ASSESSMENT OF BRONCHIECTASIS USING FACED SCORE AND BRONCHIECTASIS SEVERITY INDEX

Varughese Prince; Mathew Varghese; Sebin John Thampan

Volume : IX, Issue : VIII, August - 2020

ASSESSMENT OF BRONCHIECTASIS USING FACED SCORE AND BRONCHIECTASIS SEVERITY INDEX

Varughese Prince, Mathew Varghese, Sebin John Thampan

Abstract :

Introduction: Bronchiectasis is a chronic suppurative lung disease having greater inverse impact on the patient’s quality of life. Recently, the FACED score and Bronchiectasis Severity Index (BSI) are two best used multidimensional grading systems capable of classifying the severity of onchiectasis according to its prognosis. Objectives: To compare the severity onchiectasis as measured by FACED score and by the BSI score. 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 and BSI score for severity. Results: The mean FACED score and BSI scores obtained by the study participants (n=82) was 2.46 ± 1.86 and 10.63 ± 4.26 respectively. 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. Most of the study participants (68.3%) were classified as severe onchiectasis than mild and moderate categories as 8.5% and 23.2% respectively in BSI. Conclusion: The study showed that there was a poor concordance between FACED and BSI scoring system. Both BSI and FACED are compliment to each other, and one neither can replace the other.