7.Uluslararası karadeniz Aile Hekimliği Kongresi, Trabzon, Turkey, 11 - 14 October 2018, pp.61-62
INCREASING THE AWARENESS OF LUNG HEALTH BY SPIROMETRY: CHANGE ‘WORLD DAYS’ TO AN ADVANTAGE!
Bilge Yılmaz Kara1, Dilek Karadoğan1
1Department of Pulmonology, Recep Tayyip Erdoğan University, Rize, Turkey
The importance of world days is well established and each year several activities are being organized worldwide on world days. „World COPD day?, „World asthma day?, „World smoking cassation day? are very important for public lung health for calling attention to the most common lung diseases. In this study we aimed to evaluate the respiratory symptoms and pulmonary function test results of individuals who were interested in performing spirometry on world days associated with lung health.
Method: The study was carried out on World COPD day (November 2017), World asthma day (May 2018), World smoking cessation day (February 2018) at the entrance hall of a tertiary care hospital located in the Eastern Black Sea region of Turkey. Individuals over 40 years old who were visiting the hospital in those days were invited to participate the study. After signing the written informed consent, participants underwent a questionnaire regarding their demographical, clinical characteristics, afterwards they performed conventional spirometry test in companion with a crew of medical faculty students who were trained by a pulmonologist. The data obtained were evaluated statistically by using SPSS version 22.
A total of 345 patients participated in the study. Patients? mean age was 55.9±10 with male predominance (58.2%). Of these, 66.1% reported one or more comorbid diseases, 29.3% had a positive family history of pulmonary diseases, 3.2% had previous COPD diagnosis, 11% already had asthma diagnosis.
According to smoking status; 35.6% of them was current smokers, 33.6% was former smokers, 30.7% was never smokers. Current smoking percentage was 40.2% for males and 29.1% for females. Among current smokers 30.4% had an earlier intention to quit and only 7% had applied to a smoking cessation clinic. Most common symptoms were fatigue (53.6%), dyspnea (42.6%) and cough (42.3%). Regarding the spirometry test results; 68.9% had normal lung volumes, 22.8% had restrictive pattern, 8.1% had obstructive pattern.
Evaluation of the demographic data showed that male gender and younger age were associated with current smoking (p<0.001). Presence of cough, sputum expectoration or wheezing rates were higher in current smokers (p<0.001). Age, tuberculosis history, COPD history, smoking
7. Uluslaraarası Karadeniz Aile Hekimliği Kongresi, 11-14 Ekim 2018, Trabzon 62
duration, smoking intensity, presence of fatigue, dyspnea and cough were all positively corelated with pathologic PFT results (p<0.001).
Conclusion: This study showed that; older age, longer smoking history and presence of respiratory symptoms were the strongest determinants of impaired lung functions. Therefore, particularly in primary care setting, patients with such features should be examined periodically with spirometry.