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慢性阻塞性肺疾病患者就诊于三级医疗中心急诊科:一项描述性横断面研究。

Chronic Obstructive Pulmonary Disease among Patients Visiting the Emergency Department of a Tertiary Care Centre: A Descriptive Cross- sectional Study.

机构信息

Department of General Practitioners and Emergency Medicine, Nepalese Army Institute of Health Sciences, College of Medicine, Sanobharyang, Kathmandu, Nepal.

Department of Family Medicine and Emergency Medicine, Civil Service Hospital of Nepal, New Baneshwor, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Aug 1;60(252):685-688. doi: 10.31729/jnma.7746.

Abstract

INTRODUCTION

Chronic obstructive pulmonary disease is characterised by persistent airflow limitation which is usually progressive and is the primary global cause of morbidity and mortality. It is the third leading cause of Years Lived with Disability, the second most common cause of death after ischemic heart disease, and the fourth most common cause of premature death. The aim of this study was to find out the prevalence of chronic obstructive pulmonary disease among patients visiting the emergency department of a tertiary care centre.

METHODS

A descriptive cross-sectional study was done in the Department of Emergency Medicine of a tertiary care centre from 4 July 2022 to 11 July 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: 24). Data from 348 patients were collected from the hospital records. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 348 patients visiting the emergency department, 23 (6.60%) (6.57-6.63%, 95% Confidence Interval) had chronic obstructive pulmonary disease. The mean age of these patients was 73.50±2.76 years.

CONCLUSIONS

The prevalence of chronic obstructive pulmonary disease was lower than in the previous studies done in similar settings. The study could provide a general idea of the burden of the disease.

KEYWORDS

chronic obstructive pulmonary disease; emergency departments; prevalence.

摘要

介绍

慢性阻塞性肺疾病的特征是持续性气流受限,通常呈进行性发展,是发病率和死亡率的主要全球原因。它是导致伤残调整生命年的第三大主要原因,是继缺血性心脏病之后的第二大常见死因,也是导致过早死亡的第四大常见原因。本研究旨在了解在三级保健中心急诊就诊的患者中慢性阻塞性肺疾病的患病率。

方法

2022 年 7 月 4 日至 7 月 11 日,在一家三级保健中心的急诊医学科进行了一项描述性横断面研究。本研究获得了机构审查委员会的伦理批准(编号:24)。从医院记录中收集了 348 名患者的数据。使用方便抽样法。计算了点估计值和 95%置信区间。

结果

在 348 名急诊就诊的患者中,有 23 名(6.60%)(6.57-6.63%,95%置信区间)患有慢性阻塞性肺疾病。这些患者的平均年龄为 73.50±2.76 岁。

结论

慢性阻塞性肺疾病的患病率低于之前在类似环境中进行的研究。该研究可以提供对疾病负担的大致了解。

关键词

慢性阻塞性肺疾病;急诊;患病率。

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