Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Faculty in Department of Pulmonary Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Int J Chron Obstruct Pulmon Dis. 2023 Aug 29;18:1909-1917. doi: 10.2147/COPD.S412268. eCollection 2023.
The impact of the coronavirus 2 (SARS-CoV-2) pandemic and the effect of preventive health strategies on acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are largely unknown. The public health model imposed during the pandemic and the lessons learnt have implications on recommending future preventive strategies for COPD care in general and exacerbations in particular.
This study endeavors to assess the role of preventive strategies of COVID-19 on exacerbation rates of COPD during the lockdown period compared to similar periods the previous year and assess the compliance to preventive strategies for COVID-19 among COPD patients.
This is a hospital-based descriptive cross-sectional study at a tertiary care center. AECOPD in patients during a period spanning five months in the pre-lockdown days was compared with exacerbation rates for a similar period during the national lockdown.
Sixty-eight patients were recruited (mean age: 67.38) among whom 47 were males and 21 were females. There were only 7 (10.3%) reported admissions during the lockdown period of 5 months compared to 50 (73.5%) during the corresponding period pre-lockdown. Mild exacerbations reported during the lockdown period were also significantly less with only 17 (25%) against 58 (85.3%) during the pre-lockdown period. Adherence to measures such as donning of masks, hand hygiene, and social distancing was observed among COPD patients with good compliance to the health practices promulgated in the pandemic.
A significant reduction in exacerbation rates among AECOPD patients during the period of lockdown was observed compared to a similar period the year prior. Noticeable were the findings that both community-based milder exacerbations and severe exacerbations necessitating hospitalizations showed a reduction during the period of lockdown. Adaptability, compliance and acceptance to usage of masks, hand hygiene measures, and norms such as physical distancing were observed in the majority of COPD patients.
新冠病毒 2 型（SARS-CoV-2）大流行的影响以及预防保健策略对慢性阻塞性肺疾病急性加重（AECOPD）的影响在很大程度上尚不清楚。大流行期间实施的公共卫生模式以及所吸取的经验教训，对推荐一般 COPD 护理以及急性加重特别预防策略具有影响。
本研究旨在评估 COVID-19 预防策略在锁定期间对 COPD 加重率的作用，与前一年同期进行比较，并评估 COPD 患者对 COVID-19 预防策略的遵守情况。
这是在一家三级保健中心进行的基于医院的描述性横断面研究。在锁定前五个月期间，比较了慢性阻塞性肺疾病患者的 AECOPD 与类似时期的加重率。
共招募了 68 名患者（平均年龄：67.38 岁），其中 47 名男性，21 名女性。在 5 个月的锁定期间，仅有 7 例（10.3%）报告住院，而在锁定前同期，有 50 例（73.5%）报告住院。在锁定期间，报告的轻度加重也明显较少，仅有 17 例（25%），而在锁定前同期，有 58 例（85.3%）。观察到 COPD 患者遵守了戴口罩、手部卫生和保持社交距离等措施，对大流行期间发布的卫生实践具有良好的遵守性。
与前一年同期相比，在锁定期间，AECOPD 患者的加重率显著降低。值得注意的是，在锁定期间，无论是社区轻度加重还是需要住院治疗的严重加重，都有所减少。在大多数 COPD 患者中，观察到对口罩、手部卫生措施和保持社交距离等规范的适应性、遵守性和接受性。
