Feasibility study of active case findings for chronic obstructive pulmonary disease based on comorbidities-associated disease collection and questionnaire screening in county territory inpatients
10.3760/cma.j.cn115624-20240116-00037
- VernacularTitle:基于合并症相关疾病采集和问卷调查主动筛查县域住院患者中慢阻肺患者的可行性
- Author:
Kun XIAO
1
;
Zhenyu LIANG
;
Lanfang LIANG
;
Pusheng XU
;
Meiyi LI
;
Yanting XU
;
Chunhong YU
Author Information
1. 广州市第一人民医院白云医院（广州市白云区第二人民医院）呼吸与危重症医学科，广州 510450
- Keywords:
Pulmonary disease, chronic obstructive;
Screening;
Questionnaires;
Complication;
Active case finding;
County territory;
Inpatients
- From:
Chinese Journal of Health Management
2024;18(5):326-332
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility of actively screening patients with chronic obstructive pulmonary disease (COPD) among inpatients in county territory-level hospitals based on the collection of comorbidity-related diseases and questionnaire surveys.Methods:This study was a cross-sectional study. From April 1, 2023, to November 30, 2023, a total of 1 392 inpatients who met the screening criteria in county territory-level hospitals within the Western Medical Group of Baiyun District, Guangzhou, were included in the study. General information, disease data, and COPD screening data of the patients were collected. A total of 1 392 questionnaires were distributed, all of which were returned and included in the analysis. Descriptive analysis, comparative analysis, and association rule mining were conducted, including the distribution of general information, distribution of common comorbidity-related diseases in COPD, distribution of questionnaire screening and pulmonary function test results, comparison of screening results based on comorbidity-related diseases grouping, comparison of screening results based on questionnaire screening results grouping, comparison of screening results based on smoking total score grouping, and association rules between screening results and pulmonary function test results and other research data.Results:Among the 1 392 study subjects, 334 cases (24.0%) had a positive self-screening questionnaire for COPD, 44 cases (13.2%) completed pulmonary function tests, and 17 cases (38.6%) were diagnosed with COPD. The positive rate of the screening questionnaire among inpatients was lowest in surgical patients without comorbidity-related diseases and highest in male patients with single/multiple comorbidity-related diseases and symptoms of chronic respiratory system diseases. The group with multiple comorbidity-related diseases had a significantly higher positive rate in the screening questionnaire than the group with single comorbidity-related diseases and the group without comorbidity-related diseases. Only 13.2% of inpatients with a positive screening questionnaire completed pulmonary function tests, with residents covered by medical insurance with multiple comorbidity-related diseases, including cardiovascular diseases, having the lowest rate, and patients with symptoms of chronic respiratory system diseases and single comorbidity-related diseases having the highest rate.Conclusions:Based on the collection of comorbidity-related diseases and questionnaire surveys, it is feasible to actively screen COPD patients among inpatients in county territory-level hospitals. However, efforts are needed to further increase the proportion of inpatients with positive screening questionnaires undergoing pulmonary function tests.
