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.
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.
Authors: Jean Bousquet; Nhân Pham-Thi; Anna Bedbrook; Ioana Agache; Isabella Annesi-Maesano; Ignacio Ansotegui; Josep M Anto; Claus Bachert; Samuel Benveniste; Mike Bewick; Nils Billo; Sinthia Bosnic-Anticevich; Isabelle Bosse; Guy Brusselle; Moïses A Calderon; G Walter Canonica; Luis Caraballo; Victoria Cardona; Ana Maria Carriazo; Eugene Cash; Lorenzo Cecchi; Derek K Chu; Elaine Colgan; Elisio Costa; Alvaro A Cruz; Wienczyslawa Czarlewski; Stephen Durham; Motohiro Ebisawa; Marina Erhola; Jean-Luc Fauquert; Wytske J Fokkens; Joao A Fonseca; Nick Guldemond; Tomohisa Iinuma; Maddalena Illario; Ludger Klimek; Piotr Kuna; Violeta Kvedariene; Désirée Larenas-Linneman; Daniel Laune; Lan T T Le; Olga Lourenço; Joao O Malva; Gert Marien; Enrica Menditto; Joaquim Mullol; Lars Münter; Yoshitaka Okamoto; Gabrielle L Onorato; Nikos G Papadopoulos; Maritta Perala; Oliver Pfaar; Abigail Phillips; Jim Phillips; Hilary Pinnock; Fabienne Portejoie; Pablo Quinones-Delgado; Christine Rolland; Ulysse Rodts; Boleslaw Samolinski; Mario Sanchez-Borges; Holger J Schünemann; Mohamed Shamji; David Somekh; Alkis Togias; Sanna Toppila-Salmi; Ioanna Tsiligianni; Omar Usmani; Samantha Walker; Dana Wallace; Arunas Valiulis; Rianne Van der Kleij; Maria Teresa Ventura; Sian Williams; Arzu Yorgancioglu; Torsten Zuberbier Journal: J Thorac Dis Date: 2019-09 Impact factor: 2.895
Authors: Alexander G Chuchalin; Nikolai Khaltaev; Nikolay S Antonov; Dmitry V Galkin; Leonid G Manakov; Paola Antonini; Michael Murphy; Alexander G Solodovnikov; Jean Bousquet; Marcelo H S Pereira; Irina V Demko Journal: Int J Chron Obstruct Pulmon Dis Date: 2014-09-12