Screening status of high-risk population of chronic obstructive pulmonary disease in areas where “Happy Breathing” is running
10.3760/cma.j.cn115624-20210503-00239
- VernacularTitle:“幸福呼吸”项目地区慢性阻塞性肺疾病高危人群筛查现状分析
- Author:
Wei LI
1
;
Ke HUANG
;
Xingyao TANG
;
Fang FANG
;
Cunbo JIA
;
Ting YANG
Author Information
1. 中日友好医院呼吸中心 呼吸与危重症医学科 国家呼吸医学中心，北京 100029
- Keywords:
Pulmonary disease, chronic obstructive;
High-risk population;
Screening;
Risk factor
- From:
Chinese Journal of Health Management
2022;16(2):77-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the screening status of high-risk population of chronic obstructive pulmonary disease (COPD) in areas where “Happy Breathing” project was carried out.Method:There were 1 008 518 COPD screening questionnaires (COPD-SQ) filled out in 18 pilot areas of “Happy Breathing” program from November 2017 to October 2019. Within subjects who scored 16 points or more with COPD-SQ, 63 523 of them underwent pulmonary function tests before bronchodilator inhalation. Stratified analysis, chi-square test and other statistical methods were performed to analyze the distribution of COPD high-risk groups, the prevalence of COPD among high-risk groups and risk factors of COPD.Results:Results in this study suggested that the high-risk population of COPD accounted for 18.99% (191 498/1 008 518) of the population who received the questionnaire screening. Among the high-risk population who received lung function test, 31.59% (20 070/63 523) were screened and diagnosed as COPD patients. As for risk factors of COPD, the proportion of high-risk population was higher in people with a smoking index ≥600 compared with never-smokers (54.20% vs 12.60%), and the prevalence of COPD was also higher in people with a smoking index ≥600 (35.62% vs 25.22%); people who were exposed to second-hand smoke almost every day also showed an increased proportion of high-risk groups (27.39% vs 10.97%) and a high prevalence of COPD (31.36% vs 27.93%) than those without second-hand smoke exposure; the presence or absence of biofuel exposure also caused the difference in the proportion of high-risk groups (33.92% vs 13.11%); compared with people without a family history of respiratory diseases, the proportion of high-risk groups (56.38% vs 16.42%) and the prevalence of COPD in high-risk groups (32.40% vs 29.19%) were both higher in those with family history of respiratory diseases.Conclusion:The high-risk group of COPD accounts for a high proportion of the screened population, suggesting that the “Happy Breathing” project is feasible and necessary in COPD screening, which is helpful for the development of COPD diagnosis and treatment.
