Clinical Presentation and co- Morbidity of COPD Patients

Abstract

COPD is considered the sixth leading cause of death in 1990. It is supposed to be the third cause of death worldwide by 2020 due to an increase in smoking rates and demographic changes in many countries.

The Aim of the work; Detection different patterns of clinical presentation of COPD among the patients attending Sohag University Hospital and Pattern of co morbidities associated with COPD at presentation.

Patients and methods:  This Prospective study of the clinical presentation of COPD was carried out on 63 patients (42 males & 21 females) they were admitted to chest department of Sohag University Hospital during period from December 2017 to August 2018.

Inclusion Criteria: Patients were diagnosed to have COPD after assessing the presence of chronic cough, sputum production, dyspnea and history of exposure to risk factors as smoking, fumes and PFTs.

Exclusion criteria: 1-Patients were presented with bronchial asthma or acute coronary syndrome.

2-young aged patients<20 years.

RESULTS: The pattern of co morbidities associated with COPD at presentation: Exacerbation of COPD 20 cases (32%), COPD with cardiomegally 12 cases (19%), COPD with superadded pneumonia 11 cases (17%).

Conclusion: COPD is more common in old aged males smoker than non smokers. The more severe the COPD condition the more the patients’ complaint.