Avaliação clínica da gravidade em pacientes portadores de Doença Pulmonar Obstrutiva Crônica (DPOC) atendidos no CEMEC – CESUPA

Abstract

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.