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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Main Authors: Chaicharn Pothirat, Nittaya Phetsuk, Athavudh Deesomchok, Theerakorn Theerakittikul, Chaiwat Bumroongkit, Chalerm Liwsrisakun, Juthamas Inchai
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/61317
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-613172018-09-10T04:08:31Z Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members Chaicharn Pothirat Nittaya Phetsuk Athavudh Deesomchok Theerakorn Theerakittikul Chaiwat Bumroongkit Chalerm Liwsrisakun Juthamas Inchai Medicine 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. 2018-09-10T04:08:31Z 2018-09-10T04:08:31Z 2007-04-01 Journal 01252208 01252208 2-s2.0-34247345774 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=34247345774&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/61317
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Chaicharn Pothirat
Nittaya Phetsuk
Athavudh Deesomchok
Theerakorn Theerakittikul
Chaiwat Bumroongkit
Chalerm Liwsrisakun
Juthamas Inchai
Clinical characteristics, management in real world practice and long-term survival among COPD patients of northern Thailand COPD club members
description 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.
format Journal
author Chaicharn Pothirat
Nittaya Phetsuk
Athavudh Deesomchok
Theerakorn Theerakittikul
Chaiwat Bumroongkit
Chalerm Liwsrisakun
Juthamas Inchai
author_facet Chaicharn Pothirat
Nittaya Phetsuk
Athavudh Deesomchok
Theerakorn Theerakittikul
Chaiwat Bumroongkit
Chalerm Liwsrisakun
Juthamas Inchai
author_sort Chaicharn Pothirat
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 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=34247345774&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/61317
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