STUDY OF SOCIODEMOGRAPHIC AND CLINICAL PROFILE OF SMOKER AND NON-SMOKER COPD PATIENTS ATTENDING A TERTIARY CARE CENTRE IN NORTH INDIA

Abstract

COPD is the third leading cause of death worldwide and the second leading cause of death in India. There are so many factors that contribute to the development of COPD and determine its progression and severity. This study was done to know the Sociodemographic and clinical proles of smoker and non-smoker COPD patients attending a tertiary care centre in North India. This was a hospital-based prospective andMaterial and Method: observational study conducted in the Department of TB and Respiratory Diseases, S.N. Medical College, Agra. Patients were recruited for the study based on GOLD criteria (Post Bronchodilator FEV1/FVC < 0.7). Patients were evaluated based on demographic characteristics and clinical features. Results: Among the total eligible patient's prevalence of smoker COPD patients was 62.96% and the prevalence of non-smoker patients was 37.04%. Among the eligible 108 cohort patients, 70 (64.81%) were males and 38 (35.18%) were females. Female patients were higher in the non-smoker group (75%). The higher number of patients enrolled were from a rural background (60.18%). Mean age of the population was 48.8 years with a majority of patients lying in the younger age group and were malnourished (BMI<18.5). Breathlessness was the most common symptom reported (49%) and smoker COPD patients were having severe dyspnoea (46.29%). 37.04% prevalence of non-smoker COPD was noted. Early detectionConclusion: with the help of spirometry will be helpful in not only modifying the disease course but also delaying and preventing fatal complications. Hence, patients may be treated earliest by various measures like lifestyle modication, smoking cessation, etc.