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Lung India Official publication of Indian Chest Society  
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ORIGINAL ARTICLE
Year : 2006  |  Volume : 23  |  Issue : 3  |  Page : 109-114

Patterns in follow up of chronic airway obstruction


Retired Prof. Respiratiory Medicine, KEM Hospital, Mumbai 400012., India

Correspondence Address:
S R Kamat
B - 2 Dattaguru CHS, Deonar, Mumbai 400088.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.44402

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Over 5 years from 2000 to 2004 a consecutive series of 420 cases of obstructive airway disease were studied with full history, spirometry, chest radiograph, and other relevant investigations. Several were followed and reassessed: 58.1 % were males - of these 42.1 % were smokers. Sixty percent (252) belonged to age above 40 years; 200 cases revealed clinical history of upto 5 years:
  1. 9.3% had a family history of asthma.
  2. 55.5% showed some changes in chest radiograph
  3. 52.6% had a daily chest symptoms
  4. Chronic cough was seen in 59.5% and paroxysmal dyspnoea in 38.9%
  5. Clinically asthma was labelled in 43.8% and COPD in 56.2%
  6. On follow up 45.6% showed an improvement while 34.1 % deteriorated.
  7. Mainly management was oral theophyllin (93.1 %), beta stimulant inhalers (81.2%). During exacerbations 94.1 % were given antibiotics and 24-29 % had steroids.
  8. A history of hospitalization was seen in 51.9%: 4 died, 4 had IPPR and 8 had malignancies mainly in Lung.
  9. 50.2% had hypertension, 26.1% ischemia and 10.8% a prior lung tuberculosis
  10. 11.2% Showed diabetes.
  11. FVC, FEV 1 , AND VE50 could assess the degree of functinol disability: asthmatics showed a larger bronchoreversibility.
  12. In many, distinction from asthma to COPD was not easy and mainly clinical.


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