COPD patients: 1/2 also have high blood pressure, 1/3 lipid metabolism disorders, 1/4 obesity, 1/5 diabetes

http://www.ncbi.nlm.nih.gov/pubmed/23324308

BMC Fam Pract. 2013 Jan 16;14(1):11. [Epub ahead of print]

Comorbidity in patients with chronic obstructive pulmonary disease in family practice: a cross sectional study.

García-Olmos L, Alberquilla A, Ayala V, García-Sagredo P, Morales L, Carmona M, de Tena-Dávila MJ, Pascual M, Muñoz A, Salvador CH, Monteagudo JL.

Abstract

ABSTRACT:

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is frequent and often coexists with other diseases. The aim of this study was to quantify the prevalence of COPD and related chronic comorbidity among patients aged over 40 years visiting family practices in an area of Madrid.

METHODS:

An observational, descriptive, cross-sectional study was conducted in a health area of the Madrid Autonomous Region (Comunidad Autonoma de Madrid). The practice population totalled 198,670 persons attended by 129 Family Physicians (FPs), and the study population was made up of persons over the age of 40 years drawn from this practice population. Patients were deemed to have COPD if this diagnosis appeared on their clinical histories. Prevalence of COPD; prevalence of a further 25 chronic diseases in patients with COPD; and standardised prevalence ratios, were calculated.

RESULTS:

Prevalence of COPD in family medicine was 3.2% (95% CI 3.0--3.3) overall, 5.3% among men and 1.4% among women; 90% of patients presented with comorbidity, with a mean of 4 +/- 2.04 chronic diseases per patient, with the most prevalent related diseases being arterialhypertension (52%), disorders of lipid metabolism (34%), obesity (25%), diabetes (20%) and arrhythmia (15%). After controlling for age and sex, the observed prevalence of the following ten chronic diseases was higher than expected: heart failure; chronic liver disease; asthma; generalised artherosclerosis; osteoporosis; ischaemic heart disease; thyroid disease; anxiety/depression; arrhythmia; and obesity.

CONCLUSIONS:

Patients with COPD, who are frequent in family practice, have a complex profile and pose a clinical and organisational challenge to FPs.