Title: A Study on BODE Index as a Predictor of Health Related Quality of Life in Patients with COPD
Authors: Abhinandya Mukhopadhyay, Dr B.K.Singh, Dr S.C.Jha, Dr P.K.Sinha, Dr K.K.Yadav, Dr R.K. Das
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.173
Abstract
Introduction: COPD is an important cause of mortality and morbidity throughout world. The complexity of COPD and its frequent co-morbidities require assessment and staging of the disease beyond airflow limitation. BODE index is a promising achievement in this field. This study was aimed at assessment of BODE index as a predictor of health related quality of life in patients of COPD.
Materials and Methods: This was a case control cross sectional study.116 patients as cases and 36 healthy people as controls were included. Everyone filled the SGRQ questionnaire at the time of presentation. BODE index was calculated for everyone.
Results: BODE index and SGRQ score both were higher among cases than controls. BODE index and SGRQ score both were progressively higher with increasing age. Increasing BODE score and SGRQ score was associated with more number of smoking pack years (p=<0.001).BODE score was significantly associated with higher hospital stay and more impairment of quality of life.
Conclusion: BODE index is a composite index with ability to predict mortality as well as impairment of quality of life in patients with COPD. Determination of BODE index requires only a spirometer. This index may be of great practical value in primary health care set up to identify individuals who are at need for further evaluation at higher centre.
Abhinandya Mukhopadhyay
Junior Resident, Dept of General Medicine
Darbhanga, Medical College, Bihar
