IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Comparison of symptom and risk assessment methods among patients with chronic obstructive pulmonary disease
Zhang Rongbao; Tan Xingyu; He Quanying; Chen Qing; Gai Jun; Wei Jing′ an; Wang Yan
关键词chronic obstructive pulmonary disease exacerbation lung function tests dyspnea
刊名CHINESE MEDICAL JOURNAL
2014-07-20
DOI10.3760/cma.j.issn.0366-6999.20133317
127期:14页:2594-2598
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]COPD ASSESSMENT TEST ; GLOBAL STRATEGY ; DIAGNOSIS ; GOLD ; EXACERBATIONS ; PREVENTION ; SPIROMETRY ; MANAGEMENT ; SEVERITY
英文摘要

Background The global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease (COPD) guidelines classify patients into four groups according to the number of symptoms and the level of future risk of acute exacerbation COPD (AECOPD). This study aimed to compare the results of different methods Used in diagnosis of COPD and evaluate the accuracy of the assessment methods in guiding clinical practice.

Methods A survey was conducted of 194 COPD outpatients between March and September 2012. Demographic characteristics, the number of exacerbations the patient has had within the previous 12 months, COPD assessment test (CAT), Modified British Medical Research Council (mMRC) scale, and results of the lung function tests were recorded.

Results Of the 194 patients assessed, 21 had a CAT score >= 10 and an mMRC grade <= 1, 13 had a CAT score <10 and an mMRC grade >= 2. A predicted forced expiratory volume in one second (FEV1%) of <50% with less than two acute exacerbations was observed in 39 patients, while a predicted FEN1% of >= 50% was noted in 20 patients with two or more acute exacerbations. The sensitivity of a predicted FEV1% <50% in predicting the risk of AECOPD in the future was 80.9%, while that in the real number of AECOPD events recorded was 62.8%, the difference being statistically significant (P=0.004). The sensitivity of CAT in predicting the severity of symptoms was 90%, while that of mMRC was 83.8%, and the difference was not statistically significant.

Conclusions The COPD assessment method recommended by the global initiative for chronic obstructive pulmonary disease (GOLD) 2011 is complicated and should be simplified. CAT is more comprehensive and accurate than mMRC. The lung function classification is a better tool for predicting the risk of AECOPD in the future, and the number of AECOPD can be referred to when required.

语种英语
WOS记录号WOS:000339860900007
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62719
专题北京大学第二临床医学院
北京大学医学部管理机构_计划财务处
北京大学第一临床医学院_医院管理办公室
北京大学第二临床医学院_呼吸科
作者单位Peking Univ, Peoples Hosp, Dept Resp & Crit Care Med, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Zhang Rongbao,Tan Xingyu,He Quanying,et al. Comparison of symptom and risk assessment methods among patients with chronic obstructive pulmonary disease[J]. CHINESE MEDICAL JOURNAL,2014,127(14):2594-2598.
APA Zhang Rongbao.,Tan Xingyu.,He Quanying.,Chen Qing.,Gai Jun.,...&Wang Yan.(2014).Comparison of symptom and risk assessment methods among patients with chronic obstructive pulmonary disease.CHINESE MEDICAL JOURNAL,127(14),2594-2598.
MLA Zhang Rongbao,et al."Comparison of symptom and risk assessment methods among patients with chronic obstructive pulmonary disease".CHINESE MEDICAL JOURNAL 127.14(2014):2594-2598.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Zhang Rongbao]的文章
[Tan Xingyu]的文章
[He Quanying]的文章
百度学术
百度学术中相似的文章
[Zhang Rongbao]的文章
[Tan Xingyu]的文章
[He Quanying]的文章
必应学术
必应学术中相似的文章
[Zhang Rongbao]的文章
[Tan Xingyu]的文章
[He Quanying]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。