Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members
Objective: To assess the baseline clinical characteristics, management, and long-term survival of hospital-based COPD patients in the northern part of Thailand. Material and Method: One hundred and ninety five hospital-based COPD patients from community and provincial hospitals in the northern part...
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2014
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th-cmuir.6653943832-22302014-08-30T02:00:37Z Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members Pothirat C. Phetsuk N. Deesomchok A. Theerakittikul T. Bumroongkit C. Liwsrisakun C. Inchai J. Objective: To assess the baseline clinical characteristics, management, and long-term survival of hospital-based COPD patients in the northern part of Thailand. Material and Method: One hundred and ninety five hospital-based COPD patients from community and provincial hospitals in the northern part of Thailand were recruited between May and November 2002. They were followed up for 45 months for survival. Results: Most of them (71.3%) were in the advanced stage and 41.8% were undernourished. Only a small fraction of the advanced stage patients (25.7%) estimated their dyspnea severity correctly with the disease stages. The frequency of the exacerbations increases as the disease become more severe. Only 23.7% of the advanced stage patients had received regular bronchodilator therapy. No patients had received pulmonary rehabilitation and long-term oxygen therapy. The 45 months survival was 75.6% in all patients. The severe group with low BMI had significantly lower survival than the one with normal BMI (67.7 % vs. 89.8 %, p = 0.040). Conclusion: Most COPD patients in the northern part of Thailand were in the advanced stage. They were commonly undernourished and exacerbated but still under treated according to standard treatment guidelines. BMI tends to influence the long-term survival of the advanced stage patients. 2014-08-30T02:00:37Z 2014-08-30T02:00:37Z 2007 Article 01252208 17487118 JMTHB http://www.scopus.com/inward/record.url?eid=2-s2.0-34247345774&partnerID=40&md5=1ef0c8387ecf56d111ae8f5fce9b9bb8 http://www.ncbi.nlm.nih.gov/pubmed/17487118 http://cmuir.cmu.ac.th/handle/6653943832/2230 English |
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Objective: To assess the baseline clinical characteristics, management, and long-term survival of hospital-based COPD patients in the northern part of Thailand. Material and Method: One hundred and ninety five hospital-based COPD patients from community and provincial hospitals in the northern part of Thailand were recruited between May and November 2002. They were followed up for 45 months for survival. Results: Most of them (71.3%) were in the advanced stage and 41.8% were undernourished. Only a small fraction of the advanced stage patients (25.7%) estimated their dyspnea severity correctly with the disease stages. The frequency of the exacerbations increases as the disease become more severe. Only 23.7% of the advanced stage patients had received regular bronchodilator therapy. No patients had received pulmonary rehabilitation and long-term oxygen therapy. The 45 months survival was 75.6% in all patients. The severe group with low BMI had significantly lower survival than the one with normal BMI (67.7 % vs. 89.8 %, p = 0.040). Conclusion: Most COPD patients in the northern part of Thailand were in the advanced stage. They were commonly undernourished and exacerbated but still under treated according to standard treatment guidelines. BMI tends to influence the long-term survival of the advanced stage patients. |
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Article |
author |
Pothirat C. Phetsuk N. Deesomchok A. Theerakittikul T. Bumroongkit C. Liwsrisakun C. Inchai J. |
spellingShingle |
Pothirat C. Phetsuk N. Deesomchok A. Theerakittikul T. Bumroongkit C. Liwsrisakun C. Inchai J. Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members |
author_facet |
Pothirat C. Phetsuk N. Deesomchok A. Theerakittikul T. Bumroongkit C. Liwsrisakun C. Inchai J. |
author_sort |
Pothirat C. |
title |
Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members |
title_short |
Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members |
title_full |
Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members |
title_fullStr |
Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members |
title_full_unstemmed |
Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members |
title_sort |
clinical characteristics, management in real world practice and long-term survival among copd patients of northern thailand copd club members |
publishDate |
2014 |
url |
http://www.scopus.com/inward/record.url?eid=2-s2.0-34247345774&partnerID=40&md5=1ef0c8387ecf56d111ae8f5fce9b9bb8 http://www.ncbi.nlm.nih.gov/pubmed/17487118 http://cmuir.cmu.ac.th/handle/6653943832/2230 |
_version_ |
1681419819569643520 |