A Study On Bode Index as A Predictor of the Severity in Chronic Obstructive Pulmonary Disease
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 10
Abstract
Abstract: This study is conducted to determine whether higher BODE index in Chronic Obstructive Pulmonary Disease correlates with more years of cigarette smoking and also to determine whether higher BODE index is associated with more days of hospitalization. This prospective study was performed using a database with 60 patients with Chronic Obstructive Pulmonary Disease during August 2016- August 2017. Present study showed following results. The average age of participants in the study was 55.71 years. BODE index was found to increase with age with the mild group having a mean age of 53.47 years, moderate group 55.00 years and the severe group with 59.93 years as the mean age. The difference was statistically significant with a p value of 0.005. BODE score was significantly associated with the number of pack years of smoking,7.42 pack yrs in mildcases, 15.07 in moderate and 26.90 in severe cases. The average BMI of the patients in this study was 22.21 kg/m2. The BMI was found to be significantly lower in patients with COPD. It was 22.476 kg/m2 (standard deviation –2.455) in the mild group, 21.711 (std. deviation – 2.552) in the moderate group and 20.260 (std. deviation – 3.212) in the severe group. The study results showed that a higher BODE score was associated with a higher incidence of hospital stay due to reasons related to COPD, over the past 2 years. The control group and the mild COPD group did not have any significant hospital admission during the past 2 years. The average duration of stay in the moderate study group was 3.17 days while it was 16 days in the group with severe COPD according to the BODE score. This study concluded that BODE index is directly correlated with the duration and intensity of smoking.Thus this study concludes that BODE index is reliable method to predict hospitalization and the severity of systemic involvement in patients with COPD. Keywords:COPD, BODE index, cigarette smoking, hospital stay.
Authors and Affiliations
J. Sowmya, Pasula Ravi, Sravan Kuma, Dhanal kshmi
Keywords
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