Analysis of admissions with bronchial asthma and chronic obstructive pulmonary disease exacerbations
- Authors: Pal’mova LY.1, Podol’skaya AA1,2, Shaykhutdinova ZA2, Zaplatova DA2, Druzhkova EB1
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Affiliations:
- Kazan State Medical University
- City clinical hospital №7
- Issue: Vol 97, No 6 (2016)
- Pages: 958-962
- Section: Social hygiene and healthcare management
- Submitted: 18.11.2016
- Published: 15.12.2016
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/5651
- DOI: https://doi.org/10.17750/KMJ2016-958
- ID: 5651
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Full Text
Abstract
Aim. To study the factors worsening the course of chronic obstructive pulmonary disease and bronchial asthma.
Methods. At the first stage, assessment of 1561 case histories of patients with internal diseases was performed, of whom 341 had lung diseases. A more detailed analysis with the assessment of the clinical characteristics of hospitalized patients was conducted at the second stage of our study, which included evaluation of 38 case histories of patients over a 6-month period in 2016.
Results. In the structure of mortality from lung disease chronic obstructive pulmonary disease is the dominant cause (53.8%) predominating deaths from pneumonia (46.2%). Mean age of patients who died from chronic obstructive pulmonary disease was 67.2±5.97 years. Exacerbation of chronic obstructive pulmonary disease was the cause of hospitalization in 24 (63.2%) cases, bronchial asthma in 11 (28.9%) cases, chronic obstructive pulmonary disease and asthma overlap syndrome was observed in 3 (7.9%) cases. Exacerbation of chronic bronchoobstructive pathology was mostly caused by respiratory tract infections (84.2% of cases), which required administration of pluripotent antibacterial therapy. In 60.5% cases deterioration of concomitant diseases was observed with cardiovascular diseases prevailing (arterial hypertension, chronic heart failure decompensation).
Conclusion. When organizing the strategy of urgent care for patients with chronic bronchoobstructive diseases, paying more attention to assessment of comorbidities is relevant; it is critical to raise awareness of practicing physicians of the criteria for the diagnosis of asthma and chronic obstructive pulmonary disease overlap syndrome.
About the authors
L Yu Pal’mova
Kazan State Medical University
Author for correspondence.
Email: palmova@bk.ru
A A Podol’skaya
Kazan State Medical University; City clinical hospital №7
Email: palmova@bk.ru
Z A Shaykhutdinova
City clinical hospital №7
Email: palmova@bk.ru
D A Zaplatova
City clinical hospital №7
Email: palmova@bk.ru
E B Druzhkova
Kazan State Medical University
Email: palmova@bk.ru
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