scholarly journals COPD assessment test for the evaluation of COVID-19 symptoms

Thorax ◽  
2020 ◽  
pp. thoraxjnl-2020-215916
Author(s):  
Enya Daynes ◽  
Charlotte Gerlis ◽  
Samuel Briggs-Price ◽  
Paul Jones ◽  
Sally J Singh

There is evidence to demonstrate the ongoing symptoms of COVID-19; however, there are currently no agreed outcomes to assess these symptoms. This study examined the use of the chronic obstructive pulmonary disease (COPD) assessment test (CAT) for patients recovering from COVID-19. 131 patients who were admitted with COVID-19 were followed up over the phone to assess symptoms. The median (IQR) CAT score was 10 (5–16). Cough, phlegm and chest tightness domains were within range for healthy people, but there was evidence of significant breathlessness, loss of energy, and activity and sleep disturbance. The CAT is a useful tool to assess symptoms of COVID-19 recovery.

2017 ◽  
Vol 18 (06) ◽  
pp. 603-607
Author(s):  
Hakan Demirci ◽  
Koncuy Eniste ◽  
Ebru Onuker Basaran ◽  
Gokhan Ocakoglu ◽  
Zeynep Yilmaz ◽  
...  

Objectives Spirometry is known to be a gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD). COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening COPD. Methods In total, 600 persons aging ⩾40 years old were randomly selected from three different family practice units located in the city center. CAT was asked to the participants and a spirometry was used to assess pulmonary obstruction. Pulmonary obstruction was defined as forced expiratory volume in first second/forced vital capacity (FEV1/FVC)<70% and then COPD diagnosis was confirmed with the reversibility test. The relationship between CAT results and pulmonary function test values was evaluated. Results In this sampling, the prevalence of COPD was 4.2%. Reliability of the CAT in the study group was acceptable (Cronbach’s α: 0.84). The CAT scores was significantly higher in patients with COPD (P<0.001). There was a significant negative correlation between CAT score and FEV1, FVC and FEV1/FVC ratio (r=−0.31, P<0.001; r=−0.26, P<0.001; r=0.18, P=0.001). Among smokers, phlegm was the predominating symptom (P=0.01). Sensitivity of CAT was 66.67% and its specificity was 75.15% to determine COPD. Conclusions CAT is a reliable questionnaire and there is an apparent relationship between the total CAT scores and COPD. However, CAT’s ability to screen COPD is limited since it may miss the symptom-free cases.


2013 ◽  
Vol 11 (1) ◽  
pp. 147 ◽  
Author(s):  
Marc Miravitlles ◽  
Patricia García-Sidro ◽  
Alonso Fernández-Nistal ◽  
María Buendía ◽  
María Espinosa de los Monteros ◽  
...  

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