Gender aspect of comorbidities in COPD patients in primary care

Abstract

Introduction: a problem of multi-morbidity - the increase in the multiplicity of diseases with age, which reflects, first of all, involutional processes and comorbidity - the deterministic possibility of their combination, is particularly difficult. Objective: to study gender characteristics of comorbid conditions and determine the degree of their influence on mortality in COPD. Materials and Methods: conducted a 6-year clinical observations in COPD p-s (n = 518; 389 were males, mean age - 66,2 ±13,9 years). The Carlson Comorbidity Index (CCI; 1987), the geriatric Cumulative Illness Rating Scale (CIRS-G), Barthel Index (BI) were evaluated. Results: CCI was in group A - 3,2 ± 1,1; in B - 3,8 ± 0,9; in C - 4,6 ± 1,0; in D - 3,9 ± 0,8 (all p 4 scores (odds ratio [OR] 4.92; 95% confidence interval [CI], 3.89-6.34; p Conclusion: Associated pathology forms a syndrome of mutual aggravation, which leads to an increased risk of death in the assessment by CCI with mandatory consideration of gender differences, which should be taken into account in the development of treatment plans for COPD patients.