Source: Annual Congress 2003 - COPD: a multicomponent disease
Disease area: Airway diseases

Abstract

The clinical development and severity of chronic obstructive pulmonary disease (COPD) is discribed in stages, as defined by the GOLD guideline.
142 COPD patients were treated in our hospital from jan/02 to june/02. We classified this patients according to the GOLD- guideline and clinical parameters and symptoms.
Results: In GOLD stage 0 were 18 (12,7%) patients, in stage 1 were 6 (4,2%), in stage 2a 23 (16,2%), in stage 2b 6 (4,2 %) and in stage 3 were 89 (62,7%) patients. The avarage age was 69,3 years.
29 patients (20,4%) had lung cancer as a severe comorbidity.
The most frequent failure in lung function was obstruction with emphysema. In the blood gas mearsurements we saw hypoxaemia in 60% of the cases and hypoxaemia with hypercapnia in 13,4%.
44 patients got an echocardiography. In 12 cases we found a pulmonary hypertension. 9 patients with hypertension were in the GOLD stage 3. A ventilatory support was necessary in 9 cases. Three of them got a respirator for home mechanical ventilation.
Conclusions: We could not find any significant difference between the GOLD stages and clinical parameters. More than half of the COPD patients in our hospital were in GOLD- stage 3. We saw the following tendency: The patients in stage 3 were older than in the other stages, had in more cases a lower weight and more often respiratory failure with hypercapnia. They also needed more often mechanical ventilation.
We need the datas from the follow up visits of our patients to give them better advices and effective types of treatment.

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Citations should be made in the following way:
U. Achtzehn, M. Scharf, E. W. Schmidt (Chemnitz, Germany). The classification of severity of COPD-patients in GOLD- guideline. Eur Respir J 2003; 22: Suppl. 45, 3374

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