Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbidities

Background: Various systemic manifestations of chronic obstructive pulmonary disease (COPD) are well known to us. One patient of COPD may have more than one associated comorbid conditions. Severity of airflow limitation is expressed as a global initiative for chronic obstructive lung disease (GOLD)...

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Main Authors: Mohit Bhatia, Avinash jain, Shivam Dixit, Arya Krishnan
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2023-12-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/56801
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author Mohit Bhatia
Avinash jain
Shivam Dixit
Arya Krishnan
author_facet Mohit Bhatia
Avinash jain
Shivam Dixit
Arya Krishnan
author_sort Mohit Bhatia
collection DOAJ
description Background: Various systemic manifestations of chronic obstructive pulmonary disease (COPD) are well known to us. One patient of COPD may have more than one associated comorbid conditions. Severity of airflow limitation is expressed as a global initiative for chronic obstructive lung disease (GOLD) spirometeric classification in patients with COPD, which has been proposed to better identify the disease severity and survival. Aims and Objectives: In this study, we aimed to find out correlation between GOLD spirometeric classification and comorbidities in patients. Materials and Methods: An observational study conducted at the Institute of Medical Science Banaras Hindu University Varanasi India. We evaluated 50 patients of COPD, containing smokers, non-smokers, and ex-smokers. The severity of airflow limitation in COPD was classified using the GOLD. The most frequent comorbidities are assessed in COPD which were cardiovascular diseases, diabetes, hypertension, osteoporosis, muscle wasting, psychological illness, and anemia. Results: Fifty patients were analyzed: Male 90%, mean age 68.5 years and mean forced vital capacity in 1 s 34.3%. There is an association between GOLD spirometeric classification and total number of comorbidities in patients. Subjects with higher GOLD spirometeric classification have more associated comorbid conditions, which suggest that these conditions may aggravate COPD course and increase risk of mortality. Conclusion: Assessment of GOLD spirometeric classification could provide information about a total number of various comorbid conditions in a patient with COPD. Patient with higher GOLD spirometeric classification has more comorbidities.
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spelling doaj.art-c580ccf7e08c4e0a9aa8e7fc13fd161d2023-12-02T01:55:23ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-12-011412234238https://doi.org/10.3126/ajms.v14i12.56801Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbiditiesMohit Bhatia 0https://orcid.org/0009-0001-4962-6456Avinash jain 1https://orcid.org/0000-0002-1980-4346Shivam Dixit 2https://orcid.org/0009-0002-5605-0579Arya Krishnan 3https://orcid.org/0000-0002-4026-8402Assistant Professor, Department of Respiratory Medicine, Institute of Medical Science, Banaras Hindu University, Varanasi, Uttar Pradesh, India Assistant Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India Junior Resident, Department of Respiratory Medicine, Institute of Medical Science, Banaras Hindu University, Varanasi, Uttar Pradesh, India Junior Resident, Department of Respiratory Medicine, Institute of Medical Science, Banaras Hindu University, Varanasi, Uttar Pradesh, India Background: Various systemic manifestations of chronic obstructive pulmonary disease (COPD) are well known to us. One patient of COPD may have more than one associated comorbid conditions. Severity of airflow limitation is expressed as a global initiative for chronic obstructive lung disease (GOLD) spirometeric classification in patients with COPD, which has been proposed to better identify the disease severity and survival. Aims and Objectives: In this study, we aimed to find out correlation between GOLD spirometeric classification and comorbidities in patients. Materials and Methods: An observational study conducted at the Institute of Medical Science Banaras Hindu University Varanasi India. We evaluated 50 patients of COPD, containing smokers, non-smokers, and ex-smokers. The severity of airflow limitation in COPD was classified using the GOLD. The most frequent comorbidities are assessed in COPD which were cardiovascular diseases, diabetes, hypertension, osteoporosis, muscle wasting, psychological illness, and anemia. Results: Fifty patients were analyzed: Male 90%, mean age 68.5 years and mean forced vital capacity in 1 s 34.3%. There is an association between GOLD spirometeric classification and total number of comorbidities in patients. Subjects with higher GOLD spirometeric classification have more associated comorbid conditions, which suggest that these conditions may aggravate COPD course and increase risk of mortality. Conclusion: Assessment of GOLD spirometeric classification could provide information about a total number of various comorbid conditions in a patient with COPD. Patient with higher GOLD spirometeric classification has more comorbidities.https://www.nepjol.info/index.php/AJMS/article/view/56801gold spirometric classification; comorbidities; copd
spellingShingle Mohit Bhatia
Avinash jain
Shivam Dixit
Arya Krishnan
Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbidities
Asian Journal of Medical Sciences
gold spirometric classification; comorbidities; copd
title Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbidities
title_full Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbidities
title_fullStr Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbidities
title_full_unstemmed Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbidities
title_short Higher GOLD spirometeric class (severity of airflow limitation) correlated with higher number of comorbidities
title_sort higher gold spirometeric class severity of airflow limitation correlated with higher number of comorbidities
topic gold spirometric classification; comorbidities; copd
url https://www.nepjol.info/index.php/AJMS/article/view/56801
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AT avinashjain highergoldspirometericclassseverityofairflowlimitationcorrelatedwithhighernumberofcomorbidities
AT shivamdixit highergoldspirometericclassseverityofairflowlimitationcorrelatedwithhighernumberofcomorbidities
AT aryakrishnan highergoldspirometericclassseverityofairflowlimitationcorrelatedwithhighernumberofcomorbidities