Perhimpunan Dokter Paru Indonesia - Cognition in COPD patients
 
 
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Cognition in COPD patients

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image: northeasthampshireandfarnhamccg.nhs.uk

Brenda Deering1, Diane Gillan2, Marie Guidon3 and Richard Costello4
1COPD Outreach, Beaumont Hospital, Dublin, Ireland,?2Psychology, Beaumont Hospital, Dublin, Ireland,?3School of Physiotherapy, Royal College of Surgeons, Dublin, Ireland,?4Medical Directorate, Beaumont Hospital and School of Medicine, Royal College of Surgeons, Dublin, Ireland


Chronic obstructive pulmonary disease (COPD) is a complex pathological disease of the respiratory system which is associated with a variety of comorbidities including cognitive deficit. The purpose of this pilot study was to evaluate cognition in COPD patients when compared to Irish norms.

Outpatients with a diagnosis of COPD, who were not in an acute exacerbation, were recruited and assess for cognitive function using the Montreal Cognitive Assessment (MoCA) screening tool. Demographic data including age, years of education, and GOLD stage of disease were also collected.

The COPD Group had significantly lower MoCA scores than their Irish counterparts: COPD Group (20.77+/-4.61, n=115) versus Irish adult norms (24.75+/-3.76, n=6113, p<0.00). Significantly lower scores were still evident after adjusting for age and education (mean difference 3.64, 95% CI 2.97-4.3, p<0.001). The COPD Group was divided into two groups of disease severity (Group 1: GOLD Stages 1 and 2, Group 2: GOLD Stages 3 and 4) for further analysis. There was no significant difference between the groups with respect to overall MoCA score (p=0.78).

Results of this study confirm that Irish COPD patients have significantly lower cognitive function levels compared to Irish controls. Further analysis are currently being conducted to see whether this impacts on hospital utilization.



http://erj.ersjournals.com/content/48/suppl_60/OA4816



PDPI Sumatera Utara. 10/07/17.



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