BAP-65 as a predictive tool for assessment of severity and inhospital mortality in patients with acute exacerbation of COPD
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
As COPD progresses, patients develop more frequent and severe exacerbations. AECOPDs can range in severity from mild to life threatening. A disease specific severity of illness score for AECOPD would serve to improve treatment. It would identify patients who might potentially benefit for early and aggressive use of selected interventions, such as noninvasive ventilation. In this study, we selected BAP-65 score as a predictive tool for assessing the severity and the need for mechanical ventilation or mortality in AECOPD patients. 80 patients were included in the study and grouped basing on the score. Accordingly 9, 30, 24,12,5 patients were grouped under score groups 0,1,2,3,4 respectively. Analysing the data statistically for the correlation between the total score and end points showed that as the score increases from 0 to 4 the need for mechanical ventilation as well as the mortality increases in the patients and this correlation is found to be statistically significant (P<0.05). Similarly the individual components of BAP-65 as a predictor of end points showed a statistically significant correlation between them.
Authors and Affiliations
Dr. Vipparthi Suryakumari, Dr. Kothapalli Ram Kumar, Dr. Gorantla Sambasiva Rao, Dr. Venkatesh Vulli, Dr. Ch. Radhika, Dr. G. Hani, Dr. M. Veerababu
"Amniotic Fluid Index as a Predictor of Maternal and Neonatal Outcome in Low Risk Patients “A Non Randomized Comparative Prospective Study
INTRODUCTION Obstetrics is concerned with human reproduction and as such is always a subject of considerable contemporary relevance. Quantification of amniotic fluid is an important component of the biophysical profile i...
Mast Cells in Surgically Resected Appendices
Background The vermiform appendix is the most common intra-abdominal organ subjected to frequent surgical intervention and resection. Appendicitis is the inflammation of appendix. It is usually a disease of the young, wi...
Assessment of Prognosis of Acute Pancreatitis on Admission: Comparison of HAPS and APACHE II Scoring Systems
Acute pancreatitis is a common and potentially lethal inflammatory process with a highly variable clinical course. Persistent organ failure develops in 10%–20% of patients, with mortality reaching 30% in this subgroup. S...
Management of Chronic Otitis Media (Safe and Unsafe Types) At Tertiary Care Center Rajivgandhi Institution of Medical Sciences (RIMS) ongole Prakasam District AP
Chronic otitis media is highly prevalent in the rural areas of Praksam district due to lack of awareness of ENT diseases, and illetaracy, and lack of sufficient no of Otologists .. and these case are common in childhood...
Acute Transfusion Reactions in Intensive Care Unit: A Retrospective Study
Blood transfusion is a frequent and integral part of critical care. Although life saving it can occasionally be unsafe and results in spectrum of adverse events. Acute transfusion reactions (ATRs) are probably under diag...