만성 폐쇄성 폐질환 평가 테스트의 유용성

• Published in: Tuberculosis and respiratory diseases Vol. 71; no. 4; pp. 271 - 277
• Main Authors: 김유은, Yu Eun Kim, 이상수, Sang Su Lee, 김차영, Cha Young Kim, 이승훈, Seung Hun Lee, 임수진, Su Jin Lim, 조유지, Yu Ji Cho, 정이영, Yi Yeong Jeong, 김호철, Ho Cheol Kim, 황영실, Young Sil Hwang, 이종덕, Jong Deog Lee
• Format: Journal Article
• Language: Korean
• Published: 대한결핵 및 호흡기학회 30.10.2011; 대한결핵및호흡기학회
• Subjects: Body Mass Index; Pulmonary Disease; Chronic Obstructive; Disease Progression; Quality of Life; 내과학; Body Mass Index; Quality of Life; Pulmonary Disease, Chronic Obstructive; Disease Progression
• ISSN: 1738-3536; 2005-6184

Background: A chronic obstructive pulmonary disease (COPD) assessment test (CAT) has recently been developed as a short and simple method for assessing the quality of life in COPD patients. The object of this study was to assess the usefulness of the Korean version of the CAT for assessing COPD patients in an outpatient clinic. Methods: The study included 60 COPD patients in a stable state from an outpatient clinic. The authors investigated the frequency of acute exacerbation during aprevious year through reviewing medical records. We evaluated the spirometry test, a 6-min walk distance test, and obtained the MMRC dyspnea scale, the Korean version of the CAT, and the BODE index at the time of visit. To assess the usefulness of the CAT, correlations between the CAT and other methods were evaluated. Results: The mean age of patients was 68.3±8.6 years and 95% of patients were male. There was a significant correlation between the CAT score and FEV1% (r=?0.323, p=0.012), the frequency of acute exacerbation (r=0.292, p=0.024), the MMRC dyspnea scale (r=0.554, p＜0.001), the BODE index (r=0.380, p=0.003), and 6 MWD (r= ?0.372, p=0.004). The mean CAT score increased according to the GOLD stage (stage 1, 10.7±4.5; stage 2, 13.1±7.9; stage 3, 16.3±6.2; stage 4, 16.5±14.8; p=0.746). Conclusion: The CAT was shown to be useful for the assessment of COPD severity. Therefore, the CAT is an easily applied and simple method for assessing COPD severity in an outpatient clinic.