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Research Council (mMRC) dyspnoea scale. A
MODÉRATEURS telephone interview assessment of quality of
I. BACHOUCH – S. BELHADJ - L. MASMOUDI life and personality traits was conducted using
Arabic versions of the CAT questionnaire and
the Hospital Anxiety and Depression scale
C01. MULTIDIMENSIONAL FRAILTY IN MALE (HAD) in order to assess the psychological
PATIENTS WITH COPD frailty. Sociodemographic information, clinical
Jelassi.W1, Habouria.C1, Belloumi.N1, Bechouch.I1, Bejaoui.T1, and radiological features as well as blood test
Elfidha.S1, Chermiti.F1, Fenniche.S1 results were collected from medical records.
1PULMONOLOGY DEPARTMENT PAVILION IV, PULMONOLOGY RESULTS:
HOSPITAL ABDERRAHMAN MAMI, ARIANA, TUNISIA
Our study included 80 patients, all male. The
INTRODUCTION: mean age was 65,72 ± 9,73 years. The mean
body mass index (BMI) was 22,02 ± 5,1
Chronic obstructive pulmonary disease (COPD) Kg/m2.The mean deficit frailty accumulation
is one of the most prevalent chronic diseases index score (DFAIS) was 0,34 ± 0,27. Overall, 44
among smoking persons worldwide. Frailty is a (55%) of patients were considered frail.
state of increased vulnerability that has a Individuals who were frail were significantly
significant risk of unfavorable outcomes such as more likely to be readmitted for AECOPD within
increased dependency and/or death, 180 days ( 65,9% versus 34,1%, p=0,04) . After
however little is known about frailty in people adjusting for age and relevant disease-related
with chronic obstructive pulmonary disease factors in a final multivariate model, frailty was
(COPD). found to be an independent risk factor for
readmission for AECOPD (OR=1,15 ; 95%
OBJECTIVE:
confidence interval: 0,99-2,38 ). The absence of
To explore multidimensional frailty as a severity family support, anxiety and depression,
indicator and predictor of exacerbation in cachexia, number of hospitalizations for an
COPD patients. AECOPD in the previous year and length of stay
were also significant in this statistical model
METHODS: regardless of age. Remarkably, frailty improved
We conducted a cross-sectional study in a the predictive accuracy of readmission by
cohort of consenting patients followed for improving the area under the receiver operator
confirmed COPD with a history of acute curve (AUC).
exacerbation of COPD (AECOPD) at the CONCLUSION:
pulmonology Department Pavilion IV in the
pulmonology hospital Abderrahman Mami, This study highlights that multidimensional frailty
between January and september 2022. Frailty predicts the risk of early hospital readmission in
was assessed in this patients outside of an patients hospitalized for AECOPD. Frailty
exacerbation, using Fried's frailty index improve accuracy to distinguish which patients
classifying patients as frail, pre-frail and non-frail. are at high risk of readmission, which may allow
Disease severity was assessed using high-risk patients to be identified at the time of
spirometry, the improved ABCD assessment hospitalization.
tool according to the latest Global Initiative on
Obstructive Lung Disease (GOLD) 2022
recommendations, and the modified Medical
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