Medicine in evolution








- Abstract -

Objective. The aims of this study is to investigate COPD by using new specific tests or questionnaires and evaluation the costs and the predictive value of these new parameters.
Method: randomized study on 30 (M 30) patients with COPD, age 67.7 7 years. Every patient was followed by smoking history, date of commencement, disease diagnosis, correct treatment, comorbidities correct staging (after GOLD). Were evaluated in addition: the degree of dyspnea (MRC/Borg scale), effort tolerance (6 minute walking test), nutritional status (BMI, bioimpedanceometry), degree of depression (Beck DI scale), quality of life (questionnaire ST. Georges).
Results: The patients were predominantly from rural areas (53.33%) with severe (27%) and very severe (63%) stages of COPD. In 29 of the patients were found comorbidities and 70% of them had the nutritional status changed. Tolerance to effort was found low at 57% (223 m above the predicted average of 366.43 m). Depression was found in 54% as moderate and severe form in 5% of patients. Overall, quality of life was affected in 93% of patients.

Conclusions: For a correct evaluation of COPD is necessary the enlargement of the investigation fields, referring both the pulmonary and systemic determinations and complications induced by the disease and in the same time the enlargement of intervention / therapeutic field and improvement of the evolution and prognosis.

Key words: systemic effects, assessment.



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