Bermudo Guadalupe, Pomares Xavier, Montón Concepción, Baré Marisa, Monsó Eduard
Servicio de Neumología, UDIAT Centro Diagnóstico, Hospital de Sabadell, Institut Universitari Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Barcelona, España.
Servicio de Neumología, UDIAT Centro Diagnóstico, Hospital de Sabadell, Institut Universitari Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Barcelona, España.
Med Clin (Barc). 2014 Oct 21;143(8):349-51. doi: 10.1016/j.medcli.2013.08.006. Epub 2013 Nov 7.
To evaluate the relationship between Chronic Obstructive Pulmonary Disease Assessment Test (CAT questionnaire) and chronic obstructive pulmonary disease (COPD) severity assessed by the multidimensional BODE index in patients with severe airflow obstruction (forced expiratory volume in one second [FEV1] post-bronchodilator<50%) in a stable state.
Prospective observational study (2012). We classified the severity of COPD according to the BODE index in 3 subgroups: mild to moderate COPD (BODE<5 points), severe COPD (BODE 5-6 points) and very severe COPD (BODE ≥ 7 points).
We included 97 patients with a mean age of 67 (8) years, 96% were men. The mean FEV1 was 34.3% (9.8%) and mean BODE index was 4.8 (1.4). The mean CAT score was 20 (7.7). We found no significant differences in CAT score (total or by items) between the 3 groups of BODE assessed.
In patients with COPD and severe airflow obstruction, the CAT score reflects a moderate to severe impact of illness and does not allow to predict COPD severity assessed by the BODE index.
评估慢性阻塞性肺疾病评估测试（CAT问卷）与通过多维BODE指数评估的慢性阻塞性肺疾病（COPD）严重程度之间的关系，研究对象为处于稳定状态的严重气流受限（支气管扩张剂后一秒用力呼气容积[FEV1]<50%）患者。
前瞻性观察性研究（2012年）。我们根据BODE指数将COPD严重程度分为3个亚组：轻度至中度COPD（BODE<5分）、重度COPD（BODE 5 - 6分）和极重度COPD（BODE≥7分）。
我们纳入了97例患者，平均年龄为67（8）岁，96%为男性。平均FEV1为34.3%（9.8%），平均BODE指数为4.8（1.4）。平均CAT评分为20（7.7）。我们发现，在评估的3组BODE之间，CAT评分（总分或各项目评分）无显著差异。
在患有COPD且气流严重受限的患者中，CAT评分反映了疾病的中度至重度影响，但无法预测通过BODE指数评估的COPD严重程度。
