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VOLUME 65 , ISSUE 3 ( July-September, 2023 ) > List of Articles

Original Article

Burden of Chronic Obstructive Pulmonary Disease and its Determinants among Patients Reporting to a Primary Health Facility in North India

Anupam Parashar, Priyanka, Onno (CP) van Schayck, Malay Sarkar, Anmol K Gupta

Keywords : Chronic obstructive pulmonary disease, Global initiative for chronic obstructive lung disease guidelines, Primary health care facility, Spirometry

Citation Information : Parashar A, Priyanka, van Schayck O(, Sarkar M, Gupta AK. Burden of Chronic Obstructive Pulmonary Disease and its Determinants among Patients Reporting to a Primary Health Facility in North India. Indian J Chest Dis Allied Sci 2023; 65 (3):128-133.

DOI: 10.5005/jp-journals-11007-0082

License: CC BY-NC 4.0

Published Online: 05-02-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Context: Chronic obstructive pulmonary disease (COPD) is included in the World Health Organization (WHO) global action plan for the prevention and control of non-communicable diseases (NCDs) and the United Nations 2030 agenda for sustainable development. The World Health Organization is taking action to extend the diagnosis of and treatment for COPD in several ways. Aims: (A) To determine the frequency and severity of COPD among patients attending the Outpatient Department at a Primary Health Care facility. (B) To determine the risk factors for COPD among these patients. Settings and design: Cross-sectional study. Materials and methods: This cross-sectional study was conducted among patients ≥40 years of age who had symptoms suggestive of COPD and/or the presence of its risk factors. The diagnosis of COPD and its severity was determined according to the Global initiative for chronic obstructive lung disease (GOLD) guidelines. Statistical analysis used: Data were analyzed using the statistical software IBM SPSS 28.0. The odds ratio was estimated for COPD-related factors through multivariate regression analysis. Results: 107 patients ≥40 years of age were enrolled as per GOLD guidelines, and 41 (38.3%) had spirometry-confirmed COPD. Chronic obstructive pulmonary disease was highest prevalent in the ≥70 years age group (p = 0.02) and higher in males (p = 0.01). Participants who were smokers had 12.5 times higher odds of having COPD than non-smokers. In multivariate analysis quantity of tobacco smoked in pack years was the independent risk factor for COPD. The maximum risk was associated with the quantity of tobacco smoked in ≥20 pack years (OR 36.7). Conclusion: Guideline-directed management and availability of spirometry are essential at the primary levels of care for early recognition and treatment.

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