Clinical characteristics, management in real world practice and long-term survival among COPD patients of Northern Thailand COPD club members.

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dc.contributor.authorPothirat, Chaicharnen_US
dc.contributor.authorPhetsuk, Nittayaen_US
dc.contributor.authorDeesomchok, Athavudhen_US
dc.contributor.authorTheerakittikul, Theerakornen_US
dc.contributor.authorBumroongkit, Chaiwaten_US
dc.contributor.authorLiwsrisakun, Chalermen_US
dc.contributor.authorInchai, Juthamasen_US
dc.date.accessioned2009-05-27T20:28:23Z
dc.date.available2009-05-27T20:28:23Z
dc.date.issued2007-04-10en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: To assess the baseline clinical characteristics, management, and long-term survival of hospital-based COPD patients in the northern part of Thailand. MATERIAL AND METHOD: One hundred and ninety five hospital-based COPD patients from community and provincial hospitals in the northern part of Thailand were recruited between May and November 2002. They were followed up for 45 months for survival. RESULTS: Most of them (71.3%) were in the advanced stage and 41.8% were undernourished. Only a small fraction of the advanced stage patients (25.7%) estimated their dyspnea severity correctly with the disease stages. The frequency of the exacerbations increases as the disease become more severe. Only 23.7% of the advanced stage patients had received regular bronchodilator therapy. No patients had received pulmonary rehabilitation and long-term oxygen therapy. The 45 months survival was 75.6% in all patients. The severe group with low BMI had significantly lower survival than the one with normal BMI (67.7% vs. 89.8%, p = 0.040). CONCLUSION: Most COPD patients in the northern part of Thailand were in the advanced stage. They were commonly undernourished and exacerbated but still under treated according to standard treatment guidelines. BMI tends to influence the long-term survival of the advanced stage patients.en_US
dc.description.affiliationDepartment of Medicine, Faculty of Medicine, Chiang Mai University, Thailand. cpothira@mail.med.cmu.ac.then_US
dc.identifier.citationPothirat C, Phetsuk N, Deesomchok A, Theerakittikul T, Bumroongkit C, Liwsrisakun C, Inchai J. Clinical characteristics, management in real world practice and long-term survival among COPD patients of Northern Thailand COPD club members. Journal of the Medical Association of Thailand. 2007 Apr; 90(4): 653-62en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/43061
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshBody Mass Indexen_US
dc.subject.meshBronchodilator Agents --therapeutic useen_US
dc.subject.meshDyspneaen_US
dc.subject.meshFemaleen_US
dc.subject.meshHospitalizationen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOrganizationsen_US
dc.subject.meshPulmonary Disease, Chronic Obstructive --epidemiologyen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSmokingen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshSurvivorsen_US
dc.subject.meshThailand --epidemiologyen_US
dc.titleClinical characteristics, management in real world practice and long-term survival among COPD patients of Northern Thailand COPD club members.en_US
dc.typeJournal Articleen_US
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