Comparisons of asthma, emphysema, and chronic bronchitis diagnoses in a general population sample.
Comparisons of asthma, emphysema, and chronic bronchitis diagnoses in a general population sample.
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一般人群样本中哮喘、肺气肿和慢性支气管炎诊断的比较。
DOI：
10.1164/arrd.1986.133.6.981
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Burrows,B
中科院分区：
文献类型：
--
作者：
Dodge,R;Cline,MG;Burrows,B
本报告分析了一项社区研究的前8年诊断出的阻塞性肺病病例。在351名接受社区医生新诊断为哮喘、肺气肿或慢性支气管炎的受试者中，152名（44.5%）先前或同时诊断为另一种阻塞性疾病。哮喘常见于年轻人，肺气肿常见于老年人，慢性支气管炎常见于所有年龄组。在老年受试者中，疾病组惊人地相似，在诊断的受试者中，包括肺气肿患者，经常出现喘息、呼吸困难和呼吸短促发作。大多数发生肺气肿的受试者是男性。相比之下，72.8%的哮喘和慢性支气管炎患者是女性。这些结果表明，医生的偏见可能导致将男性患者标记为肺气肿，而将女性患者标记为哮喘或支气管炎。
This report is an analysis of cases of obstructive lung disease diagnosed during thefirst 8 yr of a community study. Of 351 subjects who received a new diagnosis of asthma, emphysema, or chronic bronchitis from community physicians, 152 (44.5%) had a prior or concomitant diagnosis of another obstructive disease. Asthma developed most often in young subjects, emphysema in older subjects, and chronic bronchitis occurred in all age groups. Among older subjects, disease groups were surprisingly similar, with wheeze, dyspnea, and attacks of shortness of breath with wheeze all occurring frequently in diagnosed subjects, including those with emphysema. The majority of subjects who developed emphysema were males. In contrast, 72.8% of the asthma and chronic bronchitis subjects were females. These results suggest that physician bias may result in labeling male patients as emphysematous and female patients as asthmatic or bronchitic.