SCREENING STRATEGIES FOR IDENTIFICATION OF COPD IN GERIATRIC POPULATION IN RURAL CENTRAL INDIA – A POPULATION BASED STUDY

Dr.Parimal Subhash Tayde, Dr. Gouri Rajput

Abstract


Chronic obstructive pulmonary disease is leading cause of mortality and morbidity worldwide. The magnitude of problem is increasing but there are few population based studies from rural India about screening for early detection of COPD. The present study was undertaken focusing on identifying optimal screening strategy for identification of COPD in geriatric population of rural central India , based on screening with the history of  smoking ,tobacco use, COPD clinical questionnaire ,PEFR and Spirometry  testing . We studied 349 individuals. We analyzed the CCQ scores, PEFR values and the information about smoking exposure in spirometricaly confirmed COPD cases. The chance of detecting COPD is highest in the symptomatic population. Those with Symptom score more than 8 and those with reduced PEFR (less than 130) had higher chance of having COPD. When symptomatic participants with CCQ score >10 and smoking status were analyzed together, this strategy had maximum percentage yield for diagnosing COPD.


Keywords


COPD, Geriatric, Screening

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