STUDY OF BODE INDEX AS A PREDICTOR OF HOSPITALISATION IN PATIENTS WITH COPD
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 32
Abstract
BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is a common preventable and treatable disease. WHO estimates that it will be the fifth leading cause of disability and the fourth leading cause of death by the end of 2030. Recently, a multidimensional grading system based on the Body Mass Index (B), Degree of Airflow Obstruction (O), Dyspnoea (D) and Exercise Capacity (E) - the BODE Index - has begun to be used increasingly for the evaluation of COPD patients. MATERIALS AND METHODS It is a prospective observational study conducted in Al-Azhar Medical College during the period of January 2015 to February 2016. RESULTS Among patients with COPD, 9 patients (18%) stayed in hospital for more than 8 days. 31 (62%) of them stayed between 5 - 7 days, whereas 10 (20%) stayed in hospital for less than 4 days. Also, the study results show that 40 (80%) patients were readmitted in hospital within 1 - 6 months of duration, 6 (12%) were readmitted within a month or less than a month and 4 (8%) were readmitted after 6 months only for the same symptoms. CONCLUSION The study could not reveal a significant correlation between BODE index and duration of hospital stay. But it revealed that BODE index is a very good predictor of frequency of hospital readmission rates.
Authors and Affiliations
Bonny Pullolil James, Vivek Sathyaseelan, Jineesh Joseph
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