ĐẶC ĐIỂM LÂM SÀNG VÀ TỶ LỆ ĐỢT CẤP CỦA NGƯỜI BỆNH COPD ĐIỀU TRỊ NGOẠI TRÚ TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP

Abstract

Objective: To describe the clinical characteristics and exacerbation rates of COPD patients managed and treated on an outpatient basis at VietTiep Friendship Hospital in 2025. Subjects and Methods: A cross-sectional study was conducted on 91 COPD patients receiving outpatient treatment at Viet Tiep Friendship Hospital from from January to March 2024. Data were collected through direct interviews, CAT and mMRC questionnaires, and medical records. Results: The average age was 70.9 ± 9.7 years, with males accounting for 76.9%. The comorbidity rate was high (76.3%), with hypertension (46.2%) and diabetes (22.0%) being the most common. Persistent respiratory symptoms were predominant, particularly dyspnea (91.2%), cough (83.5%), and sputum production (79.1%), with symptoms worsening in the morning (60.4%). The average mMRC score was 2.1 ± 1.1, and the average CAT score was 15.8 ± 6.0. GOLD classification showed that the majority of patients belonged to group D (60.4%). The proportion of patients experiencing at least one exacerbation per year was 71.4%, with an average of 2.5 ± 1.4 exacerbations annually, of which 50.5% required hospitalization. Conclusion: COPD patients experience a high symptom burden, significant comorbidities, and a high risk of exacerbations. Comprehensive management, including symptom control, exacerbation prevention, and comorbidity management, is essential to reduce exacerbation frequency and improve patients' quality of life.