Saravana Kumar, P (2020) Comparision of Severity of Non-Cystic Fibrosis Bronchietasis Patients by the Two Prognostic Scores- Faced and BSI and Exacerbation Frequency over One Year Follow Up. Masters thesis, Madras Medical College, Chennai.
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Abstract
BACK GROUND: Bronchiectasis is chronic respiratory disease defined pathologically by irreversible progressive dilatation and destruction of bronchi, so it requires a multidimensional scoring system to properly assess the severity. AIM OF THE STUDY: To compare the results of the assessment of the Non Cystic fibrosis Bronchiectasis (NCFB) severity by two validated scores, FACED score and the Bronchiectasis Severity Index (BSI) and Exacerbation frequency over follow up of one year METHODS: A Prospective observational study including 100 patients with NCFB was done. After exclusion and inclusion criteria underwent severity scoring by both FACED(five variables) and BSI(9variables), the same patients were followed up for a period of one year,in which exacerbations leading to hospitalisation noted. RESULTS: In FACED score,out of 100, we found 44 with mild,37 with moderate and 19 with severe bronchiectasis. The mean was 2.71;BSI reveals, the frequency of patients with low, intermediate and high BSI score was 33, 26 and 41 respectively. The mean was 7.18. The mean score of BSI was more than FACED which is found statistically significant with P value of < 0.001.The number of exacerbations during one year follow up was noted,in having >3 exacerbations have high BSI score. CONCLUSION: Prior excerbations was considered to be strongest predictor of morbidity which explains, this study found BSI as better predictor of bronchiectasis severity than FACED and those with high BSI score had more exacerbations leading to hospitalisation during one year follow up.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 201727002 |
| Uncontrolled Keywords: | Non cystic Bronchiectasis, Exacerbations, Bronchiectasis severity index, Faced score. |
| Subjects: | MEDICAL > Tuberculosis and Respiratory Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 04 Feb 2021 15:44 |
| Last Modified: | 04 Feb 2021 15:44 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13802 |
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