Kronik obstrüktif akciğer hastalarında KOAH değerlendirme testi (CAT)'nin solunumsal fonksiyon testleri, dispne ölçüm skalaları, ST . georges solunumsal anketi ile korelasyonu ve erken dönem hastaneye yatış riskini belirlemede kullanılabilirliği
The availibilty of copd assessment test (cat)in determination of risk of early hospitalization in chronic obstructive pulmonary disease patients and its corelation with pulmonary function tests, dyspnea measurement scales and ST george S respiratory quastionnare
- Tez No: 412830
- Danışmanlar: DOÇ. DR. EMİN MADEN
- Tez Türü: Tıpta Uzmanlık
- Konular: Göğüs Hastalıkları, Chest Diseases
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2013
- Dil: Türkçe
- Üniversite: Necmettin Erbakan Üniversitesi
- Enstitü: Meram Tıp Fakültesi
- Ana Bilim Dalı: Göğüs Hastalıkları ve Tüberküloz Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 85
Özet
Bulgular: Çalışmaya 48 erkek (%92,3) ve 4 kadın (%7,7) olmak üzere 52 hasta alındı. Ortalama yaş 64 ± 9 (40-80) idi. Ortalama hastalık süresi 10,7 ± 7 (1-30) yıl iken ortalama sigara (46 hasta) paket/yıl 51,8 ±25 (15-150) idi. Hastaların 19‟u (%36,5) poliklinik hastasıyken 33‟ü (%63,5) serviste takip edilen hastalardan oluşmaktaydı. Hastaların 28 (%53,8) tanesi önceki 1 yıl içinde hastanede yatış öyküsüne sahipken 24‟ünde (%46,2) önceki 1 yılda yatış öyküsü yoktu. Ortalama CAT puanı 24,9 ±9,7 ve ortalama CAT doldurma süresi 3,15 dk. idi. Hastaların CAT skoru incelendiğinde yatan hastaların skoru ayaktan hastalara kıyasla istatistiksel olarak anlamlı yüksekti (29,73± 8,37 karşı 17,21± 6,80 ve p
Özet (Çeviri)
Aim:Classically pulmonary function tests are used to diagnose, determine the severity and evaluate treatment response in COPD patients. In many clinical studies a decision is made by assessment of variation in FEV1 value. However, COPD is an airway flow restriction that is not responded or partially responded to bronchodilators, so to evaluate the course of the disease the life quality and symptoms of the patients should also be taken into consideration. In this study, we aimed to compare the newly defined, targeting to measure the life quality of patient, COPD assessment test (CAT) with other tests defined before for the same purpose and which are long lasting in daily practice; and to show the availability of CAT in prediction of early hospital admission of COPD patients. Materials and method:COPD patients presented to outpatient and inpatient clinic of NecmettinErbakan University Meram Medical Faculty Pulmonary Medicine Department were enrolled to the study. Age, file numbers, phone numbers, disease period, COPD stage, smoking and environmental biomass exposure history, COPD exacerbation and hospitalization history in the past 1 year period and 3 months period after the test (with the phone calls and hospital records) and co-morbidities of the patients were recorded. In our clinic pulmonary function test laboratory, pre-bronchodilator and post-bronchodilator pulmonary function tests were done. In aseptic conditions, arterial blood gas analysis from radial artery and synchronous digital oxygen saturation by pulse oximetry were recorded. However, cases using systemic steroid were not included to study. After these test, in a silent room face to face m MRC, SGRQ and CAT were done with a chronometry, by the method clinician asking the questions and marking the answers. The patients were asked to mark the Borg scale after a 10 to 15 minutes of exercise. SGRQ score was measured in computer. vii Results:Forty eight male(92,3%) and 4 female (7,7%), totally 52 patients were enrolled to the study. Mean age was 64 ± 9 (40-80). While mean disease time was 10,7 ± 7 (1-30) years, mean smoking period was (46 patients) 51,8 ±25 (15-150) pack-years. Nineteen (36,5%) of patients was from outpatient clinic and 33 (63,5%) of them were comprised of patients followed in inpatient clinic. While, 28 (53,8%) of patients had a history of hospitalization in the past 1 year, 24 (46,2%) of them did not have hospitalization history. Mean CAT score was 24,9 ±9,7 and mean CAT fill time was 3,15 min.When we evaluate the CAT score of the patients; the score of inpatient cases were statistically significantly higher that cases compared to outpatient clinic (29,73± 8,37 versus 17,21± 6,80 and p
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