Assessment of chronic obstructive pulmonary disease in rural women

COPD is now recognized as a common disease in developing countries. Biomass smoke exposure, is the biggest risk factor for COPD in women, however the awareness of COPD in non-smoking women is low. COPD is one of the fastest growing causes of death. Seventy-five percent of rural households reported f...

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Main Authors: Radwa Ahmed Elhefny, Assem Fouad Elessawy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-04-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0422763814200185
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author Radwa Ahmed Elhefny
Assem Fouad Elessawy
author_facet Radwa Ahmed Elhefny
Assem Fouad Elessawy
author_sort Radwa Ahmed Elhefny
collection DOAJ
description COPD is now recognized as a common disease in developing countries. Biomass smoke exposure, is the biggest risk factor for COPD in women, however the awareness of COPD in non-smoking women is low. COPD is one of the fastest growing causes of death. Seventy-five percent of rural households reported firewood as their primary cooking fuel as compared to only 22% of urban households. Pulmonary function tests are essential for the diagnosis and evaluation of the severity of COPD but other measures of functional status are important; these include assessment of dyspnea, exercise performance and health status. The COPD assessment test (CAT) is a new eight-item specific questionnaire and is intended to provide a short, simple and self-administered test. Objective: To compare the use of CAT scores and flow volume loop as a screening tool in COPD women. Methods: A total of 50 healthy controls and 200 patients with newly diagnosed COPD were recruited. Pulmonary function test (PFT) values, COPD assessment test (CAT) scores, and demographics were recorded. Results: More than half of the patients (83%) had a high CAT score of ⩾10. Forced expiratory volume in 1 s percent (FEV1%) predicted was significantly decreased and the CAT score was significantly increased in patients with COPD compared with healthy controls (r = −.598, p = .000). A positive correlation was seen between biomass duration and the CAT score (p = .000). Conclusion: Most COPD patients have a poor health status and have a history of chronic symptoms before definitely being diagnosed with COPD by spirometry.
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spelling doaj.art-d2243c20a0e24acfa1c25f7ec3df389f2022-12-22T00:09:16ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382015-04-0164234334610.1016/j.ejcdt.2014.11.028Assessment of chronic obstructive pulmonary disease in rural womenRadwa Ahmed ElhefnyAssem Fouad ElessawyCOPD is now recognized as a common disease in developing countries. Biomass smoke exposure, is the biggest risk factor for COPD in women, however the awareness of COPD in non-smoking women is low. COPD is one of the fastest growing causes of death. Seventy-five percent of rural households reported firewood as their primary cooking fuel as compared to only 22% of urban households. Pulmonary function tests are essential for the diagnosis and evaluation of the severity of COPD but other measures of functional status are important; these include assessment of dyspnea, exercise performance and health status. The COPD assessment test (CAT) is a new eight-item specific questionnaire and is intended to provide a short, simple and self-administered test. Objective: To compare the use of CAT scores and flow volume loop as a screening tool in COPD women. Methods: A total of 50 healthy controls and 200 patients with newly diagnosed COPD were recruited. Pulmonary function test (PFT) values, COPD assessment test (CAT) scores, and demographics were recorded. Results: More than half of the patients (83%) had a high CAT score of ⩾10. Forced expiratory volume in 1 s percent (FEV1%) predicted was significantly decreased and the CAT score was significantly increased in patients with COPD compared with healthy controls (r = −.598, p = .000). A positive correlation was seen between biomass duration and the CAT score (p = .000). Conclusion: Most COPD patients have a poor health status and have a history of chronic symptoms before definitely being diagnosed with COPD by spirometry.http://www.sciencedirect.com/science/article/pii/S0422763814200185CAT questionnaireCOPDRural women
spellingShingle Radwa Ahmed Elhefny
Assem Fouad Elessawy
Assessment of chronic obstructive pulmonary disease in rural women
Egyptian Journal of Chest Disease and Tuberculosis
CAT questionnaire
COPD
Rural women
title Assessment of chronic obstructive pulmonary disease in rural women
title_full Assessment of chronic obstructive pulmonary disease in rural women
title_fullStr Assessment of chronic obstructive pulmonary disease in rural women
title_full_unstemmed Assessment of chronic obstructive pulmonary disease in rural women
title_short Assessment of chronic obstructive pulmonary disease in rural women
title_sort assessment of chronic obstructive pulmonary disease in rural women
topic CAT questionnaire
COPD
Rural women
url http://www.sciencedirect.com/science/article/pii/S0422763814200185
work_keys_str_mv AT radwaahmedelhefny assessmentofchronicobstructivepulmonarydiseaseinruralwomen
AT assemfouadelessawy assessmentofchronicobstructivepulmonarydiseaseinruralwomen