Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/2431 |
Resumo: | BACKGROUND: Chronic respiratory diseases (CRD) are greatly underestimated. The aim of this study was to assess the burden associated with reported CRD and chronic obstructive pulmonary disease, as defined on the basis of various standardized criteria, by estimating their point prevalence in a sample of individuals attending the Primary Health Care (PHC) level and Emergency Room (ER) Departments in Cape Verde (CV) archipelago. The second aim of the study was to identify factors related to airways obstruction and reported CRD in this population. METHODS: A cross-sectional study was carried out in CV during 2 weeks. Outpatients aged more than 20 years seeking care at PHC level and ER answered a standardized questionnaire and were subjected to spirometry, independently of their complaint. Two criteria for airways obstruction were taken into account: forced expiratory volume (FEV(1)) <80% of the predicted value and FEV(1)/forced vital capacity (FVC) ratio <0.70. RESULTS: A total of 274 individuals with a satisfactory spirometry were included. 22% of the individuals had a FEV(1) < 80%. Individuals older than 46 years had a higher risk of having airways obstruction. Asthma diagnosis (11%) had a clear association with airways obstruction. Smoking was a risk factor for a lower FEV(1). Working in a dust place and cooking using an open fire were both related to chronic bronchitis and asthma diagnosis. CONCLUSION: Under-report and underdiagnosis of chronic respiratory conditions seem to be a reality in CV just as in other parts of the world. To improve diagnosis, our results reinforce the need of performing a spirometry |
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Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African CountryAsthma/diagnosisAsthma/epidemiologyBronchitis, Chronic/diagnosisEmphysema/diagnosisEmphysema/epidemiologyPulmonary Disease, Chronic Obstructive/diagnosisPulmonary Disease, Chronic Obstructive/epidemiologyTuberculosis/diagnosisTuberculosis/epidemiologyForced Expiratory VolumeSpirometrySmoking/adverse effectsRisk FactorsCross-Sectional StudiesSurveys and QuestionnairesPrevalenceAdultMiddle AgedCape Verde/epidemiologyHDE ALERBACKGROUND: Chronic respiratory diseases (CRD) are greatly underestimated. The aim of this study was to assess the burden associated with reported CRD and chronic obstructive pulmonary disease, as defined on the basis of various standardized criteria, by estimating their point prevalence in a sample of individuals attending the Primary Health Care (PHC) level and Emergency Room (ER) Departments in Cape Verde (CV) archipelago. The second aim of the study was to identify factors related to airways obstruction and reported CRD in this population. METHODS: A cross-sectional study was carried out in CV during 2 weeks. Outpatients aged more than 20 years seeking care at PHC level and ER answered a standardized questionnaire and were subjected to spirometry, independently of their complaint. Two criteria for airways obstruction were taken into account: forced expiratory volume (FEV(1)) <80% of the predicted value and FEV(1)/forced vital capacity (FVC) ratio <0.70. RESULTS: A total of 274 individuals with a satisfactory spirometry were included. 22% of the individuals had a FEV(1) < 80%. Individuals older than 46 years had a higher risk of having airways obstruction. Asthma diagnosis (11%) had a clear association with airways obstruction. Smoking was a risk factor for a lower FEV(1). Working in a dust place and cooking using an open fire were both related to chronic bronchitis and asthma diagnosis. CONCLUSION: Under-report and underdiagnosis of chronic respiratory conditions seem to be a reality in CV just as in other parts of the world. To improve diagnosis, our results reinforce the need of performing a spirometryBlackwell MunksgaardRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEMartins, PRosado-Pinto, Jdo Céu Teixeira, MNeuparth, NSilva, OTavares, HSpencer, JLMascarenhas, DPapoila, ALKhaltaev, NAnnesi-Maesano, I2016-03-18T10:51:45Z2009-072009-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2431engAllergy. 2009 Jul;64(7):1061-710.1111/j.1398-9995.2009.01956.xinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:37:00Zoai:repositorio.chlc.min-saude.pt:10400.17/2431Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:47.058143Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country |
title |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country |
spellingShingle |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country Martins, P Asthma/diagnosis Asthma/epidemiology Bronchitis, Chronic/diagnosis Emphysema/diagnosis Emphysema/epidemiology Pulmonary Disease, Chronic Obstructive/diagnosis Pulmonary Disease, Chronic Obstructive/epidemiology Tuberculosis/diagnosis Tuberculosis/epidemiology Forced Expiratory Volume Spirometry Smoking/adverse effects Risk Factors Cross-Sectional Studies Surveys and Questionnaires Prevalence Adult Middle Aged Cape Verde/epidemiology HDE ALER |
title_short |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country |
title_full |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country |
title_fullStr |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country |
title_full_unstemmed |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country |
title_sort |
Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country |
author |
Martins, P |
author_facet |
Martins, P Rosado-Pinto, J do Céu Teixeira, M Neuparth, N Silva, O Tavares, H Spencer, JL Mascarenhas, D Papoila, AL Khaltaev, N Annesi-Maesano, I |
author_role |
author |
author2 |
Rosado-Pinto, J do Céu Teixeira, M Neuparth, N Silva, O Tavares, H Spencer, JL Mascarenhas, D Papoila, AL Khaltaev, N Annesi-Maesano, I |
author2_role |
author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Martins, P Rosado-Pinto, J do Céu Teixeira, M Neuparth, N Silva, O Tavares, H Spencer, JL Mascarenhas, D Papoila, AL Khaltaev, N Annesi-Maesano, I |
dc.subject.por.fl_str_mv |
Asthma/diagnosis Asthma/epidemiology Bronchitis, Chronic/diagnosis Emphysema/diagnosis Emphysema/epidemiology Pulmonary Disease, Chronic Obstructive/diagnosis Pulmonary Disease, Chronic Obstructive/epidemiology Tuberculosis/diagnosis Tuberculosis/epidemiology Forced Expiratory Volume Spirometry Smoking/adverse effects Risk Factors Cross-Sectional Studies Surveys and Questionnaires Prevalence Adult Middle Aged Cape Verde/epidemiology HDE ALER |
topic |
Asthma/diagnosis Asthma/epidemiology Bronchitis, Chronic/diagnosis Emphysema/diagnosis Emphysema/epidemiology Pulmonary Disease, Chronic Obstructive/diagnosis Pulmonary Disease, Chronic Obstructive/epidemiology Tuberculosis/diagnosis Tuberculosis/epidemiology Forced Expiratory Volume Spirometry Smoking/adverse effects Risk Factors Cross-Sectional Studies Surveys and Questionnaires Prevalence Adult Middle Aged Cape Verde/epidemiology HDE ALER |
description |
BACKGROUND: Chronic respiratory diseases (CRD) are greatly underestimated. The aim of this study was to assess the burden associated with reported CRD and chronic obstructive pulmonary disease, as defined on the basis of various standardized criteria, by estimating their point prevalence in a sample of individuals attending the Primary Health Care (PHC) level and Emergency Room (ER) Departments in Cape Verde (CV) archipelago. The second aim of the study was to identify factors related to airways obstruction and reported CRD in this population. METHODS: A cross-sectional study was carried out in CV during 2 weeks. Outpatients aged more than 20 years seeking care at PHC level and ER answered a standardized questionnaire and were subjected to spirometry, independently of their complaint. Two criteria for airways obstruction were taken into account: forced expiratory volume (FEV(1)) <80% of the predicted value and FEV(1)/forced vital capacity (FVC) ratio <0.70. RESULTS: A total of 274 individuals with a satisfactory spirometry were included. 22% of the individuals had a FEV(1) < 80%. Individuals older than 46 years had a higher risk of having airways obstruction. Asthma diagnosis (11%) had a clear association with airways obstruction. Smoking was a risk factor for a lower FEV(1). Working in a dust place and cooking using an open fire were both related to chronic bronchitis and asthma diagnosis. CONCLUSION: Under-report and underdiagnosis of chronic respiratory conditions seem to be a reality in CV just as in other parts of the world. To improve diagnosis, our results reinforce the need of performing a spirometry |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-07 2009-07-01T00:00:00Z 2016-03-18T10:51:45Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/2431 |
url |
http://hdl.handle.net/10400.17/2431 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Allergy. 2009 Jul;64(7):1061-7 10.1111/j.1398-9995.2009.01956.x |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Blackwell Munksgaard |
publisher.none.fl_str_mv |
Blackwell Munksgaard |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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