The Geographical Distribution of Morbidity Caused By Chronic Obstructive Pulmonary Disease in Turkey: COPDTURKEY-2

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is oneof the most prevalent causes for morbidity and mortality, and it createsa cumulative economic and social burden.Aims: To determine the distribution of the prevalence of patients inTurkey who were diagnosed with COPD and their morbidity rates,according to the regions and cities they belong to. Moreover, the studycontributes to the prevention and cure services of COPD that shouldbe planned in the future.Study Design: A retrospective cohort.Methods: The database of the Social Security Institution from 2016has been scanned. All the data with prescription registration, with thecode ICD-10, J44.0-J44.9, which were aimed for diagnosing and/orcure, have been evaluated with a retrospective cohort.Results: In 2016, 955,369 patients who were admitted as outpatientsto the hospitals were diagnosed with COPD. The average number ofannual COPD cases that were admitted was 2.09. Twenty percent(20%) of the outpatient applications were via emergency room. Therate of hospitalization among the applicants was 17.75%, with a totalof 1,994,325. The average annual number of hospitalizations of menwas higher than that of women. The average number of hospitalizationdays was 6.52. The region with the highest prevalence of outpatientadmission and hospitalization was the Black Sea Region.Conclusion: The high rate of hospitalization was considered to be theoutcome of the insufficient “outpatient” management.