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Montserrat-Capdevila J, Godoy P, Marsal JR, Ortega M, Barbé F, Castañ MT, Seminario MA, Pujol J, Alsedà M. [Prevalence and characteristics of chronic obstructive pulmonary disease in non-smokers]. Aten Primaria 2019; 51:589-590. [PMID: 31230850 PMCID: PMC6945132 DOI: 10.1016/j.aprim.2019.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 04/09/2019] [Indexed: 12/04/2022] Open
Affiliation(s)
- Josep Montserrat-Capdevila
- Consultorio Local de Bellvís, ABS Pla d'Urgell, Atención Primaria, Institut Català de la Salut, Bellvís, Lleida, España; Institut de Recerca Biomèdica (IRB) de Lleida, Lleida, España; Agència de Salut Pública de Catalunya, Departament de Salut, Lleida, España; Facultat de Medicina, Universitat de Lleida, Lleida, España.
| | - Pere Godoy
- Institut de Recerca Biomèdica (IRB) de Lleida, Lleida, España,Agència de Salut Pública de Catalunya, Departament de Salut, Lleida, España,Facultat de Medicina, Universitat de Lleida, Lleida, España,CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, España
| | - Josep Ramon Marsal
- Unitat d’Epidemiologia del Servei de Cardiologia, Hospital Universitari Vall d’Hebron, Barcelona, España
| | - Marta Ortega
- Unitat de Suport a la Recerca Lleida, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, España,Centre d’Atenció Primària Cappont, Direcció d’Atenció Primària (DAP) Lleida, Institut Català de la Salut (ICS), Lleida, España
| | - Ferran Barbé
- Hospital Universitari Arnau de Vilanova, Lleida, España,Grupo de Patología Respiratoria, Institut de Recerca Biomèdica (IRB) de Lleida, Lleida, España,Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, España
| | - Maria Teresa Castañ
- Institut de Recerca Biomèdica (IRB) de Lleida, Lleida, España,ABS Eixample, Atención Primaria, Institut Català de la Salut, Lleida, España
| | | | - Jesús Pujol
- Institut de Recerca Biomèdica (IRB) de Lleida, Lleida, España,ABS Balaguer, Atención Primaria, Institut Català de la Salut, Balaguer, Lleida, España
| | - Miquel Alsedà
- Institut de Recerca Biomèdica (IRB) de Lleida, Lleida, España,Agència de Salut Pública de Catalunya, Departament de Salut, Lleida, España,Facultat de Medicina, Universitat de Lleida, Lleida, España
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Montserrat-Capdevila J, Godoy P, Marsal JR, Ortega M, Pifarré J, Alsedà M, Castañ MT, Barbé F. Mental disorders in chronic obstructive pulmonary diseases. Perspect Psychiatr Care 2018; 54:398-404. [PMID: 29577318 DOI: 10.1111/ppc.12274] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Revised: 02/22/2018] [Accepted: 02/24/2018] [Indexed: 11/28/2022] Open
Abstract
PURPOSE Anxiety and depression are underdiagnosed in chronic obstructive pulmonary disease (COPD) patients. Few studies have tried to identify their association with hospitalization (severe exacerbation). The objective of this study was to determine whether the anxiety/depression was associated with severe exacerbation. DESIGN AND METHODS A prospective cohort study, based on a sample of 512 patients diagnosed with COPD originating from primary care in a rural area in Lleida (Spain) and monitored between November 1, 2012 and October 31, 2014. For each patient, variables of interest were recorded; they were administered the HADS (Hospital Anxiety and Depression Scale) test to determine the possible presence of anxiety/depression, and its association with severe exacerbation was analyzed using a logistic regression model. FINDINGS Initially, the prevalence of anxiety/depression was 15.6%. The incidence of global hospitalization in the first year was 8.2% and 11.3% in the second year. In patients with anxiety/depression, it increased to 17.5% in the first year and 18.8% in the second year. In the multivariate regression model, the diagnosis of anxiety/depression almost doubled the risk of hospitalization (OR = 1.94) (p < .041). PRACTICE IMPLICATIONS Anxiety and depression are associated with an increased risk of hospitalization. Intervention studies are needed to evaluate the effects of anxiety/depression in the hospitalization.
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Affiliation(s)
- Josep Montserrat-Capdevila
- Biomedical Research Institute (IRB) of Lleida, Catalan Institute of Health (ICS), UGA Terres de l'Urgell (Consultori Local de Bellvís-Els Arcs), Lleida, Catalonia, Spain
| | - Pere Godoy
- Public Health Agency of Catalonia, Health Department, Biomedical Research Institute (IRB) of Lleida, University of Lleida, Faculty of Medicine, Lleida, Catalonia, Spain.,CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Josep Ramon Marsal
- Primary Care Research Institute (IDIAP) Jordi Gol, Universitat Autònoma of Barcelona, University Hospital Vall d'Hebron, Cardiovascular Department, Epidemiology Unit, Lleida, Catalonia, Spain
| | - Marta Ortega
- Primary Care Research Institute (IDIAP) Jordi Gol, Universitat Autònoma of Barcelona, Catalan Institute of Health (ICS), Lleida, Catalonia, Spain
| | - Josep Pifarré
- University Hospital Santa Maria, Psychiatry Department, Biomedical Research Institute (IRB) of Lleida, University of Lleida, Faculty of Medicine, Lleida, Catalonia, Spain
| | - Miquel Alsedà
- Public Health Agency of Catalonia, Health Department, Biomedical Research Institute (IRB) of Lleida, University of Lleida, Faculty of Medicine, Lleida, Catalonia, Spain
| | - Maria Teresa Castañ
- Biomedical Research Institute (IRB) of Lleida, Catalan Institute of Health (ICS), ABS Balaguer, Lleida, Catalonia, Spain
| | - Ferran Barbé
- University Hospital Arnau de Vilanova, Biomedical Research Institute (IRB) of Lleida, Respiratory Diseases Group, Biomedical Research Centre/Respiratory Diseases Network (CIBERES), Madrid, Spain
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Montserrat-Capdevila J, Seminario MA, Godoy P, Marsal JR, Ortega M, Pujol J, Castañ MT, Alsedà M, Betriu À, Lecube A, Portero M, Purroy F, Valdivielso JM, Barbé F. Prevalence of chronic obstructive pulmonary disease (COPD) not diagnosed in a population with cardiovascular risk factors. Med Clin (Barc) 2018. [PMID: 29525115 DOI: 10.1016/j.medcli.2017.12.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND OBJECTIVE The magnitude of undiagnosed COPD in our population with cardiovascular risk factors (CVRF) is unknown. The objective of this study was to estimate the prevalence of undiagnosed COPD and its specific characteristics in a population with CVRF. MATERIALS AND METHODS Study the prevalence of COPD in patients with CVRF. Spirometry was performed between 01/01/2015 and 12/31/2016 and the percentage of patients with COPD, who had not previously been diagnosed, was determined. Each patient's variables of interest were recorded; the records of patients who had spirometry showing COPD were checked to confirm whether a diagnosis had been recorded or not. The association of undiagnosed COPD with different independent variables was determined with adjusted odds ratio (aOR) by non conditional logistic regression models. RESULTS 2,295 patients with CVRF were studied. The overall prevalence of COPD was 14.5%. An underdiagnosis of 73.3% was observed. Newly diagnosed COPD vs. undiagnosed COPD showed to be higher in women (74.1% vs. 36.0%; P=.081), non-smokers (21.3% vs. 12.4%; P=.577), mild cases (GOLD1) (42.6% vs. 32.4%, P=.008) and cases with lower than average HbA1c (5.5% vs. 5.6%; P=.008) and uric acid (5.1mg/dL vs. 5.6mg/dL; P=.011). The variables associated with undiagnosed COPD were: women (aOR=1.27; 95%CI: 0.74-2.17; P=.383); age (aOR=0.94; 95%CI: 0.87-0.99; P=.018); smokers (smoker/non-smoker) (aOR=0.47; 95%CI: 0.22-1.01; P=.054) and HbA1c (%) (aOR=0.45; 95%CI: 0.23-0.88; P=.019). CONCLUSIONS The under-diagnosis of COPD is very high. The contact patients aged between 50 and 65 years-old who have CVRF with their health system should be reassessed, and they need to ask for a spirometry.
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Affiliation(s)
- Josep Montserrat-Capdevila
- Consultorio Local de Bellvís-Els Arcs, UGA Terres de l'Urgell, Atención Primaria, Institut Català de la Salut, Lleida, Cataluña, España; Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España.
| | - María Asunción Seminario
- Grupo de Patología Respiratoria, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España
| | - Pere Godoy
- Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España; Agència de Salut Pública de Catalunya, Departament de Salut, Lleida, Cataluña, España; Facultat de Medicina, Universitat de Lleida, Lleida, Cataluña, España; CIBER de epidemiología y Salud Pública (CIBERESP), Madrid, España
| | - Josep Ramon Marsal
- Unitat de Suport a la Recerca Lleida, Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Universitat Autònoma de Barcelona, Cataluña, España; Unitat d'Epidemiologia del Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Barcelona, Cataluña, España
| | - Marta Ortega
- Unitat de Suport a la Recerca Lleida, Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Universitat Autònoma de Barcelona, Cataluña, España; Atención Primaria, Institut Català de la Salut, Lleida, Cataluña, España
| | - Jesús Pujol
- Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España; Facultat de Medicina, Universitat de Lleida, Lleida, Cataluña, España; ABS Balaguer, Atención Primaria, Institut Català de la Salut, Lleida, Cataluña, España
| | - Maria Teresa Castañ
- Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España; ABS Balaguer, Atención Primaria, Institut Català de la Salut, Lleida, Cataluña, España
| | - Miquel Alsedà
- Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España; Agència de Salut Pública de Catalunya, Departament de Salut, Lleida, Cataluña, España; Facultat de Medicina, Universitat de Lleida, Lleida, Cataluña, España
| | - Àngels Betriu
- Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España; Unidad de Diagnóstico y Tratamiento de Enfermedades Aterotrombóticas (UDETMA), Servicio de Nefrología, Hospital Universitari Arnau de Vilanova, Lleida, Cataluña, España
| | - Albert Lecube
- Servicio de Endocrinología, Hospital Universitari Arnau de Vilanova, Lleida, Cataluña, España
| | - Manel Portero
- Grupo de Fisiopatología Metabólica, Departamento de Medicina Experimental, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España
| | - Francisco Purroy
- Servicio de Neurología, Hospital Universitari Arnau de Vilanova, Lleida, Cataluña, España
| | - José Manuel Valdivielso
- Laboratorio de Nefrología Experimental, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España
| | - Ferran Barbé
- Grupo de Patología Respiratoria, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Cataluña, España; Facultat de Medicina, Universitat de Lleida, Lleida, Cataluña, España; Servicio de Neumología, Hospital Universitari Arnau de Vilanova, Lleida, Cataluña, España; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, España
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