Artigo Original/Original Article
Prevalência de obstrução numa população exposta ao fumo do tabaco – Projecto PNEUMOBIL
Prevalence of bronchial obstruction in a tobacco smoke exposed population – The PNEUMOBIL project
J.M. Reis Ferreira1, Maria João Matos2, Fátima Rodrigues3, Aurora Belo4, Hermínia Brites5, João Cardoso6, Paula Simão7, J Moutinho dos Santos8, João Almeida9, António Gouveia10, Cristina Bárbara11
1 Assistente Hospitalar Graduado de Pneumologia, Hospital da Força Aérea/Consultant, Pulmonology Specialist, Hospital Força Aérea
2 Assistente Hospitalar Graduada de Pneumologia, Hospital da Universidade Coimbra/Consultant, Pulmonology Specialist, Hospital Universidade Coimbra
3 Assistente Hospitalar Graduada de Pneumologia, Centro Hospitalar Lisboa Norte – Hospital Pulido Valente/Consultant, Pulmonology Specialist, Centro Hospitalar Lisboa Norte – Hospital Pulido Valente
4 Assistente Medicina Geral e Familiar, Boehringer-Ingelheim/Consultant, General Practice and Family Health, Boehringer-Ingelheim
5 Professora da Escola Superior de Tecnologias da Saúde de Lisboa/Professor, Lisbon Further Education College of Health Technologies
6 Chefe de Serviço de Pneumologia, Hospital de Sta Marta/Head, Pulmonology Unit, Hospital Sta. Marta
7 Assistente Hospitalar Graduada de Pneumologia, Hospital de Pedro Hispano/Consultant, Pulmonology Specialist, Hospital Pedro Hispano
8 Chefe de Serviço de Pneumologia, Centro Hospitalar de Coimbra/Head, Pulmonology Unit, Centro Hospitalar de Coimbra
9 Chefe de Serviço de Pneumologia, Hospital de S. João/Head, Pulmonology Unit, Hospital S. João
10 Professor de Biomatemática da Universidade Nova de Lisboa/Professor, Biomathematics, Universidade Nova de Lisboa
11 Chefe de Serviço de Pneumologia, Centro Hospitalar Lisboa Norte – Hospital de Pulido Valente/Head, Pulmonology Unit, Centro Hospitalar Lisboa Norte – Hospital de Pulido Valente
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João" "etiqueta" => "9" "identificador" => "af0045" ] 9 => array:3 [ "entidad" => "Professor de Biomatemática da Universidade Nova de Lisboa/Professor, Biomathematics, Universidade Nova de Lisboa" "etiqueta" => "10" "identificador" => "af0050" ] 10 => array:3 [ "entidad" => "Chefe de Serviço de Pneumologia, Centro Hospitalar Lisboa Norte – Hospital de Pulido Valente/Head, Pulmonology Unit, Centro Hospitalar Lisboa Norte – Hospital de Pulido Valente" "etiqueta" => "11" "identificador" => "af0055" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevalence of bronchial obstruction in a tobacco smoke exposed population – The PNEUMOBIL project" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-16" "fechaAceptado" => "2009-04-17" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570186" "palabras" => array:4 [ 0 => "Fumo do tabaco" 1 => "obstrução brôn-quica" 2 => "DPOC" 3 => "PNEUMOBIL" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570187" "palabras" => array:4 [ 0 => "Tobacco smoke" 1 => "bronchial obstruction" 2 => "COPD" 3 => "PNEUMOBIL" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A espirometria não atingiu ainda a divulgação que se justificaria em patologia respiratória, ou indivíduos que se encontram em risco relativamente a esta patologia, cujo diagnóstico é insuficiente, havendo um escasso conhecimento, e consequente controlo, dos custos atribuíveis a estas doenças, com destaque para a doença pulmonar obstrutiva crónica (DPOC).</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">O PNEUMOBIL, iniciativa que visa esta divulgação entre fumadores e ex-fumadores, foi reactivado, após 10 anos de aplicação em Portugal, revelando agora, numa amostra de 5324 indivíduos, em que cerca de 50% ainda mantêm os hábitos tabágicos, sejam do sexo masculino ou feminino, que houve uma elevada prevalência de obstrução detectada por espirometria (30% e 25%, respecti-vamente) nas pessoas rastreadas perto de centros de saúde (grupo público) e em empresas (grupo privado). Este risco não se explica em regra por exposição ocu-pacional, nem se relaciona com a maioria dos sintomas respiratórios, muito frequentes nos rastreados. Apenas a dispneia (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,28; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,02) e os episódios frequentes de expectoração (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,21; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,008) ou de bronquite aguda (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,31; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,05) revelam al-guma relação com a obstrução. O reconhecimento prévio da DPOC é muito reduzi-do e a presença de obstrução não se correlaciona (<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,204) com o assumir da condição de portador.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (5): 803-846</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">The use of spirometry is not yet widespread enough in chronic respiratory or at-risk patients whose diagnosis is incomplete. There is scarce knowledge and inadequate management of the burden of these diseases, particularly chronic obstructive pulmonary disease (COPD).</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Pneumobil, an initiative aimed at raising awareness among smokers and ex-smokers, was reactivated 10 years after its launch in Portugal. It found a large prevalence of bronchial obstruction as measured by spirometry (30% and 25% in men and women respectively) in a sample of 5324 smoke-exposed individuals, 50% current smokers, screened at state or business (private company group) health institutions. This risk is neither mainly attributable to occupational exposure nor mainly related to respiratory symptoms, which were very common in our population. Only dyspnoea (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.28; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.02) and frequent episodes of sputum production (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.21; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.008) or acute bronchitis (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.31; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.05) were somewhat related to bronchial obstruction. Prior knowledge of COPD is rare and bronchial obstruction is not correlated (<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.204) to a possible diagnosis of COPD.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (5): 803-846</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:14 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Projecto PNEUMOBIL" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.M. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "O papel da oscilometria de impulso no rastreio das alterações funcionais respiratórias numa amostra da população portuguesa" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.M. Reis Ferreira" 1 => "A. Paes Cardoso" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Port Pneumol" "fecha" => "1999" "volumen" => "V" "numero" => "4" "paginaInicial" => "387" "paginaFinal" => "392" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Cardoso" 1 => "J.M. Reis Ferreira" 2 => "J. Almeida" 3 => "J. Moutinhodos Santos" 4 => "F. 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Vermeire" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.06.00025905" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2006" "volumen" => "27" "paginaInicial" => "833" "paginaFinal" => "852" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16585092" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "GOLD Workshop Report (Revisão de 2008): <a href="http://www.goldcopd.org">www.goldcopd.org</a>." ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "ATS/ERS Task Force: Standardisation of lung function testing. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gender and chronic obstructive pulmonary disease – Why it matters" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "M.K. Han" 1 => "D. Postma" 2 => "D.M. Mannino" 3 => "N.D. Giardino" 4 => "S. Buist" 5 => "J.L. Curtis" 6 => "F.J. Martinez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/rccm.200704-553CC" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2007" "volumen" => "176" "paginaInicial" => "1179" "paginaFinal" => "1184" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17673696" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." 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Article information
ISSN: 08732159Original language: Portuguese
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