Artigo Original/Original Article
Caracterização de uma população com risco acrescido de DPOC
Characterisation of a population at increased risk of COPD
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Raquel Marques, António Nunes, Cristina Sousa, Fausto Moura, João Gouveia, Armindo Ramos" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M. Raquel" "apellidos" => "Marques" ] 1 => array:2 [ "nombre" => "António" "apellidos" => "Nunes" ] 2 => array:2 [ "nombre" => "Cristina" "apellidos" => "Sousa" ] 3 => array:2 [ "nombre" => "Fausto" "apellidos" => "Moura" ] 4 => array:2 [ "nombre" => "João" "apellidos" => "Gouveia" ] 5 => array:2 [ "nombre" => "Armindo" "apellidos" => "Ramos" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300234?idApp=UINPBA00004E" "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300234/v1_201509151443/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Caracterização de uma população com risco acrescido de DPOC" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "237" "paginaFinal" => "252" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Sandra Soares, Isabel Costa, Ana Luísa Neves, Luciana Couto" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Sandra" "apellidos" => "Soares" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 1 => array:3 [ "nombre" => "Isabel" "apellidos" => "Costa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 2 => array:3 [ "nombre" => "Ana Luísa" "apellidos" => "Neves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 3 => array:3 [ "nombre" => "Luciana" "apellidos" => "Couto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Internato Médico de Medicina Geral e Familiar/Resident, General Practice" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Graduada de Medicina Geral e Familiar/Consultantant, Specialist, General Practice" "etiqueta" => "2" "identificador" => "af0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Characterisation of a population at increased risk of COPD" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-25" "fechaAceptado" => "2009-08-06" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570120" "palabras" => array:3 [ 0 => "Doença pulmonar obstrutiva crónica" 1 => "tabagismo" 2 => "cuidados primários" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570121" "palabras" => array:3 [ 0 => "Chronic obstructive pulmonary disease" 1 => "smoking" 2 => "primary care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> O tabagismo é o principal factor de risco da DPOC, estimando-se que 15-20% dos fumadores a desenvolvam. A caracterização desta população de risco é um importante passo na melhoria do diagnóstico de DPOC, que é cada vez mais um desafio nos cuidados primários.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos:</span> Determinar a percentagem de fumadores identificados numa USF na população de utentes entre 45-65 anos e sua caracterização; determinar possíveis relações entre a presença de sintomatologia respiratória e as restantes variáveis; e entre a presença de alterações obstrutivas das pequenas vias aéreas e as restantes variáveis.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e métodos:</span> Estudo observacional, analítico, transversal, numa unidade de saúde familiar (USF) portuguesa. População: utentes fumadores entre os 45-65 anos, submetidos à aplicação de um questionário e realização de espirometria. A análise estatística foi realizada em SPSS v.13.0 (nível de significância de 0,05).</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> A amostra foi constituída por 157 indivíduos (31% ♀ e 69% ♂); idade média de 53,85 anos; idade média de início de tabagismo de 16,64 anos; carga tabágica média de 37,78 UMA. Sintomatologia respiratória esteve presente em 68,8% dos indivíduos, sendo mais frequente nos homens, com iniciação tabágica mais precoce e maior carga tabágica (p<0,05). Alterações obstrutivas das pequenas vias aéreas estavam presentes em 30%, sendo mais frequentes nos mais velhos e com maior carga tabágica (p<0,05).</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discussão e conclusões:</span> O subdiagnóstico do tabagismo é alarmante, alertando para a importância da identificação da população de risco e implementação de medidas preventivas direccionadas – que associadas à melhor caracterização desta população poderão contribuir para uma melhoria no diagnóstico e abordagem da DPOC.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 237-252</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Smoking is the main risk factor for COPD, and it is estimated that 15-20% of smokers will develop the pathology. Characterising this risk population is an important step in improved diagnosis of COPD, an increasing primary care challenge.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims:</span> To determine the percentage of smokers identified in patients aged 45-65 years old in a health centre, and their characterisation; to determine possible relationships between respiratory symptoms and abnormal obstruction of the small airways and the other variables studied.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods:</span> Observational, analytical, cross-sectional study carried out in a Portuguese health centre. Population: smokers aged 45-65 years old who filled in a questionnaire and underwent spirometry. Statistical analysis was performed with SPSS v.13.0 (level of significance 0.05).</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> The sample was composed of 157 participants (31% ♀ and 69% ♂); average age 53.85<span class="elsevierStyleHsp" style=""></span>years; average age at start of smoking 16.64<span class="elsevierStyleHsp" style=""></span>years; average tobacco consumption 37.78 pack-years. Respiratory symptoms were present in 68.8% of the individuals, and were more frequent in men, those who started smoking earlier and those with higher tobacco consumption (p<0.05). Thirty percent had abnormal obstruction of the small airways, with this more frequent in older smokers and those with heavier tobacco consumption (p<0.05).</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discussion and conclusions:</span> The underdiagnosis of smoking raises awareness of the importance of identifying this risk population and the need to implement preventative measures. These, in tandem with a better characterisation of this population, may contribute to the improved diagnosis and management of COPD.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 237-252</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early detection of COPD in primary care: screening by invitation of smokers aged 40 to 55 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Stratelis" 1 => "P. Jakobsson" 2 => "S. Molstad" 3 => "O. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Obesity and the lung: obesity and COPD" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "Franssen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/thx.2007.086827" "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2008" "volumen" => "63" "paginaInicial" => "1110" "paginaFinal" => "1117" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19020276" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300246/v1_201509151443/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9575" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Artigos originais" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001600000002/v1_201509151443/S0873215915300246/v1_201509151443/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300246?idApp=UINPBA00004E" ]
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ISSN: 08732159Original language: Portuguese
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| 2021 January | 28 | 25 | 53 |
| 2020 December | 30 | 5 | 35 |
| 2020 November | 44 | 17 | 61 |
| 2020 October | 32 | 18 | 50 |
| 2020 September | 66 | 14 | 80 |
| 2020 August | 37 | 21 | 58 |
| 2020 July | 56 | 16 | 72 |
| 2020 June | 33 | 16 | 49 |
| 2020 May | 39 | 21 | 60 |
| 2020 April | 50 | 15 | 65 |
| 2020 March | 41 | 10 | 51 |
| 2020 February | 31 | 26 | 57 |
| 2020 January | 53 | 21 | 74 |
| 2019 December | 33 | 19 | 52 |
| 2019 November | 48 | 21 | 69 |
| 2019 October | 31 | 10 | 41 |
| 2019 September | 37 | 17 | 54 |
| 2019 August | 49 | 23 | 72 |
| 2019 July | 27 | 12 | 39 |
| 2019 June | 44 | 6 | 50 |
| 2019 May | 38 | 22 | 60 |
| 2019 April | 38 | 21 | 59 |
| 2019 March | 49 | 12 | 61 |
| 2019 February | 37 | 10 | 47 |
| 2019 January | 35 | 21 | 56 |
| 2018 December | 52 | 9 | 61 |
| 2018 November | 12 | 0 | 12 |
| 2018 October | 7 | 6 | 13 |
| 2018 September | 18 | 7 | 25 |
| 2018 August | 50 | 24 | 74 |
| 2018 July | 30 | 23 | 53 |
| 2018 June | 45 | 21 | 66 |
| 2018 May | 46 | 15 | 61 |
| 2018 April | 46 | 35 | 81 |
| 2018 March | 50 | 30 | 80 |
| 2018 February | 24 | 14 | 38 |
| 2018 January | 36 | 13 | 49 |
| 2017 December | 26 | 20 | 46 |
| 2017 November | 41 | 24 | 65 |
| 2017 October | 26 | 16 | 42 |
| 2017 September | 24 | 16 | 40 |
| 2017 August | 15 | 15 | 30 |
| 2017 July | 7 | 7 | 14 |
| 2017 June | 20 | 11 | 31 |
| 2017 May | 31 | 11 | 42 |
| 2017 April | 10 | 17 | 27 |
| 2017 March | 13 | 2 | 15 |
| 2017 February | 9 | 4 | 13 |
| 2017 January | 14 | 2 | 16 |
| 2016 December | 12 | 5 | 17 |
| 2016 November | 9 | 5 | 14 |
| 2016 October | 10 | 14 | 24 |
| 2016 September | 2 | 1 | 3 |
| 2016 August | 4 | 3 | 7 |
| 2016 July | 3 | 5 | 8 |
| 2016 May | 0 | 2 | 2 |
| 2016 April | 2 | 1 | 3 |
| 2016 March | 4 | 7 | 11 |
| 2016 February | 3 | 12 | 15 |
| 2016 January | 10 | 9 | 19 |
| 2015 December | 10 | 5 | 15 |
| 2015 November | 5 | 5 | 10 |
| 2015 October | 2 | 2 | 4 |
Show all
