Pulmonary Rehabilitation |

BODE Index and Quality of Life in COPD Patients Addressed for Pulmonary Rehabilitation FREE TO VIEW

Paraschiva Postolache, MD; Alina Croitoru; Marius Duna, MD; Stefan Dumitrache-Rujinski, MD; Claudia Toma, MD; Miron Bogdan, MD
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National Institute of Pneumology, Bucharest, Romania

Chest. 2014;146(4_MeetingAbstracts):810A. doi:10.1378/chest.1994541
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SESSION TITLE: Physiology/PFTs/Rehabilitation Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: Lung function tests, quality of life questionnaires and multifactorial prognostic BODE index are complementary measures used to evaluate the status of COPD patients.The aim of this study was to assess the relation between quality of life and prognostic BODE index among COPD patients addressed for pulmonary rehabilitation.

METHODS: The studied patients performed: lung function tests (FEV1), 6 minutes walking test (6MWT), dyspnea evaluation (modified Medical Research Council dyspnea scale (mMRC), body mass index (BMI). Quality of life was assessed by St. George Respiratory Questionniare (SGRQ). BODE index was calculated in all cases.

RESULTS: 14 patients: 5 women and 9 men, age 40-76 years, with COPD stages I-IV GOLD (FEV1). In COPD stages III and IV we found a relation between BODE index (>4 /10 points) and SGRQ (> 66 / 100 points); the greater the BODE index, the lower the quality of life. Patients with COPD stage I-II GOLD and low BODE index (1-2/10 points) had also a significant impairment of quality of life defined by a SGRQ (37-57 points). The patients who finished the pulmonary rehabilitation program had a improvement of SGRQ (especially in symptoms score) and BODE index value.

CONCLUSIONS: The studied patients referred for the pulmonary rehabilitation have an important impairment of quality of life and a high BODE index who may reflect the fact that most severe patients are considered for rehabilitation in our country.

CLINICAL IMPLICATIONS: It is important to promote in medical comunity the benefits of pulmonary rehabilitation in early stages for the patients with COPD.

DISCLOSURE: The following authors have nothing to disclose: Paraschiva Postolache, Alina Croitoru, Marius Duna, Stefan Dumitrache-Rujinski, Claudia Toma, Miron Bogdan

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