Health Related Quality Of Life among Chronic Obstructive Pulmonary Disease Patients and Its Determinants in a Hospital Based Observational Study from South India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Background: Burden of Chronic Obstructive Pulmonary Diseases (COPD) throughout the world is increasing and likely to increase in the future with increasing burden of air pollutants and ageing of the population. It is not only associated with death but also affects quality of life. This study aimed to find the quality of life of patients suffering from COPD and its demographic and clinical correlates. Methods: Hospital based cross-sectional study conducted in two tertiary care centers. Basic demographic details were collected from the 250 participants. Each participant under went anthropometry, skin fold thickness, six minutes walk test, spirometry followed by spirometry with bronchodilator. This was followed by filling of St. George Respiratory Questionnaire, Patient Health Questionnaire-9 (PHQ-9), Modified Medical Research Council (MMRC), COPD Assessment Test(CAT) questionnaires. BMI and BODE index was calculated. Results: Around 76% participants were male and 78% had normal BMI. 80% participants were smokers. Around 35% of participants belonged to MMRC grade 2. Mean CAT score was 25.5 with SD of 6.1. 42% participants belong to GOLD stage 2. On multivariate analysis, BODE index and GOLD stage 4 only were significantly associated with SGRQ score and its components. Conclusion: Health related quality of life (HRQL) as measured by SGRQ was found to be poor in COPD patients. BODE index was found to be a better predictor of HRQL in these patients.
Authors and Affiliations
S. Elamparithi, K. Bharathi Babu
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