The concept of pre-COPD: development and feasibility in primary health care

BACKGROUND: Chronic obstructive pulmonary disease is often not diagnosed as a preventable disease. The primary physician needs diagnostic tool to detect chronic at an early stage.
 AIM: To develop the concept of detection through that stratifies patients according risk development.
 MATERIALS AND METHODS: Random sample persons 3570 years from lists provided by 15 polyclinics Saint Petersburg and Arkhangelsk (cross-sectional study, n = 2388). Cohort prospective study (respondents with fixed or variable obstruction, 167). All respondents were asked about demographic data, smoking history, factors, presence symptoms. Spirometry bronchodilator was performed for all participants.
 RESULTS: Fixed obstruction found in 6.8% participants first phase; associated male sex, status over 10 packs/years, age 55 years, cough shortness breath. Of 65 members cohort 23.1% had after year, factors which more than night forced expiratory volume 1 second less lower limit normal.
 CONCLUSIONS: Based on results two phases developed general population identifying group people preserved lung function high-risk factors.