Prevalence of bronchial obstruction in a tobacco smoke exposed population – The PNEUMOBIL project
Prevalência de obstrução numa população exposta ao fumo do tabaco – Projecto PNEUMOBIL
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
Corresponding author
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" => "<span class="elsevierStyleSup">9</span>" "identificador" => "aff0045" ] 9 => array:3 [ "entidad" => "Professor de Biomatemática da Universidade Nova de Lisboa/Professor, Biomathematics, Universidade Nova de Lisboa" "etiqueta" => "<span class="elsevierStyleSup">10</span>" "identificador" => "aff0050" ] 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" => "<span class="elsevierStyleSup">11</span>" "identificador" => "aff0055" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondence to/Correspondência." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Prevalência de obstrução numa população exposta ao fumo do tabaco – Projecto PNEUMOBIL" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-16" "fechaAceptado" => "2009-04-17" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160331" "palabras" => array:4 [ 0 => "Tobacco smoke" 1 => "bronchial obstruction" 2 => "COPD" 3 => "PNEUMOBIL" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160330" "palabras" => array:4 [ 0 => "Fumo do tabaco" 1 => "obstrução brônquica" 2 => "DPOC" 3 => "PNEUMOBIL" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0025" 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="spar0030" 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.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" 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="spar0010" 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 mantem os habitos tabagicos, sejam do sexo masculino ou feminino, que houve uma elevada prevalencia de obstrucao detectada por espirometria (30% e 25%, respectivamente) nas pessoas rastreadas perto de centros de saude (grupo publico) e em empresas (grupo privado).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Este risco nao se explica em regra por exposicao ocupacional, nem se relaciona com a maioria dos sintomas respiratorios, 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 episodios frequentes de expectoracao (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 alguma relacao com a obstrucao.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O reconhecimento previo da DPOC e muito reduzido e a presenca de obstrucao nao se correlaciona (<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,204) com o assumir da condicao de portador.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
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| 2024 November | 2 | 0 | 2 |
| 2024 October | 25 | 25 | 50 |
| 2024 September | 29 | 31 | 60 |
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| 2023 August | 14 | 14 | 28 |
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