Epidemiological characteristics of chronic obstructive pulmonary disease and influencing factors of acute exacerbation in Ma'anshan Area in 2020 - 2022
10.3969/j.issn.1006-2483.2024.03.027
- VernacularTitle:2020—2022年马鞍山地区慢性阻塞性肺疾病流行病学特征及急性加重影响因素分析
- Author:
Lei TAO
1
;
Han XU
1
;
Wei LI
1
Author Information
1. Respiratory Department , Deyu Medical Ma'anshan General Hospital , Ma'anshan , Anhui 243000 , China
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary disease;
Acute exacerbationy;
Epidemiology
- From:
Journal of Public Health and Preventive Medicine
2024;35(3):115-118
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the epidemiological characteristics of chronic obstructive pulmonary disease (COPD) in Ma'anshan area and analyze the influencing factors of acute exacerbation. Methods The clinical data of 1 676 patients with COPD who visited the Department of Respiratory Medicine of Deyu Medical Ma'anshan General Hospital from 2020 to 2022 were retrospectively analyzed. The patients were divided into acute exacerbation group and stable group according to whether they had acute exacerbation or not，and the general information, severity of COPD, previous pulmonary infection and combined hypoproteinemia were compared between the two groups. Logistic regression was used to analyze the influencing factors of acute exacerbation. Results A total of 1 676 COPD patients were mainly male (58.17%) and ≥ 46 years old (82.58%), of which the incidence of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) was 78.82%. Logistic regression analysis showed that male sex , ≥46 years of age, smoking >400 cigarettes/year, occupational exposure to dust, severe and very severe COPD, recurrent new coronavirus infections, combined cardiovascular disease, or hypoproteinemia were risk factors for acute exacerbations in COPD patients. Conclusion Nearly 80% of COPD patients in Ma'anshan area have previously experienced acute exacerbations, and prevention and treatment cannot be ignored. Strengthening the education and prevention of key populations can effectively reduce the incidence of AECOPD and improve the overall prognosis of COPD patients.
