0339/2016 - Fatores associados à Doença Pulmonar Obstrutiva Crônica em idosos Factors associated to Chronic Obstructive Pulmonary Disease in the elderly
• José Marcio Girardi de Mendonça - Mendonça, José Marcio Girardi de - Universidade Estadual de Montes Claros, Saúde Coletiva - <girardidemendonca@terra.com.br>
Este estudo objetivou identificar os fatores associados à Doença Pulmonar Obstrutiva Crônica (DPOC) em idosos não institucionalizados. Trata-se de um estudo transversal conduzido a partir de inquérito domiciliar, seguido de espirometria. Pessoas com diagnóstico de DPOC foram comparadas com pessoas com espirometria normal, por meio de análises bivariadas seguidas de análise de regressão multivariada. Foram identificados 53 idosos com DPOC. Após análise multivariada, foram identificados os seguintes fatores associado à DPOC: tabagismo pregresso ou atual (OR:3,74; IC95%:1,65-8,46), presença de catarro como sintoma respiratório (OR:4,92; IC95%:2,03-11,95), oximetria de pulso em repouso ≤90% (OR:8,74; IC95%:1,27-60,07) e autorrelato de asma (OR:3,41; IC95%:1,01-11,57). Os resultados revelam fatores associados que destacam a necessidade de revisão dos critérios de seleção dos pacientes de risco para DPOC entre idosos.
Palavras-chave:
Doença Pulmonar Obstrutiva Crônica
Idosos
Fatores de Risco
Abstract:
This study aimed to identify factors associated with Chronic Obstructive Pulmonary Disease (COPD) in non-institutionalized elderly. This is a cross-sectional study conducted from household survey, followed by spirometry. People diagnosed with COPD were compared with those with normal spirometry, through bivariate analyzes, followed by multivariate regression analysis. We identified 53 elderly people were identified with COPD. After multivariate analysis, the following factors associated with COPD were identified: past or current smoking (OR: 3.74; 95% CI: 1.65 to 8.46), presence of chronic sputum (OR: 4.92; 95%CI: 2.03-11.95), pulse oximetry at rest ≤90% (OR: 8.74; 95%CI: 1.27-60.07), self-reported asthma (OR: 3.41; 95% CI: 1.01-11.57). The results reveal associated factors that highlight the need to review the selection criteria for patients at risk for COPD in the elderly.
Factors associated to Chronic Obstructive Pulmonary Disease in the elderly
Resumo (abstract):
This study aimed to identify factors associated with Chronic Obstructive Pulmonary Disease (COPD) in non-institutionalized elderly. This is a cross-sectional study conducted from household survey, followed by spirometry. People diagnosed with COPD were compared with those with normal spirometry, through bivariate analyzes, followed by multivariate regression analysis. We identified 53 elderly people were identified with COPD. After multivariate analysis, the following factors associated with COPD were identified: past or current smoking (OR: 3.74; 95% CI: 1.65 to 8.46), presence of chronic sputum (OR: 4.92; 95%CI: 2.03-11.95), pulse oximetry at rest ≤90% (OR: 8.74; 95%CI: 1.27-60.07), self-reported asthma (OR: 3.41; 95% CI: 1.01-11.57). The results reveal associated factors that highlight the need to review the selection criteria for patients at risk for COPD in the elderly.
