Chronic obstructive pulmonary disease

Introduction and Objective The Chronic Obstructive Pulmonary Disease (COPD) is preventable, treatable and with increasing prevalence, however underdiagnosed. In Portugal, in 2013 only 0,88% of population was diagnosed with COPD in Primary Health Care and only 8.71% had the diagnosis confirmed by spirometry. The aim is to determine the prevalence of COPD in adults (≥18years) in Family Health Unit D. Sancho I, characterizing its distribution by sex and age groups, as well as register the presence of smoking habits, spirometry and treatment. Method Cross-sectional study based on data collected from MIM@UF® program at 23/11/2015. Data were treated using the Excel®. Results and Conclusions In a total of 9355 adults, was obtained a sample of 118 users with COPD (1.3%). The estimated prevalence of COPD in Portugal is 5.3%, therefore in the sample the number is lower than estimated (118vs.495 estimated users). As expected, the prevalence increases with age (71.2% with>60years) and is more prevalent in males (72%). In contrast, tobacco use is the main risk factor (90%), in the sample a lower value (58.5%) was found. Only 47.5% of the users have a registered spirometry, despite the diagnosis of COPD is based on needs one. In relation to treatment, it was found that 46.0% of patients treated with monotherapy or dual therapy are treated with inhaled corticosteroid, however the GOLD guidelines recommend one or more long-acting bronchodilators prior to its introduction. In conclusion, this pathology remains very underdiagnosed and a major impact on the quality of life for our users.