Obstructive Lung Diseases: Airways 1 |

COPD Assessment Test, Stress Level, Mental Status, and Depression-Anxiety Level in the Exacerbation of COPD: The Relation with Long-term Mortality FREE TO VIEW

Nurdan Kokturk; Gonca Gunakan; Sariyya Mammadova; Asiye Ugrash Dikmen; Aycan Kayalar; Secil Tasyurek Demir; Nermin Gurhan
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Gazi University Faculty of Medicine, Pulmonary Diseases, Ankara, Turkey

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):831A. doi:10.1016/j.chest.2016.08.931
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SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Chronic obstructive lung disease (COPD) is related with high ranked mortality. Several factors including symptom scores have been extensively studied during exacerbations and have been shown to be related with mortality. However the relation with mortality and COPD assessment test (CAT) scores, cognitive tests, depression and anxiety levels during exacerbations have not been studied.

METHODS: Nighty eight (80 M, 19 F) hospitalized COPD patients with exacerbation between June 2011 to 2013 were included in the study. COPD assessment test (CAT), distress test, hospital- depression anxiety scale (HADdep-anx) and, minimental test (MMT) were performed during hospital stay.

RESULTS: The patients were followed for all cause of mortality until February 2016. The mean age was 68.1 ± 9.7 years. The mean postbronchodilator % FEV1 was 51,2±17,0. The mean CAT was 15,3±6,4, the MMT was 26,7±4,2 and the distress level was 4,2±2,7. The mean HADdep-anx were 5,4±4,1/ 3,8±3,1.

CONCLUSIONS: The Cox regression model revealed only CAT was associated with mortality (hazard ratio (HR)=1.2; 95% CI 1.07 - 1.31; p-0.001).

CLINICAL IMPLICATIONS: CAT score could be implemented in the evaluation of exacerbation as a predictor of long term mortality.

DISCLOSURE: The following authors have nothing to disclose: Nurdan Kokturk, Gonca Gunakan, Sariyya Mammadova, Asiye Ugrash Dikmen, Aycan Kayalar, Secil Tasyurek Demir, Nermin Gurhan

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