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1.
Annals of the Academy of Medicine, Singapore ; : 556-565, 2021.
Artículo en Inglés | WPRIM | ID: wpr-887531

RESUMEN

INTRODUCTION@#Non-cystic fibrosis bronchiectasis (NCFB) is a highly heterogenous disease. We describe the clinical characteristics of NCFB patients and evaluate the performance of Bronchiectasis Severity Index (BSI) in predicting mortality.@*METHODS@#Patients attending the bronchiectasis clinic between August 2015 and April 2020 with radiologically proven bronchiectasis on computed tomography were recruited. Clinical characteristics, spirometry, radiology, microbiology and clinical course over a median period of 2.4 years is presented.@*RESULTS@#A total of 168 patients were enrolled in this prospective cohort study. They were predominantly women (67.8%), Chinese (87.5%) and never-smokers (76.9%). Median age of diagnosis was 64 years (interquartile range 56-71) and the most common aetiology was "idiopathic" bronchiectasis (44.6%). Thirty-nine percent had normal spirometries. Compared to female patients, there were more smokers among the male patients (53.8% versus 8.5%, @*CONCLUSION@#The NCFB cohort in Singapore has unique characteristics with sex differences. Over half the patients had a history of haemoptysis. The BSI score is a useful predictor of mortality in our population.


Asunto(s)
Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Bronquiectasia/epidemiología , Estudios de Cohortes , Fibrosis , Estudios Prospectivos , Neumología , Índice de Severidad de la Enfermedad , Singapur/epidemiología
2.
Singapore medical journal ; : 60-63, 2016.
Artículo en Inglés | WPRIM | ID: wpr-296478

RESUMEN

Chronic cough is one of the most common reasons for referral to a respiratory physician. Although fatal complications are rare, it may cause considerable distress in the patient's daily life. Western and local data shows that in patients with a normal chest radiograph, the most common causes are postnasal drip syndrome, postinfectious cough, gastro-oesophageal reflux disease and cough variant asthma. Less common causes are the use of angiotensin-converting enzyme inhibitors, smoker's cough and nonasthmatic eosinophilic bronchitis. A detailed history-taking and physical examination will provide a diagnosis in most patients, even at the primary care level. Some cases may need further investigations or specialist referral for diagnosis.


Asunto(s)
Humanos , Asma , Diagnóstico , Enfermedad Crónica , Tos , Diagnóstico , Diagnóstico Diferencial , Reflujo Gastroesofágico , Diagnóstico
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