International Journal of Health and Clinical Research

Yazarlar: Sanjay Tandon, Luv Kumar Yadav, S.T Nagdeote

Konular:-

Anahtar Kelimeler:COPD,MNA score,BMI,MUAC,WAC,LOHS,Number of hospital Readmissions.

Özet: Background: Patients with COPD are at chronically high risk of nutritional deficiency . Identifying chronic obstructive pulmonary disease (COPD) patients with malnutrition is important to prevent associated mortality due to poor pulmonary function. The present study was carried out with an aim to evaluate the nutritional status of patients with COPD and correlate it with COPD severity. Methodology: This was a prospective observational study conducted on fifty three patients admitted with the diagnosis of COPD at a tertiary care hospital in central India from November 2019 to May 2021.Severity of COPD was assessed using spirometry tests according to GOLD guideline 2019.Anthropometric measurements and biochemical tests were also conducted in all subjects. Association between MNA scores (Nourished, At risk, Malnourished) and BMI was tested for statistical significance. Results: A positive correlation between nutritional status (MNA score) and severity of COPD was seen (R2 = 0.622; p = 0.01). Majority of the COPD patients were either malnourished (47.2 %) or at risk of malnutrition (41.5 %). Mean BMI was significantly lower in malnourished cases (16.4±0.73) as compared to at risk and nourished cases (18.33±1.3&18.1±1.3p<0.05). Mean length of hospital stay was least in nourished patients (6.8 ±3.5days) and maximum in malnourished patients (17.3 ±7.0 days) p=0.001.Conclusion: Majority of the COPD patients were malnourished or at risk of malnutrition. Malnourished patients had more severe disease that “at risk” and nourished COPD patients. Malnourished patients had longer length of hospital stay and higher readmission rate compared to “at risk” and “nourished’’ patients.

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