Outcomes of Chronic Obstructive Pulmonary Disease Clinic in Yangtalad Hospital, Kalasin Province

Abstract

Background and Objective: Chronic Obstructive Pulmonary Disease (COPD) that caused by smoking is an increasingly mortality rate in Thailand. It causes poor life quality of patients. Recognizing such the patients with morbidity and mortality impact, we provided the patients with a COPD clinic in Yangtalad Hospital, Kalasin Province. The objective of study was to describe the outcomes of COPD clinic effect to COPD patients inducted to a safety treatment depend on clinical practice guideline.       

Method: This study was retrospective study. Data were collected from the medical records including in-patient records, Out-patient records and COPD clinic records, during 1 January 2007 to 31 December 2010. This study compared the outcomes before enrollment in COPD clinic 1 year and after enrollment in COPD clinic for a year. The samples were 296 patients who had continuous treatment in Yangtalad Hospital, and had total 148 patients who passed inclusion criteria of this study. Data were analysed using Paired t-test and McNemar test for comparison.

Results: A total of 148 patients were enrolled by the eligibility study. That was a half of all COPD patients in Yangtalad Hospital. Ninety five percent of patients were men (141 patients). Almost all patients had a mean of age more than 60 years old (64.99 years). Sixty six percent were a farmer, twenty three percent worked as employee and seven percent worked as government service. All patiens had a smoking history. The result presents that the setting of COPD clinic improved clinical outcomes of patients and induced a safety treatment depend on clinical practice guideline.

Conclusions: COPD clinic of outcome was able to performance activities of daily living and incerase  quality of life.

Keywords: COPD clinic of Outcome, COPD of treatment