Grufstedt Heidi Kjeldgaard, Shaker Saher Burhan, Konradsen Hanne
Department of Respiratory Medicine, Gentofte University Hospital, Hellerup, Denmark.
Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institut NVS, Huddinge, Sweden.
Eur Clin Respir J. 2018 Oct 16;5(1):1530028. doi: 10.1080/20018525.2018.1530028. eCollection 2018.
Idiopathic pulmonary fibrosis (IPF) is a chronic disease with high morbidity and mortality. A reliable and manageable questionnaire that assesses patients' quality of life is needed to help to improve the content of clinical consultations. The chronic obstructive pulmonary disease (COPD) Assessment Test (CAT) is used in clinical practice; therefore, the aim of this study was to investigate correlations among the CAT, St. George's Respiratory Questionnaire (SGRQ) and clinical parameters among patients diagnosed with IPF. A retrospective cohort design was employed in which 87 patients diagnosed with IPF who were receiving treatment at an outpatient clinic were included. The CAT was found to be significantly correlated with SGRQ ( < 0.001). Furthermore, the CAT was significantly correlated with all of the included physiological variables. This add to support the validity of the COPD Assessment test (CAT) as a measure of symptoms in patients with IPF which in clinical practice in combination with dialogue between healthcare professionals and the patient, can help to improve the content of a clinical consultation.
特发性肺纤维化（IPF）是一种发病率和死亡率都很高的慢性疾病。需要一个可靠且易于管理的问卷来评估患者的生活质量，以帮助改善临床会诊的内容。慢性阻塞性肺疾病（COPD）评估测试（CAT）已应用于临床实践；因此，本研究的目的是调查确诊为IPF的患者中CAT、圣乔治呼吸问卷（SGRQ）与临床参数之间的相关性。本研究采用回顾性队列设计，纳入了87例在门诊接受治疗的确诊为IPF的患者。研究发现，CAT与SGRQ显著相关（<0.001）。此外，CAT与所有纳入的生理变量均显著相关。这进一步支持了COPD评估测试（CAT）作为IPF患者症状衡量指标的有效性，在临床实践中，结合医护人员与患者之间的沟通，CAT有助于改善临床会诊的内容。
