| The Importance of Dyspnoea in the diagnosis of Chronic Obstructive Pulmonary Disease - a descriptive analysis of a Stable Cohort in Portugal (SAFE Trial). | |
| | |
MedLine Citation:
|
PMID: 21549672 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
INTRODUCTION: The aim of this study was to determine patient-perceived characteristics of Chronic Obstructive Pulmonary Disease (COPD) in patients participating in a large trial evaluating tiotropium bromide. PATIENTS AND METHODS: Baseline symptoms were assessed by means of a standardized questionnaire. Patients reported symptoms that led to diagnosis as well as their current most troublesome symptom. RESULTS: Data were obtained from 298 patients, mostly male (95%), with mean (standard deviation) baseline forced expiratory volume in 1 second of 1.1 (0.4) L (40.6 [13.3] % of predicted), mean disease duration of 14.4 (10.1) years and smoking history of 55.1 (25.3) pack-years. Dyspnoea was the most frequently reported symptom leading to COPD diagnosis (55.0% of patients), followed by cough (33.2%). Dyspnoea was also the current most troublesome symptom (82.6%), followed by cough (8.4%). The presence of dyspnoea or cough was independent of COPD severity. The most commonly reported co-morbidities were cardiovascular disorders (49% of patients), gastrointestinal disorders (20%) and metabolic disorders (16%), mainly diabetes mellitus. CONCLUSIONS: This analysis confirms the importance of dyspnoea as the most common symptom leading to initial COPD diagnosis and the symptom most troublesome to patients. Co-morbidities are common among COPD patients, and hence spirometric testing is appropriate in a patient who presents with dyspnoea associated with such a condition. |
| | |
Authors:
|
C Bárbara; J Moita; J Cardoso; R Costa; R Redondeiro; M Gaspar |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-4-13 |
Journal Detail:
|
Title: Revista portuguesa de pneumologia Volume: - ISSN: 0873-2159 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-5-9 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9813736 Medline TA: Rev Port Pneumol Country: - |
Other Details:
|
Languages: ENG; POR Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011. Published by Elsevier España. |
Affiliation:
|
Serviço de Pneumologia II do Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital Pulido Valente, Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Lisboa, Portugal. |
Vernacular Title:
|
A Importância da Dispneia no diagnóstico da Doença Pulmonar Obstrutiva Crónica - uma análise descritiva de uma Coorte Estável em Portugal (Ensaio Clínico SAFE). |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: [Visualization of deep lung lymphatic network using radioliposomes].
Next Document: Successful pregnancy in a severely hypoxemic patient with pulmonary alveolar proteinosis.