Applicability of 2017 Global Initiative for Chronic Obstructive Lung Disease guidelines in diagnosing COPD in a tertiary care hospital

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Original Article

Author Details : Swetha Sasikumar*, Priya Joy, Sathishkumar Mani, Gangadharan Vadivelu, Anbumaran Parivakkam Mani

Volume : 5, Issue : 3, Year : 2020

Article Page : 190-195

https://doi.org/10.18231/j.ijirm.2020.056

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Abstract

Chronic obstructive pulmonary disease (COPD) is one of the common conditions that physicians frequently diagnose and treat both in the hospital and outpatient setting. Every year, a new report is generated based on an analysis of published studies which attempts to improve the way physicians handle COPD. In 2011 and 2017, the traditional GOLD guidelines were revised, and it included exacerbation history and COPD Assessment Test (CAT) and modified Medical Research Council Dyspnoea Scale (mMRC) in diagnosis of the disease. This study we used patients’ symptoms, risk factors and exacerbation history to diagnose COPD as per 2017 guidelines and checked its accuracy by confirming with spirometry.
Materials and Methods: A prospective study, in which 105 patients with history suggestive of COPD were classified according to ABCD tool, later these patients were subjected to spirometry to confirm the diagnosis of COPD and severity.
Results: The results obtained were analysed by statistical software SPSS-V.24. About 79% of the population diagnosed to have COPD by ABCD tool were confirmed using spirometry, the rest 21% either had spirometric post bronchodilator FEV1/FVC >0.7 or significant reversibility. CAT and mMRC test correlate with the spirometric FEV1 predicted percentage. On comparing ABCD and Spirometric grading most of them had severe airway obstruction and these people were mostly distributed in group B and D of ABCD grading.
Conclusion: The utility of 2017 GOLD consensus in diagnosing COPD in the Indian scenario was studied.  The ABCD tool of GOLD consensus will be helpful in diagnosing COPD in a resource limited setting, primary care centres were spirometry is not available.

Keywords: COPD, Clinical Symptoms, Spirometry, ABCD Grading.

How to cite : Sasikumar S , Joy P, Mani S, Vadivelu G, Mani A P, Applicability of 2017 Global Initiative for Chronic Obstructive Lung Disease guidelines in diagnosing COPD in a tertiary care hospital. IP Indian J Immunol Respir Med 2020;5(3):190-195

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