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METHODS : METHODS :
Prospective study. Were included patients with A prospective study was conducted in a population
COPD confirmed with spirometry test. All of patients with COPD. All parameters needed to
parameters needed to define the ACO were define the ACO were collected. ACO was defined
collected. ACO was defined according to the ATS according to the ATS Roundtable criteria. BODE
Roundtable criteria (all 3 major criteria and at least 1 index was calculated using body mass index (BMI),
minor criteria). We first calculated the prevalence of post-bronchodilator FEV1 (% predicted), grade of
ACO. Then, the ACO and non-ACO groups were dyspnoea (measured by the modified Medical
compared. Research Council dyspnoea scale - mMRC) and the
6MWT distance. We compare BODE index between
RESULTS :
the ACO and non-ACO (COPD-only) groups.
We recruited 50 patients with COPD. ACO was RESULTS :
diagnosed in 13(26%) patients. Patients with ACO
were predominantly male (84,6%), nonsmokers The study included 50 patients with COPD. ACO was
(78,5%), and younger (mean age = 60.46±10.2 years). diagnosed in 13(26%) patients. Prebronchodilator
They had more allergic comorbidities, higher blood Forced Expiratory Volume in 1 second was
eosinophilia count, higher total IgE levels and better significantly Higher in the ACO group (mean±SD:
mMRC dyspnea scale compared to patients with 58.3±22 vs 43.2±15.6 % predicted)(p<0,05). No
COPD-only (p<0.05). Measurements of forced significant difference between the two groups
expiratory volume in 1 s (FEV1) by liters is greater in were found in term of: BMI, mMRC scale and 6MWT
patients with ACO than COPD-only group (1680±716 distance. Median BODE index of the patients with
and 1250±514 respectively)(p<0.05). No significant COPD-only was higher than patients with ACO
differences were observed between the groups (5.88±2.54 and 4.83±2.94 respectively with
regarding number of exacerbations or significant difference)(p<0,05). Considering BODE
hospitalizations (p>0.05). classes, 84,6% of patients with COPD-only were
class 3 and 4 and 50% of patients with ACO were
CONCLUSION : ACO was observed to be frequent classe 3 and 4 with significant difference (p<0,05).
in patients with COPD. Patients with ACO have better
spirometric parameters and better mMRC dyspnea CONCLUSION :
scale than patients with COPD-only.
According to BODE index, patients with ACO have a
P43. COMPARISON OF BODE INDEX IN COPD better prognosis than patients with COPD-only.
AND ASTHMA-COPD OVERLAP (ACO) PATIENTS P44. LE TRAVAIL A HORAIRE NOCTURNE, SON

R. Ben Jazia1, F. Chortani1, A. Kacem1, I. Kharrat1, O.Tabka1, IMPACT SUR LA QUALITE DE LA VIE ET DU SOMMEIL
B.Karaborni1, A. Maatallah1, D. Ben Braiek2, J. Ayachi2, S. Aissa3 Maddeh S., Bouani K., Jlaiel N. Khraifi M., Jdidi T., Aouadi S.

1 : PULMONOLOGY DEPARTMENT, IBN EL JAZZAR HOSPITAL - KAIROUAN SERVICE DE PNEUMOLOGIE DE L'HOPITAL REGIONAL DE JENDOUBA
(TUNISIA), 2:INTENSIVE CARE UNIT, IBN EL JAZZAR HOSPITAL –
KAIROUAN (TUNISIA), 3:PULMONOLOGY DEPARTMENT, FARHAT
HACHED HOSPITAL - SOUSSE (TUNISIA) OBJECTIF :
Evaluer l'impact du travail en horaires atypiques sur le
INTRODUCTION : sommeil et la vigilance chez les professionnels
travaillant la nuit.
The BODE index is an indicator of mortality witch is
useful for predicting hospitalization and the risk of METHODES :
death among patients with COPD. This study aimed
to compare the prognosis between COPD and Étude observationnelle transversale descriptive
Asthma-COPD overlap (ACO) by comparing BODE chez les travailleurs de nuit de l’hôpital régional de
index Jendouba, du service militaire et salon de thé a
horaire nocturne à l'aide d’un auto-questionnaire qui

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