The Clinical Profile of Patients with COPD Is Conditioned by Age.
Diego MorenaJosé Luis IzquierdoJuan RodríguezJesús CuestaMaría Benavent-NúñezAlejandro PerralejoJosé Miguel Rodríguez González-MoroPublished in: Journal of clinical medicine (2023)
In recent years, many studies have analyzed the importance of integrating time, or aging, into the equation that relates genetics and the environment to the development and origin of COPD. Under conditions of daily clinical practice, our study attempts to identify the differences in the clinical profile of patients with COPD according to age and the impact on the global burden of the disease. This study is non-interventional and observational, using artificial intelligence and data captured from electronic medical records. The study population included patients who were diagnosed with COPD between 2011 and 2021. A total of 73,901 patients had a diagnosis of COPD. The mean age was 73 years (95% CI: 72.9-73.1), and 56,763 were men (76.8%). We observed a specific prevalence of obesity, heart failure, depression, and hiatal hernia in women ( p < 0.001), and ischemic heart disease and obstructive sleep apnea (OSA) in men ( p < 0.001). In the analysis by age ranges, a progressive increase in cardiovascular risk factors was observed with age. In conclusion, in a real-life setting, COPD is a disease that primarily affects older subjects and frequently presents with comorbidities that are decisive in the evolutionary course of the disease.
Keyphrases
- chronic obstructive pulmonary disease
- artificial intelligence
- lung function
- heart failure
- obstructive sleep apnea
- cardiovascular risk factors
- machine learning
- metabolic syndrome
- clinical practice
- big data
- cardiovascular disease
- physical activity
- newly diagnosed
- risk factors
- end stage renal disease
- multiple sclerosis
- chronic kidney disease
- insulin resistance
- weight loss
- adipose tissue
- left ventricular
- gene expression
- deep learning
- prognostic factors
- polycystic ovary syndrome
- middle aged
- body mass index
- electronic health record
- dna methylation
- positive airway pressure
- weight gain
- cross sectional
- skeletal muscle
- peritoneal dialysis
- pregnancy outcomes
- cardiac resynchronization therapy