Avaliação de fatores de risco para osteoporose e fratura osteoporótica em pacientes com doença pulmonar obstrutiva crônica

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) has a systemic inflammatory character with extrapulmonary manifestations, such as osteoporosis. In order to identify early the predisposition to fractures by fragility, the FRAX tool was developed by the World Health Organization (WHO) that together with the methodology developed by the National Osteoporosis Guideline Group (NOGG) guide the therapeutic decision with risk stratification. Objectives: To assess the risk of osteoporotic fractures in COPD patients as predicted by the FRAX tool and to identify the population for which treatment is indicated following the NOGG methodology. Methods: This is a descriptive cross-sectional study with 52 participants with COPD (GD) being followed at the Pulmonology Outpatient Clinic at HU-UFS and compared with a control group of healthy people (CG) by applying a questionnaire in an outpatient setting. Results: Regarding the NOGG methodology, for the hip fracture risk, the DG presented a larger number of patients (51.2%), as well as for the greater fracture risk (36.5%) compared to the participants of the hip fracture. CG who had a high risk of hip fracture (23.07) and a high risk of major fracture in (13.46). The high risk of hip fracture and major fracture was high in both sexes. Conclusion: It is concluded that according to data obtained through the FRAX tool and NOGG methodology, COPD patients have an increased risk for osteoporotic fractures, especially hip fractures, when compared to people without this pathology and could benefit from the application of this instrument in prevention. of fragility fractures