doi: 10.7759/cureus.3970.
Chronic obstructive pulmonary disease (COPD) is a leading cause of mortality and morbidity in low- and middle-income countries (LMICs) including Bangladesh. But no systematic review has been carried out in Bangladesh, which portraits the burden of COPD and its risk factors. Therefore, this systematic review was conducted to find out the prevalence and risk factors of COPD in Bangladesh. We searched PubMed, Google Scholar, Popline, and Banglajol from January 1, 1972 to April 30, 2017. We included studies that reported the prevalence and/or risk factors of COPD among Bangladeshi people. Two researchers independently searched and screened all the articles and extracted data from nine eligible studies. The whole process was verified by another researcher. Quality assessment was performed using a checklist adopted from published articles on quality assessment guidelines of observational studies. Discrepancies were resolved by consensus. Data analysis was done thematically. The pooled COPD prevalence among Bangladeshi adult was 12.5% (95% CI, 10.9-14.1) using the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria and 11.9% (95% CI, 11.4-13.6) using the lower limit of the normality (LLN) criteria. The prevalence was higher among males, low socio-economic group, rural residents, and biomass fuel users. Tobacco consumption, exposure to biomass fuel, old age, and history of asthma were identified as major risk factors of COPD. COPD prevalence is high in Bangladesh. It is a timely need for the policy-makers and public health professionals to take pertinent steps for prevention and control of COPD in Bangladesh.
慢性阻塞性肺疾病（COPD）是包括孟加拉国在内的低收入和中等收入国家（LMICs）发病和死亡的主要原因。但孟加拉国尚未进行过系统性综述，以描述COPD的负担及其风险因素。因此，开展了这项系统性综述，以查明孟加拉国COPD的患病率及其风险因素。我们检索了1972年1月1日至2017年4月30日期间的PubMed、谷歌学术、Popline和Banglajol数据库。我们纳入了报告孟加拉国人COPD患病率和/或风险因素的研究。两名研究人员独立检索和筛选所有文章，并从9项符合条件的研究中提取数据。整个过程由另一名研究人员进行核实。使用从已发表的观察性研究质量评估指南文章中采用的清单进行质量评估。通过协商一致解决分歧。进行了主题数据分析。根据慢性阻塞性肺疾病全球倡议（GOLD）标准，孟加拉国成年人中COPD的合并患病率为12.5%（95%CI，10.9-14.1），根据正常下限（LLN）标准为11.9%（95%CI，11.4-13.6）。男性、社会经济地位低的群体、农村居民和生物质燃料使用者中的患病率较高。烟草消费、接触生物质燃料、老年和哮喘病史被确定为COPD的主要风险因素。孟加拉国的COPD患病率很高。政策制定者和公共卫生专业人员迫切需要采取相关措施，在孟加拉国预防和控制COPD。
