Articles Vol. 67 No. 6 25/06/2026

THE CLINICAL, PARACLINICAL CHARACTERISTICS AND QUALITY OF LIFE OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AT FRIENDSHIP HOSPITAL

Vu Van Kieu1,2, Nguyen Tien Dung1,2
1 Friendship Hospital
2 Bệnh viện Hữu Nghị
DOI: 10.52163/yhc.v67i6.5449
64 Views
44 Downloads
Keywords
Chronic obstructive pulmonary disease, quality of life.
Abstract

Objective: To describe the clinical, paraclinical characteristics and quality of life of patients with chronic obstructive pulmonary disease at Friendship Hospital.

Subjects and methods: A cross-sectional descriptive study was conducted on 60 patients diagnosed with stable chronic obstructive pulmonary disease who were being managed at the Respiratory and Allergy Department, Friendship Hospital, from November 2024 to April 2025.

Result: 93.3% of patients had been exposed to cigarette smoke. According to the ABE classification: group E (76.7%), group B (16.7%), group A (6.6%). 41.7% of patients had chronic obstructive pulmonary disease for more than 10 years, 33.3% had chronic obstructive pulmonary disease for 5-10 years, and the remainder had chronic obstructive pulmonary disease for less than 5 years. 51.7% of patients were using their chronic obstructive pulmonary disease prophylactic inhaler incorrectly. Dyspnea on exertion (73.3%), cough (58.3%), sputum production (46.7%), chest tightness (20%), decreased pulmonary ventilation (86.7%). Stage classification according to FEV1: mainly in the moderate (46.7%) and severe (38.3%) stages. Chest X-ray characteristics: widened intercostal spaces (90%) and dirty lung appearance (75%). Chest CT characteristics: most common findings were alveolar dilation (73.3%) and bronchiectasis (26.7%). Increased pulmonary artery pressure accounted for 36.4% of cases. 33.3% of patients had eosinophils above 300 cells/μL. Quality of life of COPD patients according to the SGRQ-C scale: general, symptoms, activity, impact were 1.18 ± 22.90; 58.83 ± 22.74; respectively. 56.90 ± 22.59; 44.53 ± 24.49.

Consclusion: Most patients with stable chronic obstructive pulmonary disease at Friendship Hospital are in group E with moderate to severe FEV1; a high percentage have had the disease for more than 5 years. Common clinical symptoms include: shortness of breath on exertion, cough, and sputum production. Many patients have emphysema, pulmonary hypertension, and eosinophilia. Quality of life is reduced.

References
[1]
Agarwal A.K, Raja A, Brown B.D. Chronic obstructive pulmonary disease. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2026 Jan. Google Scholar
[2]
Lozano R, Naghavi M, Foreman K et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 2012, 380 (9859): 2095-128. doi: 10.1016/s0140-6736(12)61728-0 Google Scholar
[3]
Lim S, Lam D.C, Muttalif A.R et al. Impact of chronic obstructive pulmonary disease (COPD) in the Asia-Pacific region: the EPIC Asia population-based survey. Asia Pac Fam Med, 2015, 14 (1): 4. doi: 10.1186/s12930-015-0020-9 Google Scholar
[4]
Venkatesan P. GOLD COPD report: 2024 update. Lancet Respir Med, 2024, 12 (1): 15-16. doi: 10.1016/s2213-2600(23)00461-7 Google Scholar
[5]
Trần Thị Lý, Đinh Thị Yến, Lê Thị Vân. Chất lượng cuộc sống của người bệnh phổi tắc nghẽn mạn tính điều trị ngoại trú tại Bệnh viện Phổi Hà Nội. Tạp chí Y học Việt Nam, 2024, 537 (2): 97-101. Google Scholar
[6]
Lê Nhật Huy. Nghiên cứu đặc điểm dịch tễ học lâm sàng và đánh giá kết quả can thiếp điều trị bệnh phổi tắc nghẽn mạn tính tại tỉnh Nghệ An. Luận án tiến sĩ y học, Trường Đại học Y Hà Nội, 2020. Google Scholar
[7]
Horner A, Olschewski H, Hartl S et al. Physical activity, depression and quality of life in COPD - Results from the CLARA II study. Int J Chron Obstruct Pulmon Dis, 2023, 18: 2755-2767. doi: 10.2147/copd.S435278 Google Scholar
[8]
Chaouat A, Naeije R, Weitzenblum E. Pulmonary hypertension in COPD. Eur Respir J, 2008, 32 (5): 1371-85. doi: 10.1183/09031936.00015608 Google Scholar
[9]
Couillard S, Larivée P, Courteau J, Vanasse A. Eosinophils in COPD exacerbations are associated with increased readmissions. Chest, 2017, 151 (2): 366-373. doi: 10.1016/j.chest.2016.10.003 Google Scholar
[10]
Rehman A.U, Hassali M.A.A, Harun S.N et al. Validation and clinical interpretation of the St George’s respiratory questionnaire for COPD (SGRQ-C) after adaptation to Malaysian language and culture, in patients with COPD. Health Qual Life Outcomes, 2020, 18 (1): 138. doi: 10.1186/s12955-020-01393-1 Google Scholar