BAP-65 as a predictive tool for assessment of severity and inhospital mortality in patients with acute exacerbation of COPD
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
As COPD progresses, patients develop more frequent and severe exacerbations. AECOPDs can range in severity from mild to life threatening. A disease specific severity of illness score for AECOPD would serve to improve treatment. It would identify patients who might potentially benefit for early and aggressive use of selected interventions, such as noninvasive ventilation. In this study, we selected BAP-65 score as a predictive tool for assessing the severity and the need for mechanical ventilation or mortality in AECOPD patients. 80 patients were included in the study and grouped basing on the score. Accordingly 9, 30, 24,12,5 patients were grouped under score groups 0,1,2,3,4 respectively. Analysing the data statistically for the correlation between the total score and end points showed that as the score increases from 0 to 4 the need for mechanical ventilation as well as the mortality increases in the patients and this correlation is found to be statistically significant (P<0.05). Similarly the individual components of BAP-65 as a predictor of end points showed a statistically significant correlation between them.
Authors and Affiliations
Dr. Vipparthi Suryakumari, Dr. Kothapalli Ram Kumar, Dr. Gorantla Sambasiva Rao, Dr. Venkatesh Vulli, Dr. Ch. Radhika, Dr. G. Hani, Dr. M. Veerababu
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