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2015, vol. 54, br. 1, str. 66-70
Validnost CAT skora i mMRC-dispneja skale u proceni hronične opstruktivne bolesti pluća
aKlinički Centar Crne Gore, Interna klinika, Odeljenje pulmologije, Podgorica, Crna Gora
bKlinički Centar Crne Gore, Centar za grudnu hirurgiju, Podgorica, Crna Gora
cUniverzitet u Nišu, Medicinski fakultet, Katedra Patofiziologija

e-adresanenamilacic75@gmail.com
Ključne reči: HOBP; CAT upitnik; mMRC-dispnea skala; GOLD
Sažetak
Hronična opstruktivna bolest pluća (HOBP) je jedan od vodećih uzroka morbiditeta i mortaliteta u svetu. Iako je pre svega shvaćena kao respiratorna bolest, HOBP ima i ekstrapulmonalne efekte koji utiču na mnoge aspekte fizičkog, emocionalnog i mentalnog stanja bolesnika. Tradicionalna procena težine HOBP-a oslanja se na merenje plućne funkcije i posebno forsiranog ekspiratornog volumena u prvoj sekundi (FEV1). Međutim, postoje brojni dokazi koji ukazuju da je FEV1 relativno slab pokazatelj u odnosu na simptome koje oseća bolesnik, koji su odraz uticaja HOBP-a na svakodnevni život. Prisutne posledice ove bolesti (anksioznost, depresija, poteškoće u obavljanju svakodnevnih aktivnosti) najbolje mogu registrovati i opisati sami bolesnici kroz odgovarajuće upitnike. Najčešće korišćeni takvi upitnici u svetu su CAT skor i mMRC-dispnea skala, koji u kombinaciji sa vrednostima FEV1 znatno poboljšavaju uvid lekara u težinu HOBP-a, a samim tim i omogućavaju efikasniji tretman bolesnika. Globalna inicijativa za HOBP - GOLD, u svojim smernicama iz 2013. godine, uvrstila je CAT upitnik i mMRC-dispnea skalu, zajedno sa brojem egzacerbacija bolesti i FEV1, u validne parametre prilikom klasifikacije bolesnika na grupe A,B,C i D, na osnovu kojih možemo sveobuhvatno sagledati i proceniti HOBP.
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O članku

jezik rada: engleski
vrsta rada: pregledni članak
DOI: 10.5633/amm.2015.0111
objavljen u SCIndeksu: 25.10.2015.