COPD prevalence in smokers with stable ischemic heart disease: A cross-sectional study in Tunisia

Yangui, F.; Touil, Amany; Antit, Saoussen; Zakhama, Lilia; Charfi, Mohamed Ridha

doi:10.1016/j.rmed.2021.106335

Cited by 3 publications

(5 citation statements)

References 45 publications

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“…Age, race, education, annual family income, current smoking status, and hs-CRP are significantly related with COPD statues in our study. Smoking and age are two most important risk factors of COPD progress (33)(34)(35). Besides, education, annual family income and race are strong social determinants of health status in COPD patients (36)(37)(38).…”

Section: Discussionmentioning

confidence: 99%

Association Between Diet-Related Inflammation and COPD: Findings From NHANES III

et al. 2021

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Background and Aims: Little is known about diet-related inflammation in chronic obstructive pulmonary disease (COPD). In this study, we aimed to explore the association between COPD and dietary inflammatory index (DII) scores in adults over 40 years old.Methods: Data were obtained from the 2013 to 2018 National Health and Nutrition Examination Survey (NHANES). In the present study, 9,929 participants were included and analyzed. The DII score was calculated and divided into tertiles. Logistic regression analysis was performed to determine the odds ratios of DII tertiles.Results: Participants were categorized into COPD (565, 5.69%) and non-COPD groups (9,364, 94.31%) according to interview information. COPD individuals had higher DII scores than non-COPD individuals (0.429 ± 1.809 vs. −0.191 ± 1.791, p < 0.001). The highest DII score tertile included 46.55% of COPD individuals was associated with lower family incomes and education and a higher smoking rate (p < 0.01). The odds ratios (95% CIs) of COPD according to logistic regression were 0.709 (0.512–0.982) for T1 and 0.645 (0.475–0.877) for T2 of the DII score (p = 0.011).Conclusion: Higher DII scores were positively correlated with COPD in participants over 40 years old. These results further support that diet can be used as an intervention strategy for COPD management.

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Section: Discussionmentioning

confidence: 99%

Association Between Diet-Related Inflammation and COPD: Findings From NHANES III

et al. 2021

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“…The higher incidence of newly recognized COPD cases was achieved in the study with an inclusion criterion of a more relevant smoking history (min. 20 pack-years in the study by Makinson et al [38] vs. 10 pack-years in the study by Yangui et al [44]).…”

Section: Conventional Spirometersmentioning

confidence: 91%

“…We identified 11 studies that utilized conventional spirometers for conducting COPD targeted screening actions (Group B, Table 2) [34,36,[40][41][42][43][44].…”

Section: Conventional Spirometersmentioning

confidence: 99%

“…Two of 11 studies, which used laboratory spirometers for COPD targeted screening action, were conducted on a specific group of smokers-infected with HIV [38] and with ischemic heart disease [44]. The higher incidence of newly recognized COPD cases was achieved in the study with an inclusion criterion of a more relevant smoking history (min.…”

Section: Conventional Spirometersmentioning

confidence: 99%

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How to Enhance the Diagnosis of Early Stages of Chronic Obstructive Pulmonary Disease (COPD)? The Role of Mobile Spirometry in COPD Screening and Diagnosis—A Systematic Review

Jankowski,

Mycroft,

Górska

et al. 2024

ARM

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COPD is the third leading cause of death worldwide. Its diagnosis can be made with spirometry, which is underused due to its limited accessibility. Portable spirometry holds promise for enhancing the efficacy of COPD diagnoses. The study aimed to estimate COPD prevalence diagnosed with a portable spirometer in high-risk patients and compare it with COPD prevalence based on data from conventional, on-site spirometry. We also evaluated the strategy of a proactive approach to identify COPD in high-risk individuals. We conducted a systematic review of original studies on COPD targeted screening and diagnosis with portable and conventional spirometers selected from 8496 publications initially found in three databases: Cochrane, PubMed, and Embase. The inclusion criteria were met by 28 studies. COPD prevalence evaluated with the use of portable spirometers reached 20.27% and was lower compared to that estimated with the use of conventional spirometers (24.67%). In 11 included studies, postbronchodilator tests were performed with portable spirometers, which enabled a bedside COPD diagnosis. Portable spirometers can be successfully used in COPD targeted screening and diagnosis and thus enhance the detection of COPD at early stages.

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“…Patients with COPD and CAD have specific clinical characteristics including more frequent respiratory symptoms, worse health status, and higher medication expenditure [ 4 – 6 ]. However, researches about the impact of comorbid CAD on clinical outcomes in AECOPD patients are limited.…”

Section: Introductionmentioning

confidence: 99%

Clinical and economic burden of comorbid coronary artery disease in patients with acute exacerbation of chronic obstructive pulmonary disease: sex differences in a nationwide cohort study

et al. 2022

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Background Coronary artery disease (CAD) is a common comorbidity of chronic obstructive pulmonary disease (COPD). However, data related to the impact of CAD on outcomes of acute exacerbation of COPD (AECOPD) are limited and whether the relationship depends on sex remains unknown. Our aim was to determine the impact of comorbid CAD on clinical outcomes among men and women with AECOPD. Methods We used data from the acute exacerbation of chronic obstructive pulmonary disease inpatient registry (ACURE) study, which is a nationwide observational real-world study conducted between September 2017 and February 2020 at 163 centers in patients admitted with AECOPD as their primary diagnosis. Patients were stratified according to the presence or absence of CAD in men and women. The primary outcomes were the length of hospital stay and economic burden during hospitalization. Results Among 3906 patients included in our study, the prevalence of CAD was 17.0%, and it was higher in women than in men (19.5% vs. 16.3%; P = 0.034). Age and other cardiovascular diseases were common factors associated with comorbid CAD in men and women, while body-mass index, cerebrovascular disease, and diabetes were determinants in men and pre-admission use of long-acting beta-adrenoceptor agonist and home oxygen therapy were protective factors in women. Only in men, patients with CAD had a longer length of hospital stay (median 10.0 vs. 9.0 days, P < 0.001), higher total cost during hospitalization (median $1502.2 vs. $1373.4, P < 0.001), and more severe COPD symptoms at day 30 compared to those without CAD. No significant difference was found in women. Comorbid CAD showed no relationship with 30-day readmission or death regardless of sex. In our real-world study, mortality/readmission risk within 30 days increased in patients with previous frequent hospitalizations and poorer pulmonary function. Conclusions In hospitalized AECOPD patients, comorbid CAD was significantly associated with poorer short-term outcomes in men. Clinicians should have heightened attention for men with comorbid CAD to achieve an optimal management of AECOPD patients.

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COPD prevalence in smokers with stable ischemic heart disease: A cross-sectional study in Tunisia

Cited by 3 publications

References 45 publications

Association Between Diet-Related Inflammation and COPD: Findings From NHANES III

Association Between Diet-Related Inflammation and COPD: Findings From NHANES III

How to Enhance the Diagnosis of Early Stages of Chronic Obstructive Pulmonary Disease (COPD)? The Role of Mobile Spirometry in COPD Screening and Diagnosis—A Systematic Review

Clinical and economic burden of comorbid coronary artery disease in patients with acute exacerbation of chronic obstructive pulmonary disease: sex differences in a nationwide cohort study

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