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Under-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Country

2009-07Journal article Open access
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dc.contributor.authorMartins, P
dc.contributor.authorRosado-Pinto, J
dc.contributor.authordo Céu Teixeira, M
dc.contributor.authorNeuparth, N
dc.contributor.authorSilva, O
dc.contributor.authorTavares, H
dc.contributor.authorSpencer, JL
dc.contributor.authorMascarenhas, D
dc.contributor.authorPapoila, AL
dc.contributor.authorKhaltaev, N
dc.contributor.authorAnnesi-Maesano, I
dc.date.accessioned2016-03-18T10:51:45Z
dc.date.available2016-03-18T10:51:45Z
dc.date.issued2009-07
dc.description.abstractBACKGROUND: Chronic respiratory diseases (CRD) are greatly underestimated. The aim of this study was to assess the burden associated with reported CRD and chronic obstructive pulmonary disease, as defined on the basis of various standardized criteria, by estimating their point prevalence in a sample of individuals attending the Primary Health Care (PHC) level and Emergency Room (ER) Departments in Cape Verde (CV) archipelago. The second aim of the study was to identify factors related to airways obstruction and reported CRD in this population. METHODS: A cross-sectional study was carried out in CV during 2 weeks. Outpatients aged more than 20 years seeking care at PHC level and ER answered a standardized questionnaire and were subjected to spirometry, independently of their complaint. Two criteria for airways obstruction were taken into account: forced expiratory volume (FEV(1)) <80% of the predicted value and FEV(1)/forced vital capacity (FVC) ratio <0.70. RESULTS: A total of 274 individuals with a satisfactory spirometry were included. 22% of the individuals had a FEV(1) < 80%. Individuals older than 46 years had a higher risk of having airways obstruction. Asthma diagnosis (11%) had a clear association with airways obstruction. Smoking was a risk factor for a lower FEV(1). Working in a dust place and cooking using an open fire were both related to chronic bronchitis and asthma diagnosis. CONCLUSION: Under-report and underdiagnosis of chronic respiratory conditions seem to be a reality in CV just as in other parts of the world. To improve diagnosis, our results reinforce the need of performing a spirometrypt_PT
dc.identifier.citationAllergy. 2009 Jul;64(7):1061-7pt_PT
dc.identifier.doi10.1111/j.1398-9995.2009.01956.xpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2431
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBlackwell Munksgaardpt_PT
dc.subjectAsthma/diagnosispt_PT
dc.subjectAsthma/epidemiologypt_PT
dc.subjectBronchitis, Chronic/diagnosispt_PT
dc.subjectEmphysema/diagnosispt_PT
dc.subjectEmphysema/epidemiologypt_PT
dc.subjectPulmonary Disease, Chronic Obstructive/diagnosispt_PT
dc.subjectPulmonary Disease, Chronic Obstructive/epidemiologypt_PT
dc.subjectTuberculosis/diagnosispt_PT
dc.subjectTuberculosis/epidemiologypt_PT
dc.subjectForced Expiratory Volumept_PT
dc.subjectSpirometrypt_PT
dc.subjectSmoking/adverse effectspt_PT
dc.subjectRisk Factorspt_PT
dc.subjectCross-Sectional Studiespt_PT
dc.subjectSurveys and Questionnairespt_PT
dc.subjectPrevalencept_PT
dc.subjectAdultpt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectCape Verde/epidemiologypt_PT
dc.subjectHDE ALERpt_PT
dc.titleUnder-Report and Underdiagnosis of Chronic Respiratory Diseases in an African Countrypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1067pt_PT
oaire.citation.issue7pt_PT
oaire.citation.startPage1061pt_PT
oaire.citation.volume64pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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