Navegando por Assunto "Pneumopatias obstrutivas"

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Avaliação clínica da gravidade em pacientes portadores de Doença Pulmonar Obstrutiva Crônica (DPOC) atendidos no CEMEC – CESUPA
(Centro Universitário do Estado do Pará, 2019-11-20) Ayres, Layse Melo Menici; Navarro, Stéphanie de Windson Cruz; Pinheiro, Marilia de Fátima Silva; http://lattes.cnpq.br/2037104893893669; Monteiro, José Tadeu Colares; http://lattes.cnpq.br/7627103187307808; Santos, Roberta Kahwage; http://lattes.cnpq.br/2527080199033009
Introduction: Chronic Obstructive Pulmonary Disease - COPD is a common, preventable and irreversible condition, defined as a syndrome characterized by chronic airflow limitation, evolving with destruction of the pulmonary parenchyma. Smoking is the main cause and respiratory signs and symptoms characterize it. The FEV1 / FVC ratio < 0.7 after bronchodilator administration is used for diagnosis and is classified by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) in ABCD for clinical severity and 1234 for degree of obstruction. Objectives: General: To evaluate the severity of COPD in patients followed at CEMEC. Specifics: 1) Classify patients according to severity in groups A, B, C and D. 2) Characterize the relationship of severity with the variables gender, age, BMI, smoking load, oximetry and medications in use of the patients studied. 3) Characterize the relationship of variables with the mMRC scales and exacerbating profile. 4) Compare FEV1 among patients classified by symptomatology. 5) Compare the spirometric profile of exacerbating and non-exacerbating patients. Methodology: The medical records were searched through ICD J44 in CEMEC where 25 of them fit the delimited profile and their variables were collected and analyzed. Results: A higher prevalence was found in groups C and D (66.66%), aged 55 to 78 years, with the highest mean BMI in group B (30.9 kg / m2) and most females (12). / 21). Post-bronchodilator FEV1 was found to be higher in less symptomatic patients (59.4 ± 24.1). 61.11% of the patients had a smoking load > 20 packs / year, most of them also exacerbating (13/21). Regarding the therapy applied to the GOLD ABCD groups (n = 17), it was found that 12 were on monotherapy, five in combination and only one had no scheme. Conclusion: A significant number of patients who did not really fit the ICD J44 were observed; Of the 25 patients, only 21 had sufficient data for ABCD classification, among them, most were in groups C and D. The female gender was more prevalent, as well as the patients with the highest smoking load; Among the most symptomatic, there was a higher obstructive degree, and it was possible to trace the severity profile of these patients treated at the service.
Exacerbações infecciosas em pacientes portadores de doenças pulmonares crônicas
(Centro Universitário do Estado do Pará, 2023-01-26) Jamielniaski, Carolina Almeida Kapassi; Torres, Layla Emilly Antunes; Monteiro, José Tadeu Colares; http://lattes.cnpq.br/7627103187307808; Pinheiro, Marilia de Fátima Silva; http://lattes.cnpq.br/2037104893893669; Souza, Rhomero Salvyo Assef; http://lattes.cnpq.br/5327528039741804
Chronic Lung diseases are illness that are present on the airways and affect all age groups. The chronic obstructive pulmonar disease is characterized by chronic obstruction of the lower airway, usually as a result of prolonged inhalation exposure to particulate matter or inhalant gases, smoking being the main cause. The bronchiectasis consists of permanente dilation of the airway, this condition is related to congenital and acquired causes. Idiopathic pulmonary fibrosis is the most common interstitial lung disease and is more common in adults, the elderly and patients with a previous history of smoking. These pathologies go along with some factors that can aggravate the condition, generating an exacerbation. Given the information found, it is necessary to understand the main causes of exacerbation and how the number of hospitalizations for chronic and obstructive pulmonary diseases can be reduced. Analyze statistically the main causes of exacerbation of chronic lung disease, from eletronic and printed data from the medical specialty center of CESUPA in the period until December 2020. Collection of information relevant to the objectives of this work.collected from the medical specialty center of CESUPA for the elaboration of a study with a cross-sectional desing of a descriptive and retrospective nature. After analyzing 600 medical records of patients treated at the pulmonology outpatient clinic of CEMEC, the inclusion and exclusion criteria were used inclusion and exclusion criteria, so that the final sample refers to 84 patients. The data used for the production of this project have epidemiological importance, such as gender, age and smoking, the underlying diseases addressed in this work, such as COPD, bronchiectasis and IPF, in addition to relevant information for the analysis of exacerbations, such as the number of hospitalizations, antibiotics used and update the vaccination schedule of patients. The best and most effective way to prevent infectious exacerbations in patients with chronic lung diseases is through a multidisciplinary work focused on each patient, but always prioritizing control of the underlying disease and updating the vaccination schedule.