Chaurasia Sheetal, Haran Alamelu, Reddy Anish, Chawla Pavny
Pulmonary Medicine, Manipal Hospitals Whitefield, Bangalore, IND.
Pulmonary Medicine, Vydehi Institute of Medical Sciences and Research Center, Bangalore, IND.
Cureus. 2021 Mar 31;13(3):e14231. doi: 10.7759/cureus.14231.
Introduction Bronchiectasis is a chronic respiratory disease that can affect patients of all ages and significantly impact the quality of life (QOL) in patients who suffer from it. In spite of its widespread prevalence, and the significant impact on QOL, data on the quantitative impact of bronchiectasis on QOL is lacking. The Quality of Life-Bronchiectasis (QOL-B) is a self-administered patient-reported outcome measure, that was recently developed as a response to the emergent need for such measurement tools to study the impact of bronchiectasis on QOL. Methods We conducted a single-center cross-sectional study to study the correlation between QOL and various other outcome parameters such as exercise capacity, lung functions, co-morbidities, inflammatory markers, and body mass index (BMI). The secondary outcome was to find out various determinants of quality of life in non-cystic fibrosis bronchiectasis (NCFB). Results Forty-four patients who determined the pre-determined criteria for NCFB were enrolled in this study. This study demonstrated a significant impact on the QOL of NCFB patients based on the QOL-B scoring system. Almost all domains of QOL-B were found to be adversely impacted as measured by one or more of the outcome parameters but the FEV1, age, colonization, extension, dyspnea (FACED) score, bronchiectasis severity index (BSI) score, six-minute walk test (6MWD), and FEV1 showed associations across most scales while the other outcome parameters showed varying associations. Conclusions The QOL is significantly reduced in NCFB and it may be quantified using the QOL-B questionnaire. The impact on QOL in NCFB may be assessed using validated tools such as the FACED and BSI scoring systems, as well as other well-established outcome parameters like 6MWD and FEV1 predicted.
引言
支气管扩张是一种慢性呼吸道疾病,可影响所有年龄段的患者,并严重影响患者的生活质量(QOL)。尽管其患病率很高,且对生活质量有重大影响,但缺乏关于支气管扩张对生活质量定量影响的数据。生活质量-支气管扩张(QOL-B)是一种患者自我报告的结局指标,最近作为研究支气管扩张对生活质量影响的此类测量工具的迫切需求而开发。
方法
我们进行了一项单中心横断面研究,以研究生活质量与各种其他结局参数之间的相关性,如运动能力、肺功能、合并症、炎症标志物和体重指数(BMI)。次要结局是找出非囊性纤维化支气管扩张(NCFB)患者生活质量的各种决定因素。
结果
44名符合NCFB预定标准的患者纳入本研究。根据QOL-B评分系统,本研究证明了对NCFB患者生活质量的重大影响。通过一个或多个结局参数测量发现,QOL-B的几乎所有领域都受到不利影响,但第一秒用力呼气容积(FEV1)、年龄、定植、病变范围、呼吸困难(FACED)评分、支气管扩张严重程度指数(BSI)评分、六分钟步行试验(6MWD)和FEV1在大多数量表中显示出相关性,而其他结局参数显示出不同的相关性。
结论
NCFB患者的生活质量显著降低,可以使用QOL-B问卷进行量化。可以使用FACED和BSI评分系统等经过验证的工具以及6MWD和预测的FEV1等其他成熟的结局参数来评估NCFB对生活质量的影响。