TREATMENT MANAGEMENT OUTCOMES IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT CAM KHE REGIONAL MEDICAL CENTER, PHU THO PROVINCE
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Abstract
Objective: To describe the clinical and paraclinical characteristics and to evaluate the outcomes of outpatient treatment management of chronic obstructive pulmonary disease (COPD), together with associated factors, at Cam Khe Regional Medical Center, Phu Tho Province.
Subjects and methods: A cross-sectional study with longitudinal follow-up was conducted on 102 COPD patients diagnosed according to GOLD criteria and managed as outpatients at Cam Khe Regional Medical Center, Phu Tho Province, from June 2025 to June 2026, comparing baseline (T0) and 3-month follow-up (T3).
Results: Mean age was 71.1 ± 10.6 years; males accounted for 70.6%. GOLD grades 2-3 accounted for 72.5%; group E accounted for 59.8%; mean CAT score was 21.8 ± 4.9 and mean mMRC score was 3.3 ± 0.8. After 3 months, 53.9% had no exacerbation, 42.2% showed CAT improvement, and 30.4% showed mMRC improvement; 16.7% achieved all three criteria. Age ≥ 60 reduced the likelihood of CAT improvement (aOR = 0.23; 95%CI 0.05-0.93; p = 0.040), and disease duration ≥ 15 years reduced the likelihood of remaining exacerbation-free (aOR = 0.35; 95%CI 0.14-0.89; p = 0.027).
Conclusion: Outpatient COPD management at this regional healthcare facility achieved favorable exacerbation control, although the proportion of patients meeting all three treatment criteria simultaneously remained low. Older age and longer disease duration are independent prognostic factors that warrant attention in follow-up and risk stratification.
Keywords
Chronic obstructive pulmonary disease, treatment management, CAT, mMRC, regional healthcare
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References
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