Opportunistic screening for COPD among socially marginalized patients.

Journal: BMC pulmonary medicine

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Quality and Patient Care, Copenhagen University Hospital - Hvidovre, Copenhagen, Denmark. Department of Clinical Research, Copenhagen University Hospital - Hvidovre, Copenhagen, Denmark. mette.bendtz.lindstroem@regionh.dk. Department of Respiratory Medicine, Copenhagen University Hospital - Hvidovre, Copenhagen, Denmark. Department of Clinical Research, Copenhagen University Hospital - Hvidovre, Copenhagen, Denmark. Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University Health, Aarhus, Denmark. Center for Clinical Research and Prevention, Copenhagen University Hospital- Frederiksberg, Frederiksberg, Denmark. REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark. Department of Multidisease, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.

Abstract summary 

Chronic obstructive pulmonary disease (COPD) is a common disease associated with premature death. Tobacco exposure is the main risk factor, but lower socioeconomic status, early life insults, and occupational exposures are also important risk factors. Socially marginalized people, facing homelessness, substance use disorder, and mental illness, are likely to have a higher risk of developing COPD, and, furthermore, experience barriers to healthcare access and consequently poorer outcomes.This study aims to assess COPD prevalence and the impact of opportunistic screening among hospitalized patients who are in contact with hospital social nurses. These patients constitute a group of patients with a high prevalence of psychiatric and somatic diseases, substance use, low life expectancy, and are socially marginalized.The present prospective longitudinal study includes a clinical examination at baseline. Participants will have spirometry done and be interviewed regarding risk factors, socioeconomic conditions, and respiratory symptoms. The 5-year follow-up assessment incorporates data from baseline and register data over the 5 years, including information on morbidity, use of COPD medication, hospital contacts, mortality, and socioeconomic factors.Referral for further diagnostic work-up and management after the screening, including COPD treatment and smoking cessation support, is expected to improve survival rates. The study is still enrolling patients.The study is registered at ClinicalTrials.gov , NCT04754308 with study status: "enrolling".

Authors & Co-authors:  Brünés Lindstroem Ulrik Andersen Lisby Godtfredsen Hansen Pisinger Graven Marsaa Thomsen

Study Outcome 

Source Link: Visit source

Statistics
Citations :  2022,2023 Global initiative for chronic obstructive lung disease, available from www.goldcopd.org, published in deer Park, IL, USA, https://goldcopd.org/wp-content/uploads/2023/03/GOLD-2023-ver-1.3-17Feb2023_WMV.pdf. Accessed 5 Dec 2023.
Authors :  11
Identifiers
Doi : 113
SSN : 1471-2466
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
COPD;Equality in healthcare;Nursing;Screening
Study Design
Longitudinal Study
Study Approach
Country of Study
Publication Country
England