Lifestyle Changes and Exacerbation Frequency of COPD in Times of the Pandemic.

IF 0.8 Q4 RESPIRATORY SYSTEM
Fatma Tokgöz Akyıl, Seda Tural Önür, Sinem Sökücü, Hülya Abalı, Neslihan Boyracı, Elif Çayır, Sedat Altın
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引用次数: 0

Abstract

Objective: The objective of this study is to analyze chronic obstructive pulmonary disease exacerbation rates and the effect of patients' behavioral changes on the exacerbations during the pandemic.

Material and methods: This study was conducted in a reference hospital for chest diseases and patients who were hospitalized with an exacerbation of chronic obstructive pulmonary disease between March 11, 2019, and March 11, 2020, were designated. Patients' chronic obstructive pulmonary disease exacerbations requiring emergency department visits and/or hospitalization were com- pared between the pre-pandemic and pandemic periods. Each patient was surveyed with 25 questions using telemedicine.

Results: Of all the 256 patients, 203 (79%) were male and the mean age was 66 ± 10 years. Compared to the previous year, emer- gency department visits and hospitalizations in our hospital were significantly lower and less frequent (P < .0001, for both). Smoking habits decreased in 9% of patients, and 60% had hardly spent time outdoors. Only 3 patients reported to spend time indoors. The household mask-use rate while contacting the patient was 50%. As a chronic obstructive pulmonary disease patient, 33% expressed themselves as "feeling better." Overall, 92(36%) patients were recorded not to have any exacerbation, and 34 (13%) to have no attacks of worsening were managed at home. Novel exacerbation risk was found to independently correlate with younger age (odds ratio: 0.944, CI: 0.904-0.986, P = .010) and having more frequent episodes of exacerbation in the pre-pandemic period (odds ratio: 1.2, CI: 1.025-1.405, P = .023).

Conclusion: Chronic obstructive pulmonary disease patients specifically benefited from confinements, restrictions, and lifestyle changes. Further studies are needed to better identify the most critical factors leading to these positive outcomes. A permanent patient management guideline for chronic obstructive pulmonary disease patients could be formulated where the weight of lifestyle factors is elevated.

Abstract Image

Abstract Image

大流行时期生活方式的改变与慢性阻塞性肺病的恶化频率。
研究目的本研究旨在分析大流行期间慢性阻塞性肺疾病加重率以及患者行为变化对加重的影响:本研究在胸科疾病参考医院进行,指定在2019年3月11日至2020年3月11日期间因慢性阻塞性肺疾病加重而住院的患者为研究对象。对比了患者在大流行前和大流行期间因慢性阻塞性肺病加重而到急诊室就诊和/或住院的情况。通过远程医疗对每位患者进行了 25 个问题的调查:在所有 256 名患者中,203 人(79%)为男性,平均年龄为 66 ± 10 岁。与前一年相比,本医院急诊科就诊人数和住院次数明显减少(P < .0001)。9%的患者吸烟习惯有所减少,60%的患者几乎没有户外活动时间。仅有 3 名患者表示曾在室内活动。与患者接触时,家庭口罩使用率为 50%。33%的慢性阻塞性肺病患者表示 "感觉好多了"。总体而言,有 92(36%)名患者没有任何病情恶化的记录,34(13%)名患者没有病情恶化的发作,并在家中得到了控制。研究发现,新的病情恶化风险与年龄较小(几率比:0.944,CI:0.904-0.986,P = .010)和大流行前病情恶化发作较频繁(几率比:1.2,CI:1.025-1.405,P = .023)独立相关:慢性阻塞性肺病患者特别受益于禁闭、限制和生活方式的改变。需要进一步研究,以更好地确定导致这些积极结果的最关键因素。可以为慢性阻塞性肺病患者制定永久性的患者管理指南,提高生活方式因素的权重。
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来源期刊
Turkish Thoracic Journal
Turkish Thoracic Journal Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.40
自引率
11.10%
发文量
2
期刊介绍: Turkish Thoracic Journal (Turk Thorac J) is the double-blind, peer-reviewed, open access, international publication organ of Turkish Thoracic Society. The journal is a quarterly publication, published on January, April, July, and October and its publication language is English. Turkish Thoracic Journal started its publication life following the merger of two journals which were published under the titles “Turkish Respiratory Journal” and “Toraks Journal” until 2007. Archives of both journals were passed on to the Turkish Thoracic Journal. The aim of the journal is to convey scientific developments and to create a dynamic discussion platform about pulmonary diseases. With this intent, the journal accepts articles from all related scientific areas that address adult and pediatric pulmonary diseases, as well as thoracic imaging, environmental and occupational disorders, intensive care, sleep disorders and thoracic surgery. Clinical and research articles, reviews, statements of agreement or disagreement on controversial issues, national and international consensus reports, abstracts and comments of important international articles, interesting case reports, writings related to clinical and practical applications, letters to the editor, and editorials are accepted.
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