1Assistant Professor, Department of Pulmonary Medicine, J J M Medical College, Davangere-577004
2Associate Professor, Department of Forensic Medicine, J J M Medical College, Davangere-577004
3Professor and Head, Department of Pulmonary Medicine, J J M Medical College, Davangere-577004
*Corresponding author: Dr Rajesh B P, Assistant Professor Department of Pulmonary Medicine, J J M Medical College Davangere -577004. Karnataka Mob:- 09620326244, Email:- drrajeshbp@gmail.com, Fax:- 08192-231388 Study, by the year 2020,
Online published on 13 January, 2015.
Chronic obstructive pulmonary disease (COPD) is a common and preventable disease, presently it is the fifth leading cause of death globally. The estimate in 2002 suggested worldwide prevalence of COPD was 11.6/1000 in men and 8.7/1000 in women. According, Global Burden of Disease Study, by the year 2020, COPD is likely to become the fifth leading cause of disability adjusted life years (DALYS), moving ahead from twelfth position it occupied in 1990.
An institutional based prospective study was conducted during the period of Jan -2007 to July -2007 to know the outcome of patients with acute exacerbation of COPD and also to analyse the factors responsible for repeated admissions and study the prognostic factors in patients with COPD. Detailed clinical examination and investigations was carried out according to the proforma that was predesigned and pretested. In the present study we observed that 65% of patients were aged 65 years and above and 90% were male. Smoking was commonly associated with COPD and infection was one of the common cause for exacerbations. Presence of hospital admission in 1 year, number of pack years smoked, less use of inhaled short acting B2 agonists, hypoprotenemia and hypoalbuminemia were factors associated with hospital readmission.
COPD, exacerbation, pack years smoked, B2 agonists, hypoprotenemia
