Kronik Obstrüktif Akciğer Hastalığı Değerlendirme Testinin diğer sağlıklı yaşam kalitesi değerlendirme testleri ile ilişkisi

Abstract

Amaç: Stabil KOAH'ta Kronik Obstrüktif Akciğer Hastalığı (KOAH)'nın sağlık ve yaşam üzerindeki etkisini Kronik Obstrüktif Akciğer Hastalığı Değerlendirme Testi (CAT) ile değerlendirmek ve CAT'ın pratik kullanımını ölçmek. Yöntemler: Bu, son bir ayda alevlenme veya solunum fonksiyon testinde (SFT) reversibilite olmayan, ≥ 40 yaş stabil KOAH'lı hastaların katıldığı tek merkezli, kesitsel bir çalışmadır. Hastaların sağlık durumu ve solunum fonksiyonlarını değerlendirmek için CAT, SGRQ, BODE indeksi, PFT, altı dakikalık yürüme testleri (6 MWT) yaptık. CAT'ın solunum fonksiyon testleri, SGRQ skoru ve BODE indeksi ile korelasyonlarını analiz ettik ve CAT'nin iç tutarlılığını değerlendirdik ve CAT ve SGRQ için harcanan zamanı karşılaştırdık. Bulgular: Çalışmaya toplam 100 stabil KOAH hastası alındı, 87 hasta erkek ve ortalama yaş 63,68±7,73 idi. Ortalama CAT puanı 12.05±8.29 olup, test ve tekrar test CAT puanı arasında istatistiksel olarak anlamlı fark yoktu (p>0.05). Ortalama SGRQ skoru 37.75 ve ortalama BODE indeksi 3.2 idi ve CAT, hem SGRQ hem de BODE indeksi ile pozitif ve bir saniyedeki zorlu ekspiratuar hacim (FEV1) ile negatif korelasyon gösterdi. CAT, SGRQ'ya göre anlamlı olarak daha az zaman aldı (sırasıyla, 4,41±0,39 ve 8,21±0,75 dakika, p<0,05). Sonuç: CAT, stabil KOAH hastasının sağlıklı yaşam kalitesi ve fonksiyonel durumu hakkında SGRQ ve BODE indeksine benzer bilgi sağlayabilir ve daha az zaman harcar, bu nedenle daha pratik görünmektedir.

Keywords

• Yaşam Kalitesi
• KOAH
• CAT
• SGRQ
• BODE İndeksi

The correlation of Chronic Obstructive Pulmonary Disease Assessment Test with other healthy life quality assessment tests

Abstract

Objective: To evaluate the effect of Chronic Obstructive Pulmonary Disease (COPD) on health and life with the Chronic Obstructive Pulmonary Disease Assessment Test (CAT) in stable COPD and to measure CAT's practical use. Methods: This is a single-center cross-sectional study of which participants were ≥ 40 years old patients with stable COPD and without any exacerbation in the last one month or reversibility in pulmonary function test (PFT). To evaluate the patients' health status and respiratory functions, we performed CAT, SGRQ, BODE index, PFT, six-minute walking tests (6 MWT). We analyzed the correlations of CAT with the pulmonary function tests, SGRQ score, and BODE index and assessed the internal consistency of CAT, and compared the time consumed for CAT and SGRQ. Results: A total of 100 stable COPD patients were enrolled in the study, 87 patients were male and the mean age was 63,68±7,73. The mean CAT score was 12.05±8.29, and there was no statistically significant difference between the test and re-test CAT score (p>0.05). The mean SGRQ score was 37.75 and the mean BODE index was 3.2 and CAT correlated positively with both SGRQ and BODE index and negatively with forced expiratory volume in one second (FEV1). CAT was significantly less time-consuming compared to SGRQ (respectively, 4,41±0,39 and 8,21±0,75 minutes, p<0,05). Conclusions: CAT can provide information about the stable COPD patient's healthy life quality and functional status similar to SGRQ and BODE index and consumes less time, thus seems more practical.

Keywords

• Quality of life
• COPD
• CAT
• SGRQ
• BODE Index

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