Assessment of Bronchiectasis with FACED score and Correlation with Quality of Life by St George Respiratory Questionnaire

Prince George Varughese; Arun Prasath; Asha Undrajavarapu

Volume : X, Issue : VIII, August - 2020

Assessment of Bronchiectasis with FACED score and Correlation with Quality of Life by St George Respiratory Questionnaire

Prince George Varughese, Arun Prasath, Asha Undrajavarapu

Abstract :

Introduction: Bronchiectasis is a chronic suppurative lung disease having greater inverse impact on the patient’s quality of life. The FACED score is a multidimensional grading system capable of classifying the severity of onchiectasis according to its prognosis. The St. George Respiratory Questionnaire is a self–administered health–related quality of life questionnaire containing 50 items and 76 weighted responses measuring the quality of life of the patients with respiratory morbidity in three dimensional components namely Symptoms, Activity, and Impacts. Objectives: To compare the severity onchiectasis as measured by FACED score with the QOL measured by SGRQ scores. Materials and Methods: The prospective observational study was conducted among 82 patients attending to the Department of Pulmonary Medicine, Pondicherry Institute of Medical Sciences, with stable onchiectasis during the period October 2016 to April 2018. A proforma was used to collect the socio–demographic and clinical variables including age, gender, severity of dyspnoea, history of smoking and number of exacerbations per year. The patient was then subjected to routine laboratory investigations, spirometry, HRCT and sputum culture. FACED score for severity and SGRQ score for QOL were computed for each patient and correlated. Results: Majority of the study participants belonged to the 50 –69 years age group (56.1%) and female participants (57.3%) compared to the males (46.3%). The mean FACED score obtained by the study participants (n=82) was 2.46 ± 1.86. The severity of onchiectasis was mild (score≤ 2) for 52.5% (n=43), Moderate (score= 3–4) for 36.6% (n=30) and Severe (score ≥5) for 10.9% (n=9) of the study participants according to FACED scores. There was a highly significant correlation between the FACED score and the SQRQ score percentage. Conclusion: The study showed that as the severity scores increased there was a derangement in the quality of life as recorded by the SQRQ.