EVALUATION OF MAINTENANCE OF PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE AIMED AT HOSPITALIZATION IN PULMUNOLOGIC DEPARTMENTS OF KAZAN

Abstract

Relevance of work. Chronic obstructive pulmonary disease (COPD) is a subject of many international studies, which leads to permanent renewal of clinical recommendations and standards of diagnostics and therapy of this disease. The objective included evaluation of the clinical state of COPD patients, functional evaluation of data and peculiarities of their therapy in three pulmonologic departments of Kazan. Materials and methods. 100 COPD patients in conditions of inpatient department: 98 men (98%) and 2 women (2%), whose average age reached 65.14 ± 0.81 (8.14) years (median – 66 y.o.), only 23% were younger than 60 y.o.. The study was observational and non-interventional. Results. By classification GOLD-2007 patients were distributed in the following way: GOLD I (FEV1 80% and more) – in 4%, GOLD II (FEV1 50–79%) – in 22%, GOLD III (FEV1 30–49%) – in 49%, GOLD IV (FEV1 lower than 30%) – in 25%. By ABCD GOLD-2017 classification 1 patient was referred to Group C and 99 – to subgroup D. Combination of short term broncholytics and combination of iGCS/LABA was the most frequently used therapy. Only each third patient received long acting anticholinergic drugs. Conclusion. In the course of the study significant trends in therapy of COPD patients were detected. Prospects of improvement of rendering help to COPD patients were specified.

Keywords

• chronic obstructive pulmonary disease
• spirometry
• questionnaires
• classification
• therapy
• clinical recommendations