الفهرس 
Chronic Obstructive Pulmonary DiseaseOnly 14 pages are availabe for public view
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Abstract
BACKGROUND AND AIMS:
Chronic Obstructive Pulmonary Disease COPDis a disease state characterized by airflow limitation that is not fully reversible, the airflow limitation is usually both progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases and associated with systemic manifestations.[1]Chronic Obstructive Pulmonary Disease [COPD] is one of the fastest growing causes of death; from its sixth position in 2000, it is expected to climb to the third position within a period of 20 years [2020]. [2] The aim of this study is to assess the pattern of COPD patients in El- Mahalla Chest Hospital in the period from January 2017 to June 2017.
MATERIALS AND METHODS:
All COPD patients at El mahalla Chest Hospital in the period from January 2017 to June 2017 either referred to outpatient chest clinic or admitted to the hospital were subjected to Full medical history, general and local examination , Pre and post bronchodilator spirometric study according to (GOLD,2017) and Each patient will be subjected to the following questionnaire [ Serial number, Name, Age, Sex, Occupation, Residence, Level of education, Smoking, Smoking index, Family history of COPD, Symptoms, Number and severity of exacerbation attacks in the last year, Number of Hospitalization during the last year, Vaccination status, Spirometry, Treatment prescribed by, Treatment, Inhalation therapy, Regulation of treatment, Non pharmacological therapy, Satisfaction of treatment, co morbidities, Complications, Outcome for In patient].
RESULTS:
In the current study, 120 COPD patients were investigated. Among these, the mean age of the patients was 59.31 ± 9.43 year and males represent 93.3% more than females 6.7%. The majority of the studied cases were Current smoking but only 22.5% was ex smoker. Mean FEV1% pred. Post-bronchodilator was 75.9 ± 16.9 in out patients and mean FEV1% pred. Post-bronchodilator was 52.9 ± 13.4 in in patient. The most common co morbidities in COPD patients were hypertension in 25% of cases.More than half of all studied cases had complications and the most frequent complication was Corpulmonal and respiratory Failure. In this study, Severity of COPD according to GOLD 2017 was 27.8% in mild stage, 34.2% in moderate stage, 35.8% in severe stage and 2.5% in very severe stage.
CONCLUSION:
Spirometry had a great role in diagnosis of COPD and its differential diagnosis from asthma. Smoking is the major risk factors in developing COPD and the number of smokers continues to grow up in addition to other habits like smoking shisha, all of this reflects on the disease occurrence and severity. There were great defect in patients’ education and rehabilitation as non pharmacological treatment of COPD patients