Comorbidity among Hospitalized Patients with Chronic Obstructive Pulmonary Disease in a Teaching Hospital, West Java Indonesia
Abstract: One of the most
important causes that can increase the risk of hospitalization and death
in chronic obstructive pulmonary disease
is comorbidity. The aim of this study was to identify the proportion of
comorbidity among hospitalized patients with chronic obstructive pulmonary
disease in a teaching hospital, West Java, Indonesia, from January to December
2012.
Methods: A descriptive study was conducted from September to November 2013 in Internal
Medicine Department of Dr. Hasan Sadikin General Hospital Bandung. The study
used 107 medical records that consisted of data about patients with chronic
obstructive pulmonary disease (COPD) who were hospitalized between January to
December 2012. The medical records were collected using simple random sampling.
Variables identified in this study were characteristics of the patients (age,
sex, and smoking history) and comorbidity events. Comorbidity events were
coronary artery disease (CAD), lung cancer, diabetes mellitus (DM) type 2,
anemia, dyslipidemia, osteoporosis, depression, pulmonary artery hypertension
(PAH), and
hypertension. Age variable was divided into 3 categories with interval 20
years. All collected data were presented in frequency distribution.
Results: Most of the patients in this study were 50–69 years old, male, and had smoking history. The
highest proportion of comorbid condition was hypertension, followed by anemia
and coronary artery disease.
Conclusions: Patients with COPD have one or more other diseases
(comorbidity). Three most frequent comorbidities are hypertension, anemia, and
coronary artery disease.
Author: Dini Qurrotu Aini,
Hendarsyah Suryadinata, R. B. Soeherman Herdiningrat
Journal Code: jpkedokterangg150309